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Permanent link (DOI): https://doi.org/10.7939/R33Q35

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Telemedicine in Chronic Disease Management Open Access

Descriptions

Other title
Subject/Keyword
Systematic review
Type 2 DM
Type 1 DM
Diabetes mellitus
Telemedicine
Telehealth
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Ehteshami Afshar, Arash
Supervisor and department
Tonelli, Marcello (Medicine)
Examining committee member and department
Klarenbach, Scott (Medicine)
Pannu, Neesh (Medicine)
Eurich, Dean (Public Health Sciences)
Department
School of Public Health Sciences
Specialization
Clinical Epidemiology
Date accepted
2013-08-30T16:12:16Z
Graduation date
2013-11
Degree
Master of Science
Degree level
Master's
Abstract
Telemedicine is a promising but unproven tool for improving the quality of chronic disease care. The aim of this research is to investigate the potential of telemedicine for the care of patients with chronic diseases in Canada. We did a systematic review and meta-analysis of telemedicine for management of diabetes. In pooled analysis, mean A1C level in the telemedicine group was significantly lower than those of patients in the usual care group (weighted mean difference (WMD) -0.49, 95% CI -0.64, -0.35, p<0.00001) with evidence of statistical heterogeneity between studies (I2 = 65%). We also described the results of a survey that was used to demonstrate the willingness of 1849 patients to use telemedicine. The result showed that 65.1% (CI 61.4, 68.6) of Western Canadians with self-reported chronic disease are willing to use telehealth. Finally, a clinical trial proposal was presented for a study using telemedicine for management of diabetic nephropathy.
Language
English
DOI
doi:10.7939/R33Q35
Rights
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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