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Updated: May 5, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Shared care combined with telecare improves glycemic control of diabetic patients in a rural underserved community
Jhao-Kun Liou1, Maw-Soan Soon, Ching-Hui Chen
11 Division of Endocrinology and Metabolism, Department of Internal Medicine, Changhua Christian Hospital , Changhua, Taiwan .
Objective:
To investigate the effectiveness of shared care combined with telecare in type 2 diabetic patients in an underserved community in Asia.
Research Design And Methods:
In total, 95 patients with type 2 diabetes who had a glycosylated hemoglobin (HbA1c) level of >7% were recruited from six community health centers in remote areas in Changhua County, Taiwan. All patients were randomly divided into intervention (shared care combined with telecare) and usual-care groups and followed up for 6 months.
Results:
The decrease in HbA1c level was significantly greater in the intervention group than in the usual-care group (0.7 ± 1.3% versus 0.1 ± 1.0%, p=0.03). There were no significant differences in lipid profiles and blood pressure changes between the two groups.
Conclusions:
Shared care combined with telecare could significantly reduce HbA1c levels in type 2 diabetic patients with poor glycemic control in underserved rural communities. Further studies should be conducted to clarify the target users and to develop cost-effective interventions.
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