Resumen de Investigación
Digital-Driven Model Improves Diabetes Management in Underresourced Areas
Moderate confidence
Low bias
Última actualización 19 de junio de 2026Conclusión Clave:
This study evaluated a digital-driven physician-pharmacist collaborative model for managing Type 2 diabetes in underresourced settings, finding significant improvements in several health outcomes.
Estudio de un Vistazo
Qué se estudió
Digital-driven physician-pharmacist collaborative model for managing patients with type 2 diabetes.
Participantes
Young Adult (19–39), Middle Aged (40-64)
Male, Female
with T2 Diabetes
Intervención
Digital-driven, multifaceted physician-pharmacist collaborative model
Resultados
Glycosylated hemoglobin (HbA1c), 10-year atherosclerotic cardiovascular risk, Fasting Plasma Glucose (FPG), 2-hour postprandial blood glucose, Waist circumference, Waist-to-hip ratio, Blood pressure, Triglycerides, Total cholesterol, Patient satisfaction, Body Mass Index (BMI), High-density lipoprotein (HDL), Low-density lipoprotein (LDL)
Financiamiento
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Efectos Principales
HbA1c decreased by 2.57% in the intervention group compared to 1.96% in the control group (P <.001).
10-year ASCVD risk decreased by 1.35 in the intervention group compared to an increase of 0.01 in the control group (P <.001).
Patient satisfaction improved significantly in the intervention group (P <.001).
Resumen de Evidencia
| Intervention | Outcome | Measured Change | Study Effect |
|---|---|---|---|
 Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) |  10-year ASCVD risk (Metabolic Health) | Decrease | Strong |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) |  2-hour plasma glucose (Glycemic Control) | Decrease | Strong |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) |  BMI (Weight & Anthropometrics) | No Change | Unclear |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) | Fasting Plasma Glucose (FPG) (Glycemic Control) | No Change | Unclear |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) | HbA1c (Glycemic Control) | Decrease | Strong |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) | HDL cholesterol (Metabolic Health) | No Change | Unclear |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) | LDL cholesterol (Metabolic Health) | No Change | Unclear |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) | Systolic blood pressure (Metabolic Health) | Decrease | Strong |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) | Total cholesterol (Metabolic Health) | Decrease | Strong |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) |  Treatment satisfaction (Patient-Reported) | Increase | Strong |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) | Triglycerides (Metabolic Health) | Decrease | Strong |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) | Waist circumference (Weight & Anthropometrics) | Decrease | Strong |
Digital physician-pharmacist collaborative care (Behavioral & Lifestyle) | Waist-to-hip ratio (Weight & Anthropometrics) | Decrease | Strong |
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La Evidencia Sugiere
- HbA1c levels significantly decreased by 2.57% in the intervention group.
- 10-year ASCVD risk decreased by 1.35 in the intervention group.
- Patient satisfaction improved significantly with the intervention.
A quién se aplica
- Adults diagnosed with Type 2 diabetes.
- Patients receiving care in underresourced healthcare settings.
Tener en Cuenta
- Results may not be applicable to well-resourced healthcare settings.
- The intervention's effectiveness over a longer period remains uncertain.
- Further studies are needed to explore the model's applicability across diverse populations.
Entre Líneas
- The study was limited to underresourced settings, which may affect generalizability.
- The sample size and demographic characteristics may not represent the broader population of diabetes patients.
- Long-term sustainability of the intervention's effects was not assessed.
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Referencia de la Revista
Jie X, Qing W, Shenglan T, et al. Long-term Effectiveness and Cost-Effectiveness of a Digital-Driven Physician-Pharmacist Collaborative Model for Managing Patients with Type 2 Diabetes in Underresourced Settings: A Cluster Randomized Controlled Trial. Journal of Medical Internet Research. 2026;28. doi:10.2196/77470
Connected Evidence
Discover how this study fits into the broader diabetes evidence landscape.
This study contributes to evidence on Digital Health Programs and Cardiovascular Outcomes, Digital Health Programs and Glycemic Control.
Relaciones de evidencia relacionadas
Explore in Evidence ArchiveThis study contributes to the evidence on the following intervention–outcome relationships.
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Preguntas que esta evidencia ayuda a responder
Key clinical and research questions this study contributes to.
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