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Open AccessFeature PaperArticle

A Shared Decision-Making Approach to Telemedicine: Engaging Rural Patients in Glycemic Management

Department of Medicine, Division of Endocrinology and Metabolism, University of Pittsburgh, Pittsburgh, PA 15213, USA
UPMC Bedford Memorial Hospital, Everett, PA 15537, USA
University of Pittsburgh Diabetes Institute, Pittsburgh, PA 15213, USA
Author to whom correspondence should be addressed.
Academic Editors: Yolanda Blanco, Núria Solà-Valls, Rajender Gattu and Richard Lichenstein
J. Clin. Med. 2016, 5(11), 103;
Received: 25 October 2016 / Revised: 13 November 2016 / Accepted: 13 November 2016 / Published: 17 November 2016
(This article belongs to the Special Issue Telemedicine - Technical Developments and Clinical Practice)
Telemedicine can connect specialist health care providers with patients in remote and underserved areas. It is especially relevant in diabetes care, where a proliferation of treatment options has added further complexity to the care of an already complex, highly prevalent disease. Recent developments in health reform encourage delivery systems to use team-based models and engage patients in shared decision-making (SDM), where patients and providers together make health care decisions that are tailored to the specific characteristics and values of the patient. The goal of this project was to design, integrate, and evaluate a team-based, SDM approach delivered to patients with diabetes in a rural community, building upon the previously established telemedicine for reach, education, access, and treatment (TREAT) model. Patients in this feasibility study demonstrated improvement in hemoglobin A1c values, and reported better understanding of diabetes. Providers reported the SDM aids increased cohesion among team members (including patients) and facilitated patient education and behavioral goal setting. This project demonstrated that SDM could be integrated into the workflow of a telemedicine team visit with good provider and patient satisfaction. View Full-Text
Keywords: telemedicine; diabetes; shared decision-making; team-based model telemedicine; diabetes; shared decision-making; team-based model
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Griffith, M.L.; Siminerio, L.; Payne, T.; Krall, J. A Shared Decision-Making Approach to Telemedicine: Engaging Rural Patients in Glycemic Management. J. Clin. Med. 2016, 5, 103.

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