Dimmick Susan L, Burgiss Samuel G, Robbins Sherry, Black David, Jarnagin Bertha, Anders Mary
UT Telehealth Network, Knoxville, Tennessee 37922, USA.
Telemed J E Health. 2003 Spring;9(1):13-23. doi: 10.1089/153056203763317611.
An integrated telehealth network that linked three hospitals, a federally qualified health care clinic with six sites, a county dental clinic, and patient homes was developed and implemented using both private and federal funding. The goal of the network was to deliver 10 different medical, dental, and behavioral health services to a rural community. The network served patients from nine different counties and two states. Outcomes from the disease management programs for congestive heart failure and diabetes, as well as crisis telehealth and teledental health, were reported. Results for the diabetes disease management program increased the number of diabetics who brought their blood sugar under control. Additionally, based on hospital days per patient per year with and without intervention, and the cost of intervention by telehealth, it was projected that the national cost of care for CHF hospitalizations could be reduced from 8 billion dollars to 4.2 billion dollars. This telehealth network can serve as a model for integrating health services in each county of the state. Once each county had an integrated telehealth network, the county networks could be linked to provide regional services and coordination on a statewide basis.
一个整合了三家医院、一家拥有六个站点的联邦合格医疗诊所、一家县牙科诊所和患者家庭的远程医疗网络利用私人和联邦资金得以开发并实施。该网络的目标是为一个农村社区提供10种不同的医疗、牙科和行为健康服务。该网络服务来自九个不同县和两个州的患者。报告了充血性心力衰竭和糖尿病疾病管理项目以及危机远程医疗和远程牙科健康的成果。糖尿病疾病管理项目的结果显示，血糖得到控制的糖尿病患者数量有所增加。此外，根据每年有干预和无干预情况下每位患者的住院天数以及远程医疗的干预成本，预计全国充血性心力衰竭住院护理成本可从80亿美元降至42亿美元。这个远程医疗网络可以作为该州每个县整合医疗服务的典范。一旦每个县都有了整合的远程医疗网络，这些县网络就可以相互连接，在全州范围内提供区域服务和协调。
