title: Using a telemedicine system to decrease cardiovascular disease risk in an underserved population: design, use, and interim results.
abstract: Cardiovascular disease is the leading cause of morbidity and mortality in the USA. Disease management programs, while successful, are intensive and expensive. Follow-up is often inadequate, incomplete, and inconsistent. To address these problems, we developed an Internet-Telemedicine system. Patients send/receive data to/from their care provider via the Internet. The system optimizes function and minimizes cost (all hardware is off the shelf and FDA approved). We are currently using this Telemedicine system in a prospective, randomized clinical trial, to reduce CVD risk in medically underserved populations. Over an 8-month time interval, we found very high rates of usage of the Telemedicine system (92%). This rate of self-monitoring greatly exceeded the self-monitoring rate in controls (48%). The patient-entered Telemedicine blood pressure values were similar to the meter recorded values and to the office values.
authors.affiliation: Physiology Department, Temple University, Philadelphia, PA, USA.
authors.forename: William P
authors.initials: WP
authors.lastname: Santamore
authors.forename: Carol J
authors.initials: CJ
authors.lastname: Homko
authors.forename: Abul
authors.initials: A
authors.lastname: Kashem
authors.forename: Timothy R
authors.initials: TR
authors.lastname: McConnell
authors.forename: Alfred A
authors.initials: AA
authors.lastname: Bove
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000458:organization & administration / Q000706:statistics & numerical data; D008507:Medically Underserved Area; D008875:Middle Aged; D010414:Pennsylvania / Q000453:epidemiology; D011379:Prognosis; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D017216:Telemedicine / Q000379:methods* / Q000706:statistics & numerical data*