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DIABETES IN THE INFORMATION AGE

信息时代的糖尿病

基本信息

批准号：
2713535
负责人：
Anthony Michael Albisser
金额：
$ 10万
依托单位：
BETTER CONTROL MEDICAL COMPUTERS (BCMC)
依托单位国家：
美国
项目类别：
财政年份：
1998
资助国家：
美国
起止时间：
1998-09-30 至 1999-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2713535
关键词：
biomedical equipment development blood glucose computer assisted patient care diabetes mellitus health care cost /financing primary care physician self medication

项目摘要

Most persons with diabetes mellitus in the USA are considered healthy. Consequently, they receive standard, primary care without major concern for their diabetes 'condition'. However, all are at risk of joining a small number who together draw a disproportionate share of all health resources for their acute and long-term medical care because they develop complications. This number is growing. Scientifically, it is now proven that expert medical intervention can significantly alter the rate of these long-term complications and therefore slow the growth in this number. The hypothesis is that the added costs of improved care for all members with diabetes can be met by confluent reductions in their acute care needs, given that this occurs in a managed care setting and is done through existing primary care resources empowered with information technology. Specifically, a computer system (HumaLinkTm) developed for and tested by medical experts is to be adapted to the needs of primary practitioners and applied to support their care of patients. The computer is on-line, voice interactive and assists the patient in daily control of their own blood glucose levels. Costs, savings and times spent are to be calculated. Metabolic outcomes will be measured before and after one year. For comparison a control group will include matched sites practicing similar care objectives manually, ie., without this computer support. PROPOSED COMMERCIAL APPLICATION: Computer-assisted home management of diabetes offers a significant commercial opportunity as systems for this purpose will potentially be needed in all managed care centers.

在美国，大多数糖尿病患者被认为是健康的。因此，他们得到标准的初级保健，糖尿病的“症状” 然而，所有人都有加入一个少数人加在一起在所有卫生保健中所占份额不成比例为他们的急性和长期医疗保健资源，因为他们出现并发症这个数字还在增长。科学上，现在证明专家的医疗干预可以显著改变这些长期并发症的发生率，因此减缓这个数字的增长。假设是，改善所有糖尿病患者的护理所增加的成本可以得到满足他们的急性护理需求的汇合减少，鉴于这一点，发生在管理式护理环境中，并通过现有的初级利用信息技术增强护理资源。具体来说，一个计算机系统（HumaLinkTm）开发和测试医学专家的建议是适应初级保健的需要。医生和应用程序来支持他们的病人护理。的计算机是在线的，语音交互式的，并在日常生活中帮助患者控制自己的血糖水平。成本、节省和时间花费是要计算的。代谢结果将在一年后。为了进行比较，对照组将包括匹配的人工实施类似护理目标的场所，即，没有这个计算机支持。拟定商业应用：糖尿病的计算机辅助家庭管理提供了一个重要的商业机会，因为用于此目的的系统将可能是在所有的护理中心。