Telehealth in Rural Montana: Promoting Realistic Independent Self-Management of Diabetes
Fondly known as "the last best place," Montana ranks 44th nationally in state population, fourth in land mass, and third for lowest population density in the United States.1 The state has only three counties with a population > 50,000; 53 of its 56 counties are defined as rural.2 Primar...
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Veröffentlicht in: | Diabetes spectrum 2011-01, Vol.24 (1), p.50-54 |
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description | Fondly known as "the last best place," Montana ranks 44th nationally in state population, fourth in land mass, and third for lowest population density in the United States.1 The state has only three counties with a population > 50,000; 53 of its 56 counties are defined as rural.2 Primary care providers (PCPs) who provide the bulk of diabetes care in rural areas experience multiple challenges, including limited health care resources, geographic isolation, and limited access to diabetes education centers.3 Diabetes is a prevalent and costly disease with significant morbidity and mortality.4 New health care delivery strategies to increase rural patients' access to care are needed. Study inclusion criteria included 1 referral by a PCP, 2 age > 21 years, 3 type 2 diabetes diagnosis (International Classification of Diseases, Ninth Revision, codes 250.xx), 4 at least one uncontrolled vascular risk factor per ADA guidelines (AlC > 7%, blood pressure > 130/80 mmHg, and LDL cholesterol > 100 mg/dl),5 and 5 a willingness to participate. |
doi_str_mv | 10.2337/diaspect.24.1.50 |
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Study inclusion criteria included 1 referral by a PCP, 2 age > 21 years, 3 type 2 diabetes diagnosis (International Classification of Diseases, Ninth Revision, codes 250.xx), 4 at least one uncontrolled vascular risk factor per ADA guidelines (AlC > 7%, blood pressure > 130/80 mmHg, and LDL cholesterol > 100 mg/dl),5 and 5 a willingness to participate.</description><identifier>ISSN: 1040-9165</identifier><identifier>EISSN: 1944-7353</identifier><identifier>DOI: 10.2337/diaspect.24.1.50</identifier><language>eng</language><publisher>Alexandria: American Diabetes Association</publisher><subject>Care and treatment ; Clinics ; Diabetes ; Diagnosis ; Educational materials ; Electronic health records ; Health care access ; Health education ; Hospitals ; Methods ; Mortality ; Patient satisfaction ; Rural areas ; Self-care, Health ; Technology application ; Telemedicine</subject><ispartof>Diabetes spectrum, 2011-01, Vol.24 (1), p.50-54</ispartof><rights>COPYRIGHT 2011 American Diabetes Association</rights><rights>Copyright American Diabetes Association Winter 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3320-8fc41a1d3298f93346d5d432d110e67cadbd580751dbffd8fbea06b5279130fe3</citedby><cites>FETCH-LOGICAL-c3320-8fc41a1d3298f93346d5d432d110e67cadbd580751dbffd8fbea06b5279130fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids></links><search><creatorcontrib>Holloway, Barbara</creatorcontrib><creatorcontrib>Coon, Patricia J</creatorcontrib><creatorcontrib>Kersten, Diane W</creatorcontrib><creatorcontrib>Ciemins, Elizabeth L</creatorcontrib><title>Telehealth in Rural Montana: Promoting Realistic Independent Self-Management of Diabetes</title><title>Diabetes spectrum</title><description>Fondly known as "the last best place," Montana ranks 44th nationally in state population, fourth in land mass, and third for lowest population density in the United States.1 The state has only three counties with a population > 50,000; 53 of its 56 counties are defined as rural.2 Primary care providers (PCPs) who provide the bulk of diabetes care in rural areas experience multiple challenges, including limited health care resources, geographic isolation, and limited access to diabetes education centers.3 Diabetes is a prevalent and costly disease with significant morbidity and mortality.4 New health care delivery strategies to increase rural patients' access to care are needed. Study inclusion criteria included 1 referral by a PCP, 2 age > 21 years, 3 type 2 diabetes diagnosis (International Classification of Diseases, Ninth Revision, codes 250.xx), 4 at least one uncontrolled vascular risk factor per ADA guidelines (AlC > 7%, blood pressure > 130/80 mmHg, and LDL cholesterol > 100 mg/dl),5 and 5 a willingness to participate.</description><subject>Care and treatment</subject><subject>Clinics</subject><subject>Diabetes</subject><subject>Diagnosis</subject><subject>Educational materials</subject><subject>Electronic health records</subject><subject>Health care access</subject><subject>Health education</subject><subject>Hospitals</subject><subject>Methods</subject><subject>Mortality</subject><subject>Patient satisfaction</subject><subject>Rural areas</subject><subject>Self-care, Health</subject><subject>Technology application</subject><subject>Telemedicine</subject><issn>1040-9165</issn><issn>1944-7353</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkUtLxDAQx4so-Lx7LHpuzXObehPfoCg-wFtIk8kaaZM1yR789kZWD8IyMC9-_xmYqapDjFpCaXdinEoL0LklrMUtRxvVDu4ZazrK6WbJEUNNj2d8u9pN6QMhRDAhO9XbC4zwDmrM77Xz9dMyqrG-Dz4rr07rxximkJ2f108FcSk7Xd96Awsozuf6GUbb3Bd0DtNPHWx94dQAGdJ-tWXVmODgN-5Vr1eXL-c3zd3D9e352V2jKSWoEVYzrLChpBe2p5TNDDeMEoMxglmnlRkMF6jj2AzWGmEHUGg2cNL1mCILdK86Ws1dxPC5hJTlR1hGX1ZKwQVhZQ4v0PEKmqsRpPM25Kj05JKWZ4QTKqgQolDNGmoOHspRggfrSvsf367hixmYnF4rQCuBjiGlCFYuoptU_JIYyZ8vyr8vSsIklhzRb85xkFY</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Holloway, Barbara</creator><creator>Coon, Patricia J</creator><creator>Kersten, Diane W</creator><creator>Ciemins, Elizabeth L</creator><general>American Diabetes Association</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PADUT</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope></search><sort><creationdate>20110101</creationdate><title>Telehealth in Rural Montana: Promoting Realistic Independent Self-Management of Diabetes</title><author>Holloway, Barbara ; 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53 of its 56 counties are defined as rural.2 Primary care providers (PCPs) who provide the bulk of diabetes care in rural areas experience multiple challenges, including limited health care resources, geographic isolation, and limited access to diabetes education centers.3 Diabetes is a prevalent and costly disease with significant morbidity and mortality.4 New health care delivery strategies to increase rural patients' access to care are needed. Study inclusion criteria included 1 referral by a PCP, 2 age > 21 years, 3 type 2 diabetes diagnosis (International Classification of Diseases, Ninth Revision, codes 250.xx), 4 at least one uncontrolled vascular risk factor per ADA guidelines (AlC > 7%, blood pressure > 130/80 mmHg, and LDL cholesterol > 100 mg/dl),5 and 5 a willingness to participate.</abstract><cop>Alexandria</cop><pub>American Diabetes Association</pub><doi>10.2337/diaspect.24.1.50</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Care and treatment Clinics Diabetes Diagnosis Educational materials Electronic health records Health care access Health education Hospitals Methods Mortality Patient satisfaction Rural areas Self-care, Health Technology application Telemedicine |
title | Telehealth in Rural Montana: Promoting Realistic Independent Self-Management of Diabetes |
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