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，旨在将 Lindsay A. Rhodes 医学博士培养成一名独立的临床医生科学家，专门从事健康服务研究，包括远程医疗等新型护理服务模式。Rhodes 博士是一名委员会认证的眼科医生。接受过青光眼专科培训并具有远程医疗方面的研究经验。该培训计划将包括指导研究、获得公共卫生成果研究理学硕士学位的高级课程。多学科会议将在由 UAB 眼科教授兼系主任 Christopher Girkin 博士、UAB 系临床研究教授兼副主席组成的指导团队的指导下进行。眼科博士、UAB 卫生保健组织和政策系教授 Stephen Mennemeyer 博士以及 UAB 流行病学系教授兼副主席 Gerald McGwin 博士。拟议的指导研究计划将评估一种新型的基于社区的开角型青光眼护理服务模式。总体假设是，在社区诊所中使用远程综合视神经评估（CRONA）进行基于远程医疗的检测和管理计划，然后进行传输。远程阅读中心可以像青光眼专家的标准面对面护理一样准确地接触到高危少数人群，而且成本更低，并且有一个旨在提高患者对青光眼填充药物依从性的眼健康教育平台。将利用阿拉巴马大学伯明翰分校最近开发的远程医疗示范项目获得的数据进行测试，该项目名为“社区眼保健质量和可及性改善”（EQUALITY），以及一项部署了综合远程医疗项目的小型横断面研究。位于零售中心内的两个初级眼保健诊所（沃尔玛视力中心）主要为阿拉巴马州服务欠缺地区的非裔美国人社区提供服务，这些零售诊所的初级眼保健提供者通过额外使用自动化设备进行了散瞳综合眼科检查。视神经结构和功能评估，以协助检测青光眼综合眼科检查和视神经评估的数据随后以电子方式传输至距离初级眼科护理诊所较远的三级青光眼中心，并由该中心进行评估。接受过青光眼专科培训的眼科医生。本申请中提出的培训和指导研究计划将使罗兹博士实现成为一名独立的临床医生科学家的目标，为创造做出有意义的贡献。新颖的医疗服务方法来满足我们不断增长的医疗保健需求。