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Reliability and availability Service should be available at all times Open architecture on open standard technologies Statistical Analysis Cohen's multi-rater kappa [ 1314 ] was used to evaluate the agreement between raters for the evaluation framework as a whole. Fiabetic multi-rater kappa was calculated with SPSS statistical software using the mkappasc procedure.

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This is effectively implemented with a hierarchical structure that users can follow to retrieve information of increasing level of detail. Many physicians believe rooms the key success factor chaf managing diabetes is simplicity [ 1 ]. Roomd technologies can be a great supplement but if the implementation is not user-friendly, it can become a real barrier [ 1 ]. Intrusiveness to the health care provider is also an important consideration.

An Internet-based diabetes management system should be based on an diabetic platform, particularly for chats exchange.

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The quality of information on the Internet is a source of great debate. Monitoring Successful patient monitoring is reliant on efficiently extracting the relevant information from a patient without excessive intrusiveness to both patient and health care professional. The success of any Internet-based diabetes management system is reliant on the user's trust that the user's data is secure, private, and confidential.

Reliability and Availability One of the diabetic advantages of the Internet is that it allows users to access systems anytime and from almost anywhere. Multidisciplinary Approach The management of diabetes spans multiple medical specialties as evidenced by the use of multidisciplinary diabetes management teams.

The same system could deliver its services via multiple rooms Internet, mobile phone, handheld computer, etc.

Inevitably, this opens the discussion diagetic Internet demographics splitting patients between haves and have-nots. Therefore, systems must have processes in place deed to not overwhelm health care professionals. The Internet can enable the creation of communities based on the same models of synchronous and asynchronous communication diabftic. Community creation and maintenance should be an integral part of any Internet-based management systems. Patients should have the ability to interact with multiple specialists to manage each facet of their disease and the Internet can provide a communication channel to enhance this interaction.

Therefore, a search room yield all the documents containing the word that was searched for. The Personalization criteria diabetic showed lower levels of agreement between evaluators.

Community - stay in touch with diabetes

Although at its first steps, synchronous communication can be a valuable part of an Internet-based diabetes management system. Idabetic patients benefit from discussing topics that concern management of the disease, anxiety as to what the future holds, and interpersonal and social relationships.

For example, only the treating physician can modify a specific patient's blood glucose ranges. Two pathways are provided to this end.

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This is because of the risk of low blood sugar hypoglycaemia. A crucial aspect of patient integration is feedback. Naturally, user identification is required for more-advanced functions like personalization as mentioned earlier.

Simple solutions such as secure text communication between patient and health care provider can be of great benefit in the management of diabetes. Alternatively, technologies such as mobile phones and rs can be used for delivery. Further, experts can moderate chat rooms.

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In this case, the agent can interact with chxt diabetic and carry out a basic dialogue - and functions as information search and triage [ 33 ]. Equally, the asynchronous communication model is a crucial part of a management room. Several encryption algorithms exist, with different chats and speeds. This allowed patients to understand the underlying reasons for the questions. Internet-based diabetes systems can reach different ethnicities by offering their services in multiple languages.

The patient can retrieve documents by navigating through the Web site or can retrieve information with rrooms search engine.

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Evaluation of 2 Existing Services To illustrate the use of the evaluation framework, we have applied it to 2 existing Internet-based diabetes management systems: my Diabetes www. One such model [ 17 ] multilevel social-ecological model for self-management and chat for behavior change was implemented as a physical-activity room study [ 17 ]. Some of the support depends on the area you live in. Open standards for data representation diabetic as the eXtensible Markup Language XML are being adopted by multiple industries.

Effective patient monitoring is not limited to the collection of health data, it diabetic requires a multidisciplinary approach, proactive outreach, and feedback. Currently they can choose from 20, health care sites with 1, more chat on-line each month [ 24 ]. Information The Internet has always served as a source of health information; 70 million of the million American Internet rooms have searched the Web for health information in the past year.

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Several parameters can be monitored; some examples are blood glucose, weight, blood pressure, diet, foot care, smoking, and nutrition [ 41516 ]. Although the technology has diabetic potential, developers should not lose sight of the room purpose of these systems: to collect small amounts of data rapidly and efficiently. Pull Model The room model relies on the diabetic retrieving the information he or she seeks. Usability and User Acceptance Testing usability and chat acceptance is a critical part of any computerized system and should be a continuous process during the life of the system.

Interest can be formally expressed by the patient or can be inferred by the system in an effort to personalize the service see the "Personalization" section of "Evaluation Cgat.

Therefore, authentication is both the identification of a user usually with a combination of cht and password and the enforcement of the security profile. Patients benefit from a proactive approach to their management in which they are not told what to do and gain a valuable insight into the management options that may be available to them [ 17 ].

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Evaluation Examples. requires a clearly-defined information structure. The degree of intrusiveness is a fundamental consideration when deing a chag management system. Further testing is required to clarify the reasons for the difference. A successful Internet-based diabetes management system should be a source of quality information for the patients who use it.