This 2017 systematic review and network meta-analysis from Australian, Malaysian, and Thai authors, compared the effectiveness of telemedicine strategies on type 2 diabetes treatment outcomes. It found teleconsultation was the most effective telemedicine strategy in reducing HbA1c levels significantly, compared to usual care.
American meta-analysis from 2016 found “compared to conventional care, telemedicine is more effective in improving treatment outcomes for diabetes patients, especially for those with type 2 diabetes.’
A 2015 Danish randomized controlled trial in an outpatient clinic directly compared home video consultations to standard outpatient therapy for type 2 diabetes. The study found telemedicine was a safe and accessible option, with favorable outcomes in HBA1c, mean blood glucose, and cholesterol levels after six months of treatment.
• Telemedicine and telecare for older patients--a systematic review
A German systematic review from 2012 found telemedicine improved behavioral endpoints such as adherence to diet, medication, and exercise for an older population.
This 2011 American randomized controlled trial studying African Americans living with type 2 diabetes found “the online diabetes self-management portal complemented by biweekly virtual visits with a nurse enabled 26 African Americans with diabetes to improve their health outcomes and assume more responsibility for their health.”
An American feasibility trial from 2011 evaluated the use of telehealth via video visits to provide interdisciplinary diabetes care to a rural population. The trial found “telehealth to be an effective mode for the provision of diabetes care to rural patients. Few differences were detected in the delivery of a team approach to diabetes management via telehealth compared with face-to-face visits on receipt of preventive care services, vascular risk factor control, patient satisfaction, and patient self-management.”
This 2009 American randomized controlled trial compared telemedicine case management to usual care of underserved diabetic patients 55 years or older. The trial resulted in net improvements in HgbA1c, LDL-cholesterol, and blood pressure levels over five years.
An Australian prospective cohort study from 2016 of video calls for palliative care patients found staff (inclusive of GPs) “reported video calls were similar (22.3%) or better/much better (65.2%) than phone calls and similar (63.1%) or better/much better (27.1%) than face-to-face.”
This 2016 Australian systematic review of models of care and factors influencing success and sustainability of telehealth services in rural and remote Australia identified telehealth’s potential to address Australia’s key health provision challenges.
An Australian review from 2014 discussed the barriers for delivering telehealth in rural Australia and how recent technological advancements have a great potential to overcome many of the identified barriers.
• Telehealth: the general practice perspective
A 2014 perspective piece discussed the practical issues, challenges, and opportunities related to running a GP telehealth video conferencing service, including a use case of one practice’s experience delivering telehealth videoconferencing.
This Australasian study from 2009 showed high satisfaction ratings by GP’s using telehealth for psychiatric patient management in rural and remote areas.