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An electronic case manager for diabetes control
L F Meneghini1, A M Albisser, R B Goldberg
1Diabetes Research Institute, Eleanor and Joseph Kosow Diagnostic and Treatment Center, University of Miami School of Medicine, FL 33101, USA. lmeneghi@mednet.med.miami.edu
Diabetes Care
|May 8, 1998
Summary
An electronic case manager (ECM) system improved diabetes care by reducing crises and clinic visits. This technology offers patients timely, cost-effective intervention, enhancing overall diabetes management.
Area of Science:
- Diabetes Management
- Health Informatics
- Telemedicine
Background:
- Sustained glycemic control is crucial for preventing long-term diabetes complications.
- Electronic Case Manager (ECM) systems offer a novel approach to facilitate diabetes care.
Purpose of the Study:
- To evaluate the usage and safety of a voice-interactive ECM system.
- To assess the impact of the ECM on glycemic control and patient outcomes.
Main Methods:
- A customized microcomputer system served as the ECM, accessible via touch-tone telephone.
- Beta-testing involved 184 patients in an academic diabetes center over 788 patient-months.
- Patients reported glucose levels and symptoms; the system provided 24-h assistance and automated reporting.
Main Results:
- 58% of patients actively used the ECM, with over 45,000 calls received in the first year.
- Diabetes-related crises decreased threefold (P < 0.05).
- HbA1c levels decreased by 0.8% at 6 months and 0.9% at 12 months (P < 0.05).
- Clinic visits were reduced twofold (P < 0.0001).
Conclusions:
- The ECM system provides timely, cost-effective, and reliable medical intervention for diabetes patients.
- Utilizing the ECM reduces the incidence of diabetic crises and the need for frequent clinic visits.
- The ECM empowers healthcare providers to deliver safer and superior diabetes care.
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