Exploring the impact of digital care delivery for patients with diabetes and hypertension: A longitudinal qualitative study
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By
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Matthew D. Dalstrom
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Colleen J. Klein
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Deanna Latino
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Melinda Cooling
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May 12, 2026
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Clinical Scorecard: Assessing the Effects of Digital Healthcare Solutions on Diabetes and Hypertension Patients: A Longitudinal Qualitative Analysis
At a Glance
| Category | Detail |
| Condition | Diabetes Mellitus and Hypertension |
| Key Mechanisms | Telehealth programs enhance access to care, patient engagement, and improve clinical outcomes through remote monitoring and communication. |
| Target Population | Socioeconomically disadvantaged populations, particularly those enrolled in Medicaid. |
| Care Setting | Telehealth, specifically the OnCall Advanced Care (OCAC) program. |
Key Highlights
- Telehealth improves disease control in diabetes and hypertension patients.
- Patient-reported outcomes (PROs) provide critical insights into care effectiveness.
- Challenges include limited internet access and digital literacy.
- Telehealth addresses barriers such as transportation and provider shortages.
- Research on Medicaid populations is limited, emphasizing the need for focused studies.
Guideline-Based Recommendations
Diagnosis
- Utilize telehealth for initial assessments and ongoing monitoring of diabetes and hypertension.
Management
- Implement telehealth programs to enhance patient engagement and self-management.
Monitoring & Follow-up
- Use remote patient monitoring technologies to track health metrics and adjust care plans.
Risks
- Be aware of privacy concerns and the need for secure communication channels.
Patient & Prescribing Data
Patients with chronic conditions, particularly those enrolled in Medicaid.
Participation in telehealth programs can lead to improved perceptions of disease management over time.
Clinical Best Practices
- Incorporate patient-reported outcomes in evaluating telehealth effectiveness.
- Ensure comprehensive training for patients on using telehealth technologies.
- Regularly assess and address barriers to access for telehealth services.
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