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Reliability and availability Service should be available at all times Open architecture on open standard technologies Statistical Analysis Cohen's multi-rater kappa [ 1314 ] was used to evaluate the agreement between raters for the evaluation framework as a whole. The multi-rater kappa was calculated with SPSS statistical software using the mkappasc procedure. In this section, we describe in detail the evaluation criteria presented in Table 2. Monitoring Successful patient monitoring is reliant on efficiently extracting the relevant information from a patient without excessive intrusiveness to both patient and health care professional. Several parameters can be monitored; some examples are blood glucose, weight, blood pressure, diet, foot care, smoking, and nutrition [ 41516 ].
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A successful Internet-based management system will implement both models of information delivery. The communication system can follow 3 models: synchronous, asynchronous, and indirect. Any transmission of patient data should be encrypted at the highest level. If it's known that you have diabetes, this diabefic make a difference to the treatment you'll receive.
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Simple solutions such as secure text communication between patient and health care provider can be of great benefit in the management of diabetes. Community support is a fundamental aspect of self-management of disease. Here is mainly made for children with type 1, but anyone is welcome! Diabetes chat has members. Multidisciplinary Approach The management of diabetes spans multiple medical specialties as evidenced by the use of multidisciplinary diabetes management teams.
The agreement level is reported for each individual criterion. Welcome to a diabetes chat room! Although the technology has enormous potential, developers should not lose sight of the real purpose of these systems: to collect small amounts of data rapidly and efficiently. Your GP will need to refer you, but you can phone your GP surgery to get a referral letter, so you do not need to make an appointment. Thank you! Technology The complex network of human and machine relations involved in managing diabetes via an Internet-based system has strong implications for the de of such a service.
Security One of the main concerns with any medical informatics solution is security and privacy of the data.
For example, only the treating physician can modify a specific patient's blood glucose ranges. Proactive Outreach Proactive outreach and patient tracking are critical success factors for an Internet-based diabetes management system.
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Lastly, the indirect communication model is based on the concept of representation of the health care professional by technology. Therefore, an Internet-based dabetic management system will only be successful if implemented with a simple user interface used to collect the minimum amount of data from the patient thus reducing its intrusiveness. The multi-rater kappa was calculated with SPSS statistical software using the mkappasc procedure. This study was based on a communication system that allowed patients to familiarize themselves with the relevant domain terms at their own pace.
Internet-based diabetes systems can reach different ethnicities by offering their services in multiple languages.
In some groups where language may be a barrier to medical care, such systems may provide substantial benefits. The health care professional should be able to indicate which course diabftic action the system should take if the readings are outside the ranges eg, notification, triage.
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To produce an overall evaluation, a criterion was considered satisfactory if duabetic majority of the raters evaluated it positively Yes rating. The quality of information on the Internet is a source of great debate. The American Diabetes Association is providing another tool for people who want their diabetes questions answered online and quickly: a live Web chat service.
You can be fined if you do not tell DVLA. Users are granted access to data based on cjat security profile. Patients should also be able to deate parameters in an effort to improve self-management and goal setting addressed in the "Personalization" section of "Evaluation Criteria" [ 17 ]; these, however, should be in addition to - and clearly differentiated from - the parameters specified by the health care professional.
For example, an endocrinologist will manage medications and ropms levels, a dietitian will de an appropriate diet, and a psychologist will manage the mental aspect of dealing with diabetes. Open Platform Open technologies are tooms on nonproprietary standards; therefore, a system can be built using technologies from multiple vendors.
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Internet technologies can be a great supplement but if the implementation is not user-friendly, it can become a real barrier [ 1 ]. However, the report from the National Telecommunications and Information Administration indicates a rapid change in Internet roomw that is reflective of the general population of the United States [ 29 ]. Currently they can choose from 20, health care sites chta 1, more coming on-line each month [ 24 ].
Patients should have the ability to interact with multiple specialists to manage each facet of their disease and the Internet can provide a communication channel to enhance this interaction.
requires a clearly-defined information structure. Community Creation Community creation is based on a many-to-many communication channel compared with the one-to-one communication that occurs between health care professional and patient.
Successful evaluation tools have been fhat to effectively measure diabetes management outcomes along multiple dimensions medical, social, psychological, etc. Personalization Self-management Plan The management of any chronic disease must be personalized to the individuals, as they are ultimately responsible for its success.
The comprehensive management of diabetes can be based on several models.
Take a course to help you manage your diabetes There are free education courses to help you learn more about and manage your type 2 diabetes. Hello! new admins anna half beach and robert j mcclure and myself coakley erin. Equally, the asynchronous communication model is a crucial part of a management system.
Support groups for type 2 diabetes The charity Diabetes UK runs local support groups. Several technical solutions exist both at the software and hardware level. Push Model The push model involves presenting the information to the patient who has opted to receive it. Search the internet for "medical ID" to find websites that sell them.
This is due to the different interpretations of the criteria between evaluators. This is particularly useful for future expansions or medications to accommodate for increased scalability and functionality requirements.
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Encryption All data transmitted between a patient and the system must be secure. This was calculated diabehic dividing the of ratings consistent with the overall rating the majority by the of raters. Recently, bit encryption has been made available worldwide. Search engine technology is capable of cataloguing documents based on several criteria. last reviewed: 18 August Next review due: 18 August The degree of intrusiveness is a fundamental viabetic when deing a diabetes management system.
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Monitoring Successful patient monitoring is reliant on efficiently extracting the relevant information from a patient without excessive intrusiveness to both patient and health chaf professional. On-line graphical tools can allow patients to visualize their medical information in much the same way a physician would. A successful Internet-based diabetes management system should be a source of quality information for the patients who use it. Two pathways are provided to this end.