1、Telemedicine Impact on Reducing Cardiovascular Risk in Underserved Patients?nWilliam P.Santamore,PhD,Carol Homko,PhD,nRobert Cross,MD,Michele Masucci,PhD,nPhilip Berger,Alfred A.Bove,MD,PhDnTemple University,Philadelphia,PAn15th GW-ICC 20042020年10月2日1Temple Telemedicine Research Center远程医疗研究中心我愿借此机会
2、向盛情邀请我为本次长城会议主席团成员的胡大一先生表示由衷的感谢。同时也对那些为此而付出辛勤劳动的工作人员表示感谢。我还要感谢我的同事们：Bove,Homko,Masucci,and Cross 医生,以及我们的试验员 Philip Berger2020年10月2日2What is Telemedicine?nUse of medical information exchanged from one site to another via electronic communications for the health and education of the patient or health
3、 care provider for the purpose of improving patient care2020年10月2日3Telemedicine-ApproachesNon-Face-to-Face TransactionsTraditional ApproachImage,X-rayMailedMedical Specialists Reviews and Sends a ReportTelemedicine ApproachElectronic TransferImage,X-rayMedical Specialists Reviews and Sends a ReportE
4、xamples-Radiology,Dermatology,Pathology2020年10月2日4Telemedicine-ApproachesTraditional Face-to-FacePatient(+Doctor)Patient(+Doctor)Doctor or SpecialistsDoctor or SpecialistsVia Video ConferencingIn Same RoomTraditional ApproachTelemedicine ApproachExamples Office Visit,Consultation2020年10月2日5Telemedic
5、ine-ApproachesNon-Traditional Asynchronous Doctor not in direct contact with PatientExamples Letter to Doctor Telephone Call to Nurse E-mail2020年10月2日6Telemedicine-ApproachesNon-Traditional AsynchronousTelemedicine ApproachBP,Weight,StepsPatientDoctorInternetSecure Telemedicine SystemInternet2020年10
6、月2日7OutlinenElements Driving DesignnNational Priority Computerize Medical SystemnHigh Rate of CVD Risk FactorsnObesitynCost2020年10月2日8Increased Risk for Cardiovascular Disease in African-Americans nCompared with white women,African-American women are more likely to live in poverty,and have less educ
7、ation;nExperience greater weight gain during childhood,and have lower resting metabolic rates,physical activity energy expenditures.nAbout half of African-American women are considered obese(BMI 30),nmore than 15%between 40 to 59 yrs old have extreme obesity(BMI 40)2020年10月2日9Increased Risk for Card
8、iovascular Disease in African-AmericansnAAs have a prevalence of diabetes:n19%for AA women compared to 7%for white women,and n16%for AA men compared to 8%for white mennAAs have a 40%greater prevalence of hypertension compared to whites.nRoughly 1 in 3 AAs has hypertension.nAAs have a rate of multipl
9、e risk factors.2020年10月2日10199119952002Obesity Trends*Among U.S.AdultsBRFSS,1991-2002No Data 2 Weeks11%Never11%Requested Retraining11%2020年10月2日24Telemedicine Patient Trends2020年10月2日25Telemedicine Patient Trends2020年10月2日26Telemedicine Patient Trends2020年10月2日27Expected OutcomesnTelemedicine Group
10、CVD Risk than the Control GroupnWhy Better control of BP,Lipids,Smoking CessationnDetermine Factors Contributing to Success and to Failure2020年10月2日28Planned Updates2020年10月2日29Temple Telemedicine Research CenterThank You2020年10月2日30演讲完毕，谢谢观看！Thank you for reading!In order to facilitate learning and use,the content of this document can be modified,adjusted and printed at will after downloading.Welcome to download!汇报人：XXX 汇报日期：20XX年10月10日31
