We conducted a pilot study of a care-coordination programme involving daily monitoring and education of elderly diabetic veterans from different racial/ethnic groups. A telephone-based, in-home messaging device was used for patient monitoring and education. Sixty-nine patients were enrolled in the study and HbA 1c values were obtained both before and after the telemedicine intervention in 41 of them. The mean HbA 1c before enrolment was 7.6% and the mean value 9 months later was 7.3% (P=0.09). The greatest fall in HbA 1c occurred in African-Americans (0.65%, P=0.05). The total number of hospital admissions decreased from 31 pre-enrolment to 25 post-enrolment (P=0.0002). Bed days of care decreased from 368 to 149 (P =0.0002). Care coordination, facilitated by telemedicine, appeared to improve glycaemic control in veterans with diabetes from diverse ethnic backgrounds, particularly African-Americans. This may reduce health-care resource utilization.
ASJC Scopus subject areas
- Health Informatics