Telehealth use and its impact on clinical outcomes in patients with type 2 diabetes during the COVID‐19 pandemic

Author:

Shao Yixue1ORCID,Shi Lizheng1ORCID,Nauman Elizabeth2,Price‐Haywood Eboni3,Stoecker Charles1

Affiliation:

1. Department of Health Policy and Management Tulane University School of Public Health and Tropical Medicine New Orleans Louisiana USA

2. Louisiana Public Health Institute New Orleans Louisiana USA

3. Ochsner Health System New Orleans Louisiana USA

Abstract

AbstractAimTo evaluate the impact of telehealth use during the COVID‐19 pandemic on glycaemic control and other clinical outcomes among patients with type 2 diabetes.MethodsWe used electronic health records from the Research Action for Health Network (REACHnet) database for patients with type 2 diabetes who had telehealth visits and those who only received in‐person care during the pandemic. A quasi‐experimental method of difference‐in‐difference with propensity‐score weighting was implemented to mitigate selection bias and to control for observed factors related to telehealth use. Outcomes included glycated haemoglobin (HbA1c) and other clinical measures (low‐density lipoprotein [LDL] cholesterol, blood pressure [BP], and body mass index [BMI]).ResultsPatients using telehealth had better HbA1c control compared to those receiving in‐person care only during the pandemic. The telehealth group saw a significant average decrease of 0.146% (95% confidence interval [CI] −0.178% to −0.1145%; P < 0.001) in HbA1c levels over time. The proportion of patients with average HbA1c levels >7% decreased by 0.023 (95% CI −0.034, −0.011; P < 0.001) in the treatment group relative to the comparison group. Modest benefits in the control of LDL cholesterol levels, diastolic BP, and BMI were found in association with telehealth use.ConclusionsOur findings suggest that telehealth services contributed to better glycaemic control and management of other clinical outcomes in patients with type 2 diabetes during the pandemic. Factors unmeasured in this study would need to be further explored to better understand the impact of telehealth.

Publisher

Wiley

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism,Internal Medicine

Reference37 articles.

1. Complex type 2 diabetes mellitus–management challenges and pitfalls;Kennedy M;Aust Fam Physician,2013

2. The Impact of Reimbursement for Non-Face-to-Face Chronic Care Management on Health Utilization Among Patients With Type 2 Diabetes in Louisiana

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