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首页> 外文期刊>Endocrinology, Diabetes & Metabolism >Use and perception of telemedicine in people with type 1 diabetes during the COVID‐19 pandemic—Results of a global survey
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Use and perception of telemedicine in people with type 1 diabetes during the COVID‐19 pandemic—Results of a global survey

机译：在Covid-19大流行病 - 全球调查结果中使用和感知到1型糖尿病的人们的使用和感知

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Introduction The COVID‐19 pandemic has forced rapid reconsideration as to the way in which health care is delivered. One potential means to provide care while avoiding unnecessary person‐to‐person contact is to offer remote services (telemedicine). This study aimed to (1) gather real‐time information on the use and perception of telemedicine in people living with type 1 diabetes and (2) assess the challenges, such as restricted access to health care and/or medical supplies. Methods An anonymous questionnaire was widely distributed between 24 March and 5 May 2020 using an open‐access web‐based platform. Data were analysed descriptively, and results were stratified according to age, sex and HbA 1c . Results There were 7477 survey responses from individuals in 89 countries. Globally, 30% reported that the pandemic had affected their healthcare access due to cancelled physical appointments with their healthcare providers. Thirty‐two per cent reported no fundamental change in their medical follow‐up during this period, with 9% stating that no personal contact was established with their doctors over the duration of the study. Twenty‐eight per cent received remote care through telephone (72%) or video‐calls (28%). Of these, 86% found remote appointments useful and 75% plan to have remote appointments in the future. Glucose control, indicated by HbA 1c , was positively associated with positive perception of telemedicine. In males, 45% of respondents with an HbA 1c ??9% rated telemedicine not useful compared to those with lower HbA 1c, while 20% of females with an HbA 1c ??9% rated it not useful (χ 2 ?=?14.2, P =?.0016). Conclusion Remote appointments have largely been perceived as positive in people with type 1 diabetes with the majority (75%) stating that they would consider remote appointments beyond the pandemic. Age and level of education do not appear to influence perception of telemedicine, whereas poor glucose control, particularly in males, seems to negatively affect perception.
机译：简介Covid-19 Pandemic已经强迫重新考虑送达医疗保健的方式。提供护理的一个潜在手段，同时避免不必要的人的联系人是提供远程服务（远程医疗）。本研究旨在（1）收集有关患有1型糖尿病的人的使用和对远程医疗的使用和感知的实时信息，（2）评估挑战，例如限制对医疗保健和/或医疗用品的挑战。方法使用开放式访问基于Web的平台，匿名问卷在3月24日和5月5日5月5日之间广泛分发。描述了数据分析，并根据年龄，性别和HBA 1C分层结果。结果89个国家的个人有7477个调查响应。在全球范围内，30％的报告称，由于与医疗保健提供者的身体预约取消了物理预约，大流行影响了他们的医疗保健。在此期间，32％的百分之均未在其医疗后续行动中报告根本变化，9％指出，在研究期间没有任何个人联系。通过电话（72％）或视频通话（28％）收到了二十八个百分之次。其中，86％发现远程约会有用，未来有75％的计划有远程约会。 HBA 1C表示的葡萄糖对照与对远程尿液的阳性感知呈正相关。在雄性中，45％的受访者有HBA 1C？＆Δ9％额定远程医疗与较低的HBA 1C的近期疗法药物没有用，而20％的女性与HBA 1C？＆？9％额定没有用（χ 2？=？14.2，p =？0016）。结论远程约会主要被认为是1型糖尿病患者的阳性，其中大多数（75％）表示他们将考虑超越大流行之外的远程约会。年龄和教育程度似乎没有影响到远程医疗的感知，而血糖控制差，特别是男性，似乎对着感知产生负面影响。

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