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Mechanisms for improving diabetes patient–provider communication through optimal use of e-clinical technologies

Authors Khurana L, Durand EM, Gary ST, Otero AV, Dumais KM, Beck J, Zurakowski D, Hall CT, Dallabrida SM

Received 27 February 2019

Accepted for publication 2 May 2019

Published 24 June 2019 Volume 2019:13 Pages 981—992


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen

Laura Khurana,1 Ellen M Durand,1 Sarah Tressel Gary,1 Antonio V Otero,1 Kelly M Dumais,1 Jamie Beck,1 David Zurakowski,2 Christine Teel Hall,1 Susan M Dallabrida1

1eResearch Technology (ERT), Boston, MA, USA; 2Harvard Medical School, Boston Children’s Hospital, Boston, MA, USA

Purpose: Effective health care and patient adherence to their prescribed regimens relies on successful communication between patients and their providers. This study examined mechanisms for optimizing patient–physician communication in subjects with type 2 diabetes, with a focus on optimizing the incorporation of e-clinical technology to improve engagement and communication.
Methods: A total of 105 subjects with type 2 diabetes participating in a large US mode equivalency study were surveyed independently of this trial. In addition to demographic information, each subject was queried on their familiarity with and preference for e-clinical technologies. Survey questions focused on mobile technology use, perceptions, and preferences for improving communication and interactions with health care providers.
Results: Subjects were diverse in age, sex, education, and ethnicity. Forty nine percent owned a smartphone, and 64% had a computer at home. Most subjects (81%) were interested in using electronic methods (eg, app on a smartphone, email, or text messages) to interact more with physicians between visits. The majority of subjects were interested in using technology to help manage their type 2 diabetes, including 62% favoring communicating with their health-care providers via email and a considerable fraction interested in using smartphones to be provided medication reminders (56%), clinical visit scheduling (55%), and text messaging (49%).
Conclusion: Subjects are interested in using electronic methods to increase communication with their physicians and manage their type 2 diabetes. Health-care providers should consider engaging patients with e-clinical technology to increase patient–physician communication and for the ultimate goal of improved health care.

Keywords: technology, eCOA, preferences, electronic, smartphone
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