Journal of Telemedicine and Telecare > Volume 11, Supplement 1 > Pp. 6-8

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Implementing autonomy in a diabetes management system

Lesley-Ann Black, Conor McMeel, Michael McTear, Norman Black, Roy Harper and Michelle Lemon

Faculty of Engineering, University of Ulster, Jordanstown, UK; Diabetes Specialist Clinic, Ulster Hospital, Dundonald, Belfast, Northern Ireland, UK
We have developed a speech-based telemedicine system which enables patients with hypertension and type 2 diabetes mellitus to send frequent, home-monitored health data via the telephone to the point of care. The decision support module in the system was tested using data from a cohort of 10 patients generated over a two-year period. Results from the tests indicate that the system is effective in providing personalized feedback to the patient and in generating alerts for the clinical user. The work suggests that this method of care delivery is practical, informative, and may improve the efficiency of chronic health-care delivery by reducing costs and improving patient-physician communication between hospital visits.

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