DAWN: Diabetes Appointments via Webcam in Newham
AbstractThe diabetes service at Newham, East London, exemplifies challenges faced in the National Health Service with increasing demand, pressure to improve efficiency, high non-attendance rates and poor health outcomes, reflecting the complex lives of many patients with long-term illness. Perceived lack of control, poor engagement with inflexible services and poor self-management are common with these patients. Early evidence from our work so far suggests that web-based appointments can be used as part of outpatient services to improve patient experience and provide better access to effective care, with the potential to improve longer-term efficiency. By using readily available video conferencing software (Skype), our service model can be easily replicable across the majority of outpatient care. Further work is now being done to explore the impact of online consultations on improving patient self-management, particularly for those patients labelled “hard to reach”.
Balasanthiran A, O'Shea T, Moodambail A, et al. Type 2 diabetes in children and young adults in East London: an alarmingly high prevalence. Practical Diabetes 2012;29:193-8. http://dx.doi.org/10.1002/pdi.1689
Health and Social Care Information Centre/QIPP Digital Technology. A brief guide to online meeting services for the NHS. http://systems.hscic.gov.uk/qipp/library/onlinemtgfs.pdf.
Department of Health. Liberating the NHS: An Information Revolution. London: The Stationery Office; 2010.
Bunn F, Byrne G, Kendall S. The effects of telephone consultation and triage on health care use and patient satisfaction: a systematic review. Br J Gen Pract 2005,55:956-61.
Turner J, O'Cathain A, Knowles E, Nicholl J. Impact of the urgent care telephone service NHS 111 pilot sites: a controlled before and after study. BMJ Open 2013;3:e003451. http://dx.doi.org/10.1136/bmjopen-2013-003451
McKinstry B, Watson P, Pinnock H, et al. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract 2009;59:e209-218. http://dx.doi.org/10.3399/bjgp09X420941
Cole-Lewis H, Kershaw T. Text messaging as a tool for behavior change in disease prevention and management. Epidemiol Rev 2010;32:56-69. http://dx.doi.org/10.1093/epirev/mxq004
May C, Harrison R, Finch T, et al. Understanding the normalization of telemedicine services through qualitative evaluation. J Am Med Inform Assoc 2003;10:596-604. http://dx.doi.org/10.1197/jamia.M1145
Greenhalgh T, Procter R, Wherton J, et al. The organising vision for telehealth and telecare: discourse analysis. BMJ Open 2012;2:e001574. http://dx.doi.org/10.1136/bmjopen-2012-001574
Steventon A, Bardsley M, Billings J, et al. Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial. BMJ 2012;344:e3874. http://dx.doi.org/10.1136/bmj.e3874
Clark RA, Inglis SC, McAlister FA, et al. Tele-monitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis. BMJ 2007;334:942. http://dx.doi.org/10.1136/bmj.39156.536968.55
Publish & Transfer of Copyright Agreement
For the mutual benefit and protection of the Author and the Journal Owner/Publisher it is necessary that the Author provides formal written Consent to Publish and Transfer of Copyright before publication of the Work.