The use of information technology to enhance diabetes management in
primary care: a literature review

Adaji, Akuh; Schattner, Peter; Jones, Kay Margaret

doi:10.14236/jhi.v16i3.698

Cited by 40 publications

(60 citation statements)

References 30 publications

(51 reference statements)

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“…Internet-based technologies such as Skype ® now allow for simple video calling or conferencing that is free of charge and requires only an internet connection and a high quality webcam [8]. Furthermore, remote monitoring of many chronic conditions such as congestive heart failure, hypertension and diabetes mellitus is now available and utilizes physiological sensors that can transmit data to central monitoring stations [8].…”

Section: Technology Needed For Remote Monitoring and Communicationsmentioning

confidence: 99%

Remote Monitoring for Continuous Peritoneal Dialysis

Rosner¹,

Ronco²

2012

Peritoneal Dialysis - State-of-the-Art 2012

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Peritoneal dialysis affords patients the luxury of independence and with this an improved quality of life. However, patients on peritoneal dialysis still require monthly visits with the care team to assess the quality of therapy (volume and blood pressure control, solute clearance, attainment of metabolic goals, and others). Furthermore, a critical aspect of therapy is that the patient must actively monitor their therapy with daily recordings of weight, blood pressure, and fluid removal. Remote monitoring of the patient on peritoneal dialysis offers the benefits of real-time monitoring and recording of the therapy as well as an interactive interface with the care team that may allow both acute 'trouble shooting' for problems as well as a means to interact with the patient for their monthly evaluation. This remote monitoring allows assurance of patient safety through surveillance of critical portions of the treatment as well as the ability to monitor compliance with prescribed therapy and automated collection of treatment data. Recent advances in telemedicine, telemonitoring, remote network access and sensor technologies have made such remote monitoring of peritoneal dialysis therapy feasible.

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Section: Technology Needed For Remote Monitoring and Communicationsmentioning

confidence: 99%

Remote Monitoring for Continuous Peritoneal Dialysis

Rosner¹,

Ronco²

2012

Peritoneal Dialysis - State-of-the-Art 2012

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“…10,11 Records can also be used to identify people with neuropathic pain for use in service planning, provision and research.…”

Section: Implications For Practicementioning

confidence: 99%

“…10,11 We aimed to determine the feasibility of using primary care records to identify patients with neuropathic pain, and to describe how such patients are managed pharmacologically in primary care.…”

Section: Introductionmentioning

confidence: 99%

Identification of patients with neuropathic pain using electronic primary care records

Gajria¹,

Murray²,

Birger³

et al. 2011

Journal of Innovation in Health Informatics

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Background Chronic neuropathic pain is a common condition which is challenging to treat. Many people with neuropathic pain are managed in the community, so primary care records may allow more appropriate subjects to be recruited for clinical studies. Objective We investigated whether primary care records can be used to identify patients with diseases associated with neuropathic pain. Method We analysed demographic, diagnostic and prescribing data from over 100 000 primary care electronic patient records in one part of London, UK. Results The prevalence of diagnoses associated with chronic neuropathic pain was 13 per 1000,

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“…From the informatics perspective, the local implementation approach may avoid the pitfalls of relying on physician report alone 1 and may improve data security by not relying on web-based tools or other data transportation methods with protected health information. 2 Further testing of this approach is recommended.…”

Section: Chart Selectionmentioning

confidence: 99%

Creating a diabetes foot reminder-based registry using the electronic medical record

Wrobel¹,

Chagares²,

Stuck³

et al. 2010

Journal of Innovation in Health Informatics

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Objective We created a new diabetes foot examination clinical reminder to directly populate a foot risk registry and examined its accuracy versus administrative data. Methods A pre-and post-test design assessed accuracy of coding foot risk and clinician acceptability. The intervention hospital's reminder was replaced with a dialogue tick box containing the International Diabetic Foot Classification System to populate risk using health factors. Results There were no hospital agreement differences for each foot condition except diabetes and peripheral neuropathy, demonstrating higher agreement at the intervention hospital. There were no differences in service agreement adherence or consulting rates although both demonstrated significantly lower consulting rates at study end. The intervention hospital had a significantly lower patient cancellation rate (1% v. 5%, P=0.01) and better coding for grade 3 patients. The new reminder demonstrated high acceptability. Conclusions The registry system resulted in improved discrimination of the highest foot risk. Further testing is recommended.

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The use of information technology to enhance diabetes management in primary care: a literature review

Cited by 40 publications

References 30 publications

Remote Monitoring for Continuous Peritoneal Dialysis

Remote Monitoring for Continuous Peritoneal Dialysis

Identification of patients with neuropathic pain using electronic primary care records

Creating a diabetes foot reminder-based registry using the electronic medical record

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