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GoogleTechTalk---Ray Dorsey :在家裡使用遠程醫療

Care at Home: Using Telemedicine to Provide Specialty Care to Patients with Parkinson Disease
Google Tech Talk
April 30, 2012

Presented by Ray Dorsey & Kevin Biglan

ABSTRACT

The potential for technology to transform health care is immense, and we are just scratching the surface of what is possible with Google's products and services for Parkinson disease and beyond. We look forward to sharing these ideas with you. Here is additional information on our findings.

Objective: To evaluate the feasibility, effectiveness, and economic benefits of using web-based videoconferencing to provide specialty care to patients with Parkinson disease in their homes.

Background: Access to specialty care for individuals with PD is frequently limited due to geography. Previous studies have demonstrated the feasibility of using telemedicine to provide care in controlled environments, such as nursing homes, but have not systematically assessed the feasibility and effectiveness of providing care directly in people's homes.

Methods: We are conducting a seven-month randomized comparative effectiveness study across two academic sites. Patients with PD were randomized to either continue their usual in-person care with a specialist or to receive care with their specialist via telemedicine in their homes. Patients had existing computer, high-speed internet, and web-camera capabilities and were provided links to download HIPAA-compliant videoconferencing software from Vidyo. After a baseline visit, patients completed three subsequent visits where they completed quality-of-life, as measured by the Parkinson Disease Questionnaire (PDQ-39), and economic surveys. Their specialist conducted the Unified Parkinson Disease Rating Scale (UPDRS).

SPEAKER INFO

Ray Dorsey, MD, MBA is an Associate Professor of Neurology at Johns Hopkins where he directs the movement disorders (Parkinson disease) division and neurology telemedicine. For the past five years, he has been using web-based video conferencing akin to Skype to care for people around the world and has reached patients in three states and nine countries on three continents. With support from Google, Dr. Kevin Biglan and he are conducting one of the first randomized controlled studies using telemedicine to deliver medical care to directly into the homes of people with Parkinson disease. They look forward to sharing interim results of the study with us. Ray was previously a consultant for McKinsey & Company and received his MD from the University of Pennsylvania, MBA from the Wharton School, and BS from Stanford University.

Kevin Biglan, MD, MPH is an Associate Professor of Neurology at the University of Rochester where he had served as the Associate Director and Medical Director of the Movement and Inherited Neurological Disorders Unit in the Department of Neurology. He has recently accepted a position as the Associate Chair for Clinical Research in the Department of Neurology and serves as the Director of the National Parkinson Foundation and Huntington Disease Society of America Centers of Excellence at the University of Rochester. Kevin received his MD from Jefferson Medical College and his MPH from the University of Rochester and was previously on faculty at Johns Hopkins University where he served as the director of the National Parkinson Foundation Comprehensive Care Center. In collaboration with Dr. Ray Dorsey from Johns Hopkins University they have been employing telemedicine to increase access to care for individuals with chronic neurological disorders regardless of where they live.

在家裡使用遠程醫療帕金森病專科護理的病人提供的護理
谷歌技術講座
2012年4月30日，

主辦雷多爾西凱文Biglan的

摘要

改造衛生保健技術的潛力是巨大的，我們只是刮傷表面什麼是可能與谷歌的產品和服務，為帕金森病和超越。我們期待著與您分享這些想法。這裡是我們的研究結果的其他信息。

目的：評價的可行性，有效性和使用基於網絡的視頻會議，在自己家中的帕金森病專科護理的病人提供經濟利益。

背景：與PD個人護理專業的訪問經常由於地域的限制。以往的研究表明，利用遠程醫療提供在受控環境中，如養老院，護理的可行性，但沒有系統的評估，在人們的家中直接提供護理的可行性和有效性。

方法：我們在兩個學術網站進行了七個月的隨機比較效益研究。帕金森氏症患者，隨機要么繼續他們通常在個人護理與專科或接受照顧，他們通過在自己家中的遠程醫療專家。患者現有的電腦，高速上網，網絡攝像頭功能，並提供鏈接下載符合HIPAA的Vidyo視頻會議軟件。患者的基線訪問後，完成了三個隨後的訪問中，他們完成的生活質量，如帕金森病問卷（PDQ-39），和經濟調查測量。他們的專家進行統一帕金森病評定量表（UPDRS）。

演講者資訊

射線多爾西，醫學博士，工商管理碩士是在約翰霍普金斯大學的神經學副教授，他指揮的運動障礙（帕金森病）部門和神經病學遠程醫療。在過去的五年中，他一直使用基於網絡的視頻會議類似於Skype來關心世界各地的人們，並達成了在三個州和三大洲9個國家的患者。隨著谷歌，凱文Biglan博士和他正在進行第一次使用遠程醫療提供直接進入百姓家醫療帕金森病的隨機對照研究的支持。他們期待著與我們一起分享研究的中期業績。雷曾任麥肯錫諮詢公司的顧問，並收到來自美國賓夕法尼亞大學沃頓商學院MBA，學士，斯坦福大學醫學博士學位。

凱文Biglan，MD，MPH是羅切斯特大學的副教授，他曾擔任副主任和運動醫學主任，並繼承了神經內科，神經系統疾病組的神經。最近，他接受了臨床研究在神經內科副主席的位置，並作為全國帕金森基金會和美國卓越中心在羅切斯特大學的亨廷頓舞蹈病學會主任。來自羅切斯特大學的凱文收到他的博士和他的杰弗遜醫學院公共衛生，以前是在約翰·霍普金斯大學，在那裡他作為全國帕金森基金會綜合服務中心主任擔任教員。在從約翰斯·霍普金斯大學與雷多爾西博士合作，他們已採用遠程醫療，以增加獲得照顧與慢性神經系統疾病的個人，無論他們身在何處。