远程医疗对降低医疗条件薄弱地区者心血管危险的作用课件.pptVIP

Telemedicine – Impact on Reducing Cardiovascular Risk in Underserved Patients? William P. Santamore, PhD, Carol Homko, PhD, Robert Cross, MD, Michele Masucci, PhD, Philip Berger, Alfred A. Bove, MD, PhD Temple University, Philadelphia, PA 15th GW-ICC 2004 Temple Telemedicine Research Center远程医疗研究中心 What is Telemedicine? Use of medical information exchanged from one site to another via electronic communications for the health and education of the patient or health care provider for the purpose of improving patient care Telemedicine - Approaches Telemedicine - Approaches Telemedicine - Approaches Telemedicine - Approaches Outline Elements Driving Design National Priority – Computerize Medical System High Rate of CVD Risk Factors Obesity Cost Increased Risk for Cardiovascular Disease in African-Americans Compared with white women, African-American women are more likely to live in poverty, and have less education; Experience greater weight gain during childhood, and have lower resting metabolic rates, physical activity energy expenditures. About half of African-American women are considered obese (BMI 30), more than 15% between 40 to 59 yrs old have extreme obesity (BMI 40) Increased Risk for Cardiovascular Disease in African-Americans AA’s have a ? prevalence of diabetes: 19% for AA women compared to 7% for white women, and 16% for AA men compared to 8% for white men AA’s have a 40% greater prevalence of hypertension compared to whites. Roughly 1 in 3 AA’s has hypertension. AA’s have a ? rate of multiple risk factors. Implications African-American have a high prevalence of CVD risk factors. These risk factors can be effective treated with current medical therapy. Suboptimal control of risk factors contributes to the excess CVD mortality among AA’s. Main Study Test if a Telemedicine System by Frequent Communication with Health Care Providers and by Education Can Decrease Cardiovascular Disease Risk in Underserved Patient Populations. Main Study D