Aperçu

Résumé (français)

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Résumé (anglais)

Telemedicine is a promising but unproven tool for improving the quality of chronic disease care. The aim of this research is to investigate the potential of telemedicine for the care of patients with chronic diseases in Canada. We did a systematic review and meta-analysis of telemedicine for management of diabetes. In pooled analysis, mean A1C level in the telemedicine group was significantly lower than those of patients in the usual care group (weighted mean difference (WMD) -0.49, 95% CI -0.64, -0.35, p<0.00001) with evidence of statistical heterogeneity between studies (I2 = 65%). We also described the results of a survey that was used to demonstrate the willingness of 1849 patients to use telemedicine. The result showed that 65.1% (CI 61.4, 68.6) of Western Canadians with self-reported chronic disease are willing to use telehealth. finally, a clinical trial proposal was presented for a study using telemedicine for management of diabetic nephropathy.