TY - JOUR T1 - Telehealth use in patients with type 2 diabetes in australian general practice during the COVID-19 pandemic JF - BJGP Open JO - BJGP Open DO - 10.3399/BJGPO.2021.0200 SP - BJGPO.2021.0200 AU - Chisato Imai AU - Judith Thomas AU - Rae-Anne Hardie AU - Christopher Pearce AU - Tony Badrick AU - Andrew Georgiou Y1 - 2022/04/07 UR - http://bjgpopen.org/content/early/2022/04/07/BJGPO.2021.0200.abstract N2 - Background The Australian government introduced temporary government-subsidised telehealth service items (phone and video-conference) in mid-March 2020 in response to the COVID-19 pandemic. The uptake of telehealth by type 2 diabetes (T2DM) patients for consulting with General Practitioners (GPs) is unknown.Aim To evaluate the uptake of telehealth consultations and associated patient characteristics in Australian general practice, including the frequency of HbA1c tests and change in HbA1c levels by telehealth use, compared to guideline recommendations.Design & setting This study used electronic patient data from approximately 800 general practices in Victoria and New South Wales, Australia. A pre-COVID-19 period from March 2019 to February 2020 was compared to a pandemic period from March 2020 to February 2021. Patients diagnosed with T2DM before March 2018 were included.Method Telehealth uptake patterns were examined overall and by patient characteristics. Generalized estimating equation models were used to examine patient probability of 6-monthly HbA1c testing and change in HbA1c levels, comparing between patients who did and patients who did not use telehealth.Results Of 57,961 patients, 80.8% had telehealth consultations during the pandemic period. Telehealth consultations were positively associated with T2DM patients who were older, female, had chronic kidney disease, prescribed anti-diabetic medications, and living in remote areas. We found no significant difference in 6-monthly HbA1c testing and HbA1c levels between telehealth users and patients who had face-to-face consultations only.Conclusion Telehealth GP consultations were well utilised by T2DM patients. Diabetes monitoring care via telehealth may be utilised as effective measures as face-to-face consultations. ER -