title: e-clinic: an electronic triage system for the management of type 2 Diabetes Mellitus.
abstract: Diabetes Mellitus represents a heterogeneous group of metabolic disorders and its complications are associated with increased morbidity and early mortality. The explosive increase of the number of patients with diabetes, and several recommendations from milestone studies such as the United Kingdom Prospective Study (UKPDS), the Diabetes Prevention Program (DPP) and the Finnish Prevention Study place further constraint on an already overstretched service. This paper examines the care flow process in the current diabetes management and explores the potential role of new technologies and methodologies currently available to support the highly complex clinical requirements. The paper proposes a concept of e-clinic as an electronic triage system with integrated healthcare record, embedded with a decision support system to analyse patients' data and provide a continuous monitoring system according to agreed clinical guidelines.
authors.affiliation: Centre of Health Informatics, Department of Computer Science, Trinity College Dublin, Dublin 2, Ireland.
authors.forename: Yusof
authors.initials: Y
authors.lastname: Rahman
authors.forename: Thomas
authors.initials: T
authors.lastname: Knape
authors.forename: Mark
authors.initials: M
authors.lastname: Gargan
authors.forename: Gordon
authors.initials: G
authors.lastname: Power
authors.forename: Lucy
authors.initials: L
authors.lastname: Hederman
authors.forename: Vinny
authors.initials: V
authors.lastname: Wade
authors.forename: John
authors.initials: J
authors.lastname: Nolan
authors.forename: Jane
authors.initials: J
authors.lastname: Grimson
mesh_terms: D020000:Decision Support Systems, Clinical; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D006801:Humans; D020407:Internet; D016347:Medical Records Systems, Computerized; D010346:Patient Care Management / Q000379:methods* / Q000458:organization & administration; D018511:Systems Integration; D017216:Telemedicine; D014218:Triage / Q000379:methods*