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Literature Review
Literature Review HSAD 5253 Health Services Research

According to the American Telemedicine Association, “telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients’ health care (ATA, 2012). The Association also notes that telemedicine is associated with telehealth which is used to encompass a broader definition of remote healthcare that does not always include clinical services. This may include video conferencing, transmission of still images, e-health including patient portals, remote monitoring of vital signs, continuing medical education and nursing call centers. These functions are all considered part of telemedicine and telehealth. Hebda and Czar state that “telehealth can be done via teleconferencing, video conferencing and desktop video conferencing” (2009). Hebda and Czar note that video conferencing is a real time encounter that uses specially equipped personal computers with telephone line hookups, DSL, or cable connections to allow people to meet face to face over a secure video line, view patient medical history papers and medical images simultaneously. These types of conferencing can be used in real time or stored and forwarded to outside facilities. This literature review will incorporate many different studies with data that provides information on whether telemedicine is viable for diabetic care. I believe with the research presented and the research to be conducted, diabetic telemedicine will be a useful tool in treating patients with this chronic illness. Telehealth group therapy, in-home treatment and one-on-one telehealth appointments will lower health problems of diabetic patients. The continued monitoring of these diabetic patients through a telehealth program will lower A1c, lipid, blood pressure, and other chronic medical conditions associated with diabetes. Telehealth uses many different types



References: Hebda, T., & Czar, P. (2009). Handbook of informatics for nurses and health care professionals. Upper Saddle River: Pearson Education Inc. Blanchet, K. (2008). Telehealth and diabetes monitoring. Telemedicine and e-Health, 14(8), 744-746. doi: 10.1089/tmj.2008.8483 Klonoff, D Nyenwe, E., Ashby, S., Tidewell, J., Nouer, S., & Kitabchi, A. (2011). Improving diabetes care via telemedicine: Lessons from the addressing diabetes in tennessee project. Diabetes Care, 34(3), doi: 10.2337/dc10-2260 Lewis, N Klonoff, D. (2009). Using telemedicine to improve outcomes in diabetes: An emerging technology. Diabetes Science and Technology, 3(4), 624-628. Hopp, F., Hogan, M., Woodbridge, P., & Lowery, J. (2007). The use of telehealth for diabetes management: A qualitative study of telehealth provider perceptions. Implementation Science, 2(14), doi: 10.1186/1784-5908-2-14 Bellazzi, R Gallagher-Lepak, S., Scheibel, P., & Bibson, C. (2009). Integrating telehealth in nursing curricula: Can you hear me now?. Journal of Nursing Informatics, 13(2). Sorrels-Jones, J., Tschirch, P., & Liong, M. (2006). Nursing and telehealth: Opportunities for nurse leaders to shape the future. Nurse Leader, 9(1), 42-46. Carter, E., Nunlee-Bland, G., & Callender, C. (2011). A patient-centric, provider-assisted diabetes telehealth self-management intervention for urban minorities. Perspectives of Health Information management, 8(1). N.A. (2012). Telemedicine defined. Retrieved from http://www.americantelemed.org/i4a/pages/index.cfm?pageid=3333

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