基于服务设计的2019冠状病毒病大流行期间数字化和远程糖尿病护理工作流卡塔尔世界杯8强波胆分析程构建前瞻性，纵向，开放标签可行性试验%A Braune,Katarina %A Boss,Karina %A Schmidt-Herzel,Jessica %A Gajewska,Katarzyna Anna %A Thieffry,Axel %A Schulze,Lilian %A Posern,Barbara %A Raile,Klemens %+ charit - Universitätsmedizin柏林，儿科内分泌与糖尿病学系，柏林，13353，德国，49 30450616454，katarina.braune@charite.de %K远程医疗%K远程医疗%K远程医疗%K数字医疗%K 1型糖尿病%K儿童糖尿病%K开源%K服务设计%K数字健康%K COVID-19 %K糖尿病%K工作流%D 2021 %7 5.4.2021 %9 JMIR Mhealth Uhealth英文%X背景:2019冠状病毒病大流行对医疗服务提供者和持续医疗服务的提供提出了新的挑战。虽然已经建立了许多糖尿病技术，如胰岛素泵和连续血糖监测仪，但这些设备的数据很少被评估。此外，远程医疗还没有充分融入临床工作流程。目的:我们寻求远程支持1型糖尿病儿童及其护理人员，提高糖尿病儿童的临床结果和生活质量，通过参与式方法增加多方利益相关者对数字护理的参与，评估在大学医院环境中使用可互操作的开源平台的可行性，并分析从传统护理过渡到数字护理的成功因素和障碍。方法:采用服务设计方法调整临床工作流程。每月按需进行远程会诊。糖尿病设备数据从患者家中上传到一个开源平台。在德国COVID-19封锁期间之前、期间和之后，对临床和患者报告的结果进行了评估。 Results: A total of 28 children with type 1 diabetes and their caregivers enrolled in this study and completed 6 months of remote visits. Of these 28 participants, 16 (57%) also opted to attend at least one of their regular visits remotely. After 3 months of remote visits, participants’ time in range (P=.001) and time in hyperglycemia (P=.004) significantly improved, and their time in hypoglycemia did not increase. These improvements were maintained during the COVID-19 lockdown period (ie, between months 3 and 6 of this study). Participants’ psychosocial health improved after 6 months. Conclusions: Remote consultations and commonly shared data access can improve the clinical outcomes and quality of life of children with type 1 diabetes, even during challenging circumstances. A service design approach helped with the delivery of comprehensive and holistic solutions that accounted for the needs of multiple stakeholders. Our findings can inform the future integration of digital tools into clinical care during and beyond the pandemic. Trial Registration: German Clinical Trials Register DRKS00016170; https://tinyurl.com/skz4wdk5 %M 33571104 %R 10.2196/24374 %U https://mhealth.www.mybigtv.com/2021/4/e24374 %U https://doi.org/10.2196/24374 %U http://www.ncbi.nlm.nih.gov/pubmed/33571104