医生重新打电话
纽约- 2001年3月26日-一年前，哥伦比亚大学的内科和外科医生(给排水)在哥伦比亚长老会医学中心(中国石油物资公司)和纽约州立大学上州医科大学获得了2800万美元的赠款从卫生保健筹资管理(HCFA)带来的家庭医疗保健服务水平低下的农村和城市居民糖尿病患者——最大的远程医疗由联邦政府卫生与公众服务部资助的项目今天，280名来自曼哈顿北部(华盛顿高地、因伍德、哈莱姆北部和中部)、布朗克斯区以及纽约州中部和北部农村地区的患者加入了这个项目。传统上，生活在农村和贫困的市中心地区的美国人初级保健水平低，与一贯的高质量专门医疗保健隔离程度高。哥伦比亚大学和纽约州立大学北部分校加入了其他五个网站的努力，称为糖尿病教育和远程医疗信息学(IDEATel)，作为一个测试平台，为全国使用互联网技术增加所有美国人获得医疗保健的机会。在医生的办公室里，每隔几个月就会对糖尿病进行几分钟的护理。但在患者家中，糖尿病护理每天都在进行。远程医疗为人们提供了控制糖尿病所需的工具。我们深入病人的家中，通过监测、获取信息和教育，使他们能够更好地照顾自己。 Hamilton Southworth Professor of Medicine at Columbia University P&S and director of the division of general medicine at Columbia Presbyterian Medical Center of New York-Presbyterian Hospital. "This 'house call' of the future allows patients and clinicians to reach out across any distance for care." Computers with devices to read blood sugar, take pictures of skin and feet, and check blood pressure have been placed in half of the enrolled patients’ homes while the other half, the control group, continues with the care they usually receive from their providers. Participants receive Internet service, training in equipment use, and maintenance support. Patients check their blood sugar, blood pressure, and other factors that affect diabetes and are able to view their own medical information, learn more about diabetes, and receive recommendations and instructions on how to manage their disease. Decision support systems play a crucial role, as an automated care guideline system analyzes each patient’s data. If information recorded on the computer varies from predetermined values, an automated alert is sent to the physician or nurse. The system also provides suggestions and reminders to patients about what steps they need to take to maintain good health. In New York state approximately 1.6 million people suffer from diabetes. Complications from diabetes cost the U.S. economy $45 billion each year, with an additional $47 billion attributed to indirect costs from diabetes-related disabilities. It is estimated that the federal government can save $247 million per year through early intervention in diabetes treatment, which could rise to $457 million if telemedicine can expand the reach of that treatment. The four-year grant will eventually reach 1,500 diabetes patients and will enable researchers to study the efficacy of telemedicine in improving patient quality-of-life and reducing overall health care cost. Columbia’s Department of Medical Informatics pioneered the use of the Web in providing clinical care. Two million patient records are computerized at CPMC and are available for secure access online by more than 4,000 clinicians. SUNY Upstate's Joslin Center is preeminent in providing state-of-the-art diabetes care in urban and rural settings, and Columbia's Naomi Berrie Diabetes Center is one of New York City’s leading centers for diabetes care and research. The IDEATel project will serve a model to develop more effective treatments for other diseases such as depression, obesity, asthma, and heart failure. Led by Dr. Shea, the diabetes telemedicine program is a collaborative effort with the Joslin Diabetes Center of SUNY Upstate Medical University, the American Diabetes Association, Harlem Hospital Center, the Harlem Renaissance Network, Arnot Ogden Hospital in Elmira, Olean General Hospital in Olean, Good Samaritan Hospital in Watertown, Bassett Healthcare System in Cooperstown, the Hebrew Home for the Aged at Riverdale, and HCFA.
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