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Telemedicine's Impact on Diabetes Care during the COVID-19 Pandemic: A Cohort Study in a Large Integrated Healthcare System.
Patel, Reysha; Huang, Jie; Hsueh, Loretta; Gopalan, Anjali; Millman, Andrea; Franklin, Isabelle; Reed, Mary.
Afiliação
  • Patel R; University of California Riverside, School of Medicine, Riverside, CA.
  • Huang J; Kaiser Permanente Division of Research, Oakland, CA.
  • Hsueh L; Kaiser Permanente Division of Research, Oakland, CA.
  • Gopalan A; Kaiser Permanente Division of Research, Oakland, CA.
  • Millman A; Kaiser Permanente Division of Research, Oakland, CA.
  • Franklin I; Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA.
  • Reed M; Kaiser Permanente Division of Research, Oakland, CA.
medRxiv ; 2024 Feb 27.
Article em En | MEDLINE | ID: mdl-38464156
ABSTRACT

Introduction:

To examine if patients exposed to primary care telemedicine (telephone or video) early in the COVID-19 pandemic had higher rates of downstream HbA1c measurement and improved HbA1c levels in the second year of the pandemic. Research Design and

Methods:

In a cohort of 242, 848 Kaiser Permanente Northern California patients with diabetes, we examined associations between early-pandemic patient-initiated telemedicine visit and downstream HbA1c monitoring and results during the second year of the pandemic.

Results:

Adjusted HbA1c measurement rates were significantly higher among patients with telemedicine exposure in the early-pandemic prior year than those with no visits in the prior year (91.0% testing for patients with video visits, 90.5% for telephone visits, visits, 86.7% for no visits, p < 0.05). Among those with HbA1c measured, the rates of having an HbA1c < 8% in the second year of the COVID-19 pandemic were also statistically significantly higher among patients with telemedicine exposure in the early-pandemic prior year than those with no visits in the prior year (68.5% with HbA1c< 8% for video visits, 67.3% for telephone visits, 66.6% for no visits, p < 0.05).

Conclusions:

Access to telephone and video telemedicine throughout the early COVID-19 pandemic was associated with patients' continued engagement in recommended diabetes care. Although our study analyzed telemedicine use during a pandemic, telemedicine visits may continue to support ongoing health care access and positive clinical outcomes.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article