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Using telemedicine to improve glaucoma care: An emerging eye care delivery model

使用远程医疗改善青光眼护理：新兴的眼科护理服务模式

基本信息

批准号：
9108550
负责人：
Lindsay A Rhodes
金额：
$ 22.02万
依托单位：
UNIVERSITY OF ALABAMA AT BIRMINGHAM
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-05-01 至 2021-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9108550
关键词：
Address African American Alabama Area Blindness Caring Chairperson Clinic Clinical Data Clinical Research Communities Cross-Sectional Studies Data Data Analyses Data Set Databases Detection Development Diagnosis Disease Effectiveness Elderly Epidemiology Evaluation Eye Eye diseases Fellowship Future Glaucoma Goals Gold Health Services Research Health education Healthcare Individual Knowledge Master of Science Mentored Patient-Oriented Research Career Development Award Mentors Methods Minority Modeling Open-Angle Glaucoma Ophthalmic examination and evaluation Ophthalmologist Ophthalmology Optic Nerve Outcome Outcomes Research Patients Performance Persons Pharmaceutical Preparations Pharmacy facility Policies Population Provider Public Health Quality of Care Reading Research Risk Scientist Site Source Specialist Staging Techniques Technology Telemedicine Testing Training Training Programs Universities Vision base care delivery career community based care compliance behavior cost cost effective cost effectiveness design diagnostic accuracy evidence base experience health care model health care service organization improved medication compliance novel prevent professor programs public health relevance research clinical testing symposium

项目摘要

DESCRIPTION (provided by applicant): This application proposes a training plan to develop Lindsay A. Rhodes, MD into an independent clinician- scientist specializing in health services research, including novel care delivery models such as telemedicine. Dr. Rhodes is a board certified ophthalmologist with subspecialty training in glaucoma and with prior research experience in telemedicine. This training program will consist of mentored research, advanced coursework leading to a Master of Science in Public Health in Outcomes Research, and multi-disciplinary conferences. Mentored research will be conducted under the direction of a mentoring team composed of Dr. Christopher Girkin, Professor and Chairman of the UAB Department of Ophthalmology, Dr. Cynthia Owsley, Professor and Vice Chair for Clinical Research at the UAB Department of Ophthalmology, Dr. Stephen Mennemeyer, Professor in the UAB Department of Health Care Organization and Policy, and Dr. Gerald McGwin, Professor and Vice Chair in the UAB Department of Epidemiology. The proposed mentored research plan will evaluate a novel community-based care delivery model for open angle glaucoma. The overarching hypothesis is that a telemedicine-based detection and management program using a comprehensive remote optic nerve assessment (CRONA) performed in community clinics and then transmitted to a remote reading center can access at-risk minority populations as accurately as standard in-person care by a glaucoma specialist, at lower cost, and with a platform for eye health education designed to improve patient adherence to filling glaucoma medications. This hypothesis will be tested utilizing data obtained from a recently developed telemedicine demonstration program at the University of Alabama at Birmingham, entitled Eye Care Quality and Accessibility Improvement in the Community (EQUALITY), along with a smaller cross-sectional study. EQUALITY deployed an integrated telemedicine program within two primary eye care clinics (Walmart Vision Centers) located within retail centers that serve predominantly African American communities in underserved areas of Alabama. Primary eye care providers in these retail-based clinics performed dilated comprehensive eye exams with the additional use of automated optic nerve structural and functional assessment to assist in the detection of glaucoma. The data from the comprehensive eye exam and optic nerve assessment was then transmitted electronically to a tertiary glaucoma center, located geographically remotely from the primary eye care clinics, where it was evaluated by an ophthalmologist with fellowship training in glaucoma. The training and mentored research program proposed in this application will enable Dr. Rhodes to achieve her goal of becoming an independent clinician-scientist who can meaningfully contribute to the creation of novel care delivery methods to address our growing health care needs.

描述（由申请人提供）：本申请提出了一项培训计划，以开发林赛A。罗兹，医学博士成为一个独立的临床医生-科学家专门从事卫生服务研究，包括新颖的护理提供模式，如远程医疗。罗兹博士是一名经过委员会认证的眼科医生，接受过青光眼专科培训，并在远程医疗方面有过研究经验。该培训计划将包括指导研究，高级课程，导致公共卫生科学硕士的成果研究和多学科会议。指导研究将在指导团队的指导下进行，指导团队由UAB眼科学系教授兼主席Christopher Girkin博士，UAB眼科学系临床研究教授兼副主席Cynthia Owsley博士，UAB卫生保健组织和政策系教授Stephen Mennemeyer博士和Gerald McGwin博士组成。UAB流行病学系教授兼副主任。拟议的指导研究计划将评估一种新的以社区为基础的开角型青光眼护理模式。总体假设是，基于远程医疗的检测和管理程序使用在社区诊所进行的综合远程视神经评估（CRONA），然后传输到远程阅读中心，可以像青光眼专家的标准亲自护理一样准确地访问高危少数群体，成本更低，并提供了一个眼健康教育平台，旨在提高患者对填充性青光眼药物的依从性。这一假设将利用最近开发的远程医疗示范计划在伯明翰的亚拉巴马大学，题为眼保健质量和可及性改善社区（平等），沿着一个较小的横截面研究获得的数据进行测试。EQUALITY在位于零售中心的两个初级眼科诊所（沃尔玛视力中心）内部署了一个综合远程医疗计划，这些零售中心主要为亚拉巴马服务不足地区的非洲裔美国人社区提供服务。这些零售诊所的初级眼科保健提供者进行了散瞳综合眼科检查，并额外使用了自动视神经结构和功能评估，以帮助检测青光眼。然后将综合眼科检查和视神经评估的数据以电子方式传输到第三级青光眼中心，该中心位于远离初级眼科护理诊所的地理位置，在那里由接受过青光眼奖学金培训的眼科医生进行评估。本申请中提出的培训和指导研究计划将使罗兹博士能够实现她的目标，即成为一名独立的临床医生-科学家，能够为创造新的护理提供方法做出有意义的贡献，以满足我们不断增长的医疗保健需求。