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Use and perception of telemedicine in people with type 1 diabetes during the COVID‐19 pandemic—Results of a global survey

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cris.virtual.author-orcid0000-0002-7622-0822
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cris.virtualsource.author-orcid61fae9f4-4750-4d3c-8369-1f0d49156877
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cris.virtualsource.author-orcid44e2b7f7-32c8-4acf-a530-f22a048716ea
cris.virtualsource.author-orcid074c0c23-04fd-4e74-a078-353fc7ca9355
cris.virtualsource.author-orcide27483a2-c8d3-4694-ac0d-c5337f5771cf
dc.contributor.authorScott, Samuel Nathan
dc.contributor.authorFontana, Federico Y.
dc.contributor.authorZüger, Thomas Johannes
dc.contributor.authorLaimer, Markus
dc.contributor.authorStettler, Christoph
dc.date.accessioned2024-10-07T05:43:30Z
dc.date.available2024-10-07T05:43:30Z
dc.date.issued2021
dc.description.abstractIntroduction: The COVID-19 pandemic has forced rapid reconsideration as to the way in which health care is delivered. One potential means to provide care while avoiding unnecessary person-to-person contact is to offer remote services (telemedicine). This study aimed to (1) gather real-time information on the use and perception of telemedicine in people living with type 1 diabetes and (2) assess the challenges, such as restricted access to health care and/or medical supplies. Methods: An anonymous questionnaire was widely distributed between 24 March and 5 May 2020 using an open-access web-based platform. Data were analysed descriptively, and results were stratified according to age, sex and HbA1c. Results: There were 7477 survey responses from individuals in 89 countries. Globally, 30% reported that the pandemic had affected their healthcare access due to cancelled physical appointments with their healthcare providers. Thirty-two per cent reported no fundamental change in their medical follow-up during this period, with 9% stating that no personal contact was established with their doctors over the duration of the study. Twenty-eight per cent received remote care through telephone (72%) or video-calls (28%). Of these, 86% found remote appointments useful and 75% plan to have remote appointments in the future. Glucose control, indicated by HbA1c, was positively associated with positive perception of telemedicine. In males, 45% of respondents with an HbA1c > 9% rated telemedicine not useful compared to those with lower HbA1c, while 20% of females with an HbA1c > 9% rated it not useful (χ2 = 14.2, P = .0016). Conclusion: Remote appointments have largely been perceived as positive in people with type 1 diabetes with the majority (75%) stating that they would consider remote appointments beyond the pandemic. Age and level of education do not appear to influence perception of telemedicine, whereas poor glucose control, particularly in males, seems to negatively affect perception.
dc.description.numberOfPages5
dc.description.sponsorshipUniversitätsklinik für Diabetologie, Endokrinologie, Ernährungsmedizin & Metabolismus (UDEM)
dc.identifier.doi10.48350/163793
dc.identifier.pmid33532617
dc.identifier.publisherDOI10.1002/edm2.180
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/59510
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofEndocrinology, diabetes & metabolism
dc.relation.issn2398-9238
dc.relation.organizationDCD5A442C012E17DE0405C82790C4DE2
dc.subject.ddc600 - Technology::610 - Medicine & health
dc.titleUse and perception of telemedicine in people with type 1 diabetes during the COVID‐19 pandemic—Results of a global survey
dc.typearticle
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oaire.citation.issue1
oaire.citation.startPagee00180
oaire.citation.volume4
oairecerif.author.affiliationUniversitätsklinik für Diabetologie, Endokrinologie, Ernährungsmedizin & Metabolismus (UDEM)
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oairecerif.author.affiliationUniversitätsklinik für Diabetologie, Endokrinologie, Ernährungsmedizin & Metabolismus (UDEM)
oairecerif.author.affiliationUniversitätsklinik für Diabetologie, Endokrinologie, Ernährungsmedizin & Metabolismus (UDEM)
oairecerif.author.affiliationUniversitätsklinik für Diabetologie, Endokrinologie, Ernährungsmedizin & Metabolismus (UDEM)
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unibe.contributor.rolecreator
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unibe.date.licenseChanged2022-01-24 16:05:48
unibe.description.ispublishedpub
unibe.eprints.legacyId163793
unibe.refereedTRUE
unibe.subtype.articlejournal

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