Institutional Barriers to the Successful Implementation of Telemedicine for Type 1 Diabetes Care

Joyce M. Lee, Emma Ospelt*, Nudrat Noor, Ann Mungmode, Osagie Ebekozien, Meenal Gupta, Faisal S. Malik, Naomi R. Fogel, Siham Accacha, Susan Hsieh, Meredith Wilkes, Anna Neyman, Francesco Vendrame

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


The aim of this studywas to describe rates of telemedicine use 18 months after the start of the coronavirus disease 2019 pandemic and to assess the institutional barriers to its implementation for type 1 diabetes care across centers of the T1D Exchange Quality Improvement Collaborative. Observational electronic health record data capturing telemedicine rates from15 U.S. centers between September 2020 and September 2021 and a survey of 33 centers capturing telemedicine rates and key components of telemedicine were analyzed. A capacity score was developed and summed to a total capacity score and compared with overall telemedicine rates across centers. Telemedicine visits decreased by 17.4% from September 2020 to September 2021. Generally, itwas observed that the lower the average telemedicine capacity score, the lower the rate of telemedicine visits. Despite a decline in the utilization of telemedicine 18 months after the start of the pandemic, visit rates were still 20% higher than in the pre-pandemic period. However, there is a need to improve structural components to ensure telemedicine capacity and robust telemedicine utilization.

Original languageEnglish (US)
Pages (from-to)34-39
Number of pages6
JournalClinical Diabetes
Issue number1
StatePublished - Jan 2024

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism


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