A study of 18,486 diabetic adults published in the Annals of Family Medicine found that greater patient use of secure electronic messaging and telephone calls only slightly reduced the number of in-person visits, however an analysis that adjusted for factors such as morbidity indicated greater use of such communications was linked to increased office visits. It is logical that patients who had more contact with clinicians "could be more engaged in their health," said study author David Liss.

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