title: The use of telehealth for diabetes management: a qualitative study of telehealth provider perceptions.
abstract: BACKGROUND
  Monitoring and Messaging Devices (MMDs) are telehealth systems used by patients in their homes, and are designed to promote patient self-management, patient education, and clinical monitoring and follow-up activities. Although these systems have been widely promoted by health care systems, including the Veterans Health Administration, very little information is available on factors that facilitate use of the MMD system, or on barriers to use.
  
  
  METHODS
  We conducted in-depth qualitative interviews with clinicians using MMD-based telehealth programs at two Veterans Affairs Medical Centers in the Midwestern United States.
  
  
  RESULTS
  Findings suggest that MMD program enrollment is limited by both clinical and non-clinical factors, and that patients have varying levels of program participation and system use. Telehealth providers see MMDs as a useful tool for monitoring patients who are interested in working on management of their disease, but are concerned with technical challenges and the time commitment required to use MMDs.
  
  
  CONCLUSIONS
  Telehealth includes a rapidly evolving and potentially promising range of technologies for meeting the growing number of patients and clinicians who face the challenges of diabetes care, and future research should explore the most effective means of ensuring successful program implementation.
authors.affiliation: VA HSR&D Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, Ann Arbor, MI, USA. faithhopp@wayne.edu
authors.forename: Faith P
authors.initials: FP
authors.lastname: Hopp
authors.forename: Mary M
authors.initials: MM
authors.lastname: Hogan
authors.forename: Peter A
authors.initials: PA
authors.lastname: Woodbridge
authors.forename: Julie C
authors.initials: JC
authors.lastname: Lowery