Telemedicine for clinical management of diabetes: a process analysis of video consultations

Fatehi, Farhad, Gray, Leonard C. and Russell, Anthony W. (2013) Telemedicine for clinical management of diabetes: a process analysis of video consultations. Journal of Telemedicine and Telecare, 19 7: 379-382. doi:10.1177/1357633X13506524

Author Fatehi, Farhad
Gray, Leonard C.
Russell, Anthony W.
Title Telemedicine for clinical management of diabetes: a process analysis of video consultations
Journal name Journal of Telemedicine and Telecare   Check publisher's open access policy
ISSN 1357-633X
Publication date 2013-10-01
Year available 2013
Sub-type Article (original research)
DOI 10.1177/1357633X13506524
Open Access Status
Volume 19
Issue 7
Start page 379
End page 382
Total pages 4
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Formatted abstract
We analysed 56 video consultations provided in a 5-month period by two endocrinologists from the tele-endocrinology clinic of a tertiary teaching hospital in Brisbane. The patients were suffering from type 1 or type 2 diabetes, and 41% of them had at least one diabetic complication. Their mean age was 51 years and 45% were female. The consultations were provided to ten cities located 210–1800 km from Brisbane. A questionnaire was developed for analysing the video visits. It comprised 26 questions, arranged in six sections: (1) Patient characteristics, (2) Reason for referral, (3) Procedures and findings, (4) Recommendations, (5) Telehealth logistics, (6) Consultant’s opinion. In 66% of consultations a nurse accompanied the patient. The specialist requested the nurse to perform a physical examination in 18% of these cases. No change in medications was made in 36% of the consultations. The most frequent recommendations were requesting laboratory tests (75%), insulin dose adjustments (39%) and referrals to an allied health professional (13%). Out of 56 consultations, the specialists indicated the need to perform a physical examination for 12 patients that was not possible remotely. However, they requested an in-person (face-to-face) visit for three patients. Nevertheless they believed that in 34% of the cases they could have made a better decision if the consultation had been in-person. Video consultation can substitute for a large proportion of in-person specialist consultations for people with diabetes who are referred to endocrinology specialists.
Keyword Health Care Sciences & Services
Health Care Sciences & Services
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
Centre for Online Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 12 times in Scopus Article | Citations
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Created: Wed, 13 Nov 2013, 23:50:24 EST by Burke, Eliza on behalf of Centre for On-Line Health