3 ways to improve diabetes care through telehealth
New study interviewed endocrinologists to find what works, what doesn’t
(SACRAMENTO)
Grocery stores, airports and beaches aren’t great places to have telehealth visits with your endocrinologist. But home can be one of the best locations, giving a doctor helpful insight into a patient’s home environment, which can positively impact their care.
Polly Fu Teng, associate professor of Endocrinology, Diabetes, and Metabolism
“Telehealth has the potential to play an important role in diabetes care, but there are variations for optimizing how this care is delivered,” said Polly Fu Teng, associate professor of Endocrinology, Diabetes, and Metabolism at UC Davis Health and co-author of the study. “We worked to identify expert views on practices that have positive and negative impacts on providing telehealth specialty diabetes care.”
The researchers asked open-ended questions to learn how telehealth is used, challenges faced, helpful practices and plans for the future.
“These are critical and timely questions since telehealth remains an important way to provide care in the wake of the COVID-19 pandemic. But there is limited data about how to optimize it for specific types of care,” said Stephanie Crossen, UC Davis pediatric endocrinologist and co-author of the study. “We asked the people who have the most experience in this area to identify best practices which can be used, further studied, and refined moving forward.”
The study suggests several important strategies to improve telehealth operations:
Dedicated staff support is essential to obtain data from patients’ devices (like remote glucose monitors) ahead of telehealth visits. This can improve access to care for individuals with limited digital literacy, save clinician time during visits and prevent unnecessary rescheduling of appointments.
Efficient workflows around scheduling follow-up visits are needed to ensure people don’t experience lapses in care.
Finding the best ways to facilitate team-based diabetes care is key. For a diabetes management telehealth visit, this may include a nurse, dietitian, social worker, pharmacist or educator, in addition to the primary clinician. It is important to create workflows that support this effort.
Interviewees also said telehealth visits can provide a good opportunity to review and discuss the impact of the home environment on diabetes self-care. Through screen sharing, clinicians can also review trends in a patient’s glucose data and discuss daily management successes or challenges.
Finally, those interviewed also noted the need for clear patient guidelines about appropriate timing and physical setting for joining telehealth visits to make them efficient and effective. For example, visits while driving or at a large group event were not advised.
“I hope the findings of our study will spark discussion around how we can optimize telehealth and take advantage of its unique capabilities to improve patient care, rather than trying to replicate the in-person visit,” said Sarah Haynes, assistant professor from the UC Davis Department of Pediatrics and co-author of the study.
