Research Paper on "Home Telehealth for Chronic Disease Diabetes Management in Rural Community"
Research Paper 9 pages (2716 words) Sources: 20 Style: APA
[EXCERPT] . . . .
Improving Diabetes Outcomes in Rural America Through Telehealth SolutionsThe United States is a nation characterized by deep socioeconomic
divisions which are prompted by racial, ethnic and geographical patterns.
In spite of the nation's relative affluence, indications persist in its
public health outlook to suggest both the increasing permeation of epidemic
health conditions precipitated by lifestyle tendencies and the lopsided
distribution of healthcare access. The latter concern is of particular
relevance to us as countless Americans suffering from a treatable condition
are nonetheless incapable of accessing the healthcare facilities and
professionals that can help them. With the condition of diabetes, which is
fast proliferating today in the United States due to poor nutritional
habits, negative lifestyle tendencies and cultural patterns encouraging
both, its appearance in rural America has become especially problematic.
This is because in America's rural regions, healthcare access tends to be
lesser, conditions such as obesity and heart disease are more common and
the education which is necessary to help people either prevent or treat
diabetes is likely to be lacking or insufficient. It is thus that we
undertake the study here, which is engaged to determine the value of newly
evolving healthcare technologies in addressing this identified public
health problem. The emergence of telehealth technologies through the
online computer medium is opening these regions up to new treatment and
educa
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length and quality of life for diabetes sufferers in rural America. This
invokes the discussion here, both on the presence and problematic nature of
diabetes in America's rural region and on how telehealth technologies are
improving healthcare access both in a general sense and where diabetes is
concerned.
This is important because diabetes has become a definite epidemic in
the United States. According to a study by Dabney & Gosschalk (2008), "the
number of diagnosed cases has increased nearly 10-fold over the past 40
years and has nearly doubled in the past 10 years. Approximately 17
million Americans-6 percent of the population-are diabetic, with perhaps
one-third of the cases being undiagnosed. Furthermore, a newly recognized
condition called 'pre-diabetes' affects another estimated 16 million
Americans." (Dabney & Gosschalk, 57) This denotes that diabetes is a
significant public health problem which levies considerable costs on the
public healthcare system. Given that diabetes-and especially its
inexorable rise in prominence-is connected to lifestyle decisions and
negative lifestyle habits, intervention on a wide based level is justified.
This discussion focuses this imperative on those rural communities where
for various geographical reasons often are at a significant disadvantage in
terms of received proper healthcare.
Access and education being the dual obstacles to treatment, the
consideration of telehealth technologies as a way of focusing on diabetes
issues specifically in the rural context is fielded here. The study by
Dabney & Gosschalk provides a useful jumping off point in this discussion,
indicating that "in this nationwide survey of state and local rural health
leaders, diabetes was ranked third among the most frequently nominated
rural health priorities after access and heart disease and stroke. There
was substantial agreement on the rural priority status of diabetes relative
to all other . . . functional areas." (Dabney & Gosschalk, 58) This
illustrates that there is a clear need to take measures that can alter the
current outlook for those in rural areas. To the point, we will therefore
initiate a discussion on the apparent value and benefits of telehealth
technologies and methods in a general sense. With the integration of
internet technologies into everyday business functions, it seems an
intuitive leap to consider the ways in which advancing communication and
information tools might help to improve the quality and accessibility of
healthcare which cutting down on the costs to the company and the laborer.
The potential represented by telemedicine, still modestly unexplored,
bears a great deal of undiscovered opportunity for rural residents in need
of access to medical attention that is quick, affordable and reliable. By
placing live medical care and pertinent medical information at the computer
user's fingertips, the process of telecommunication removes many of the
fundamental obstacles to receiving healthcare. Among these, telemedicine
eliminates the need for and cost of transportation, significantly
diminishes the amount of time required by employees to obtain medical care,
compensates for a decided shortage of healthcare professionals and,
ultimately, reduces many of the inherent costs in an office visit.
As a result of the relative cheapness of the basic required equipment
for access to online healthcare, this has been widely touted as a sensible
avenue for exploration as a means to advancing opportunities for healthcare
to many venues and geographic locations where such had previously been
unavailable. For our considerations here, the traditional medical or home
facility will serve as a hypothetical venue where, though, it has not been
traditionally present, medical access may through online strategies become
a reality. "The adoption of PC-based desktop medical teleconferencing is
tracking closely after the more widespread use of desktop videoconferencing
(DVC) for business" (B2B Media, 1) As this relates to telemedicine, it
seems apparent that very little physical adaptation needs to be made in
order to participate in a growing network of online healthcare users and
providers.
The abilities which it gives patients and doctors to connect from
remote locations by way of any modestly equipped PC terminal makes
telemedicine a route to the expansion or supplement of our abilities to
contend with radiological, pathological and even cardiological challenges.
In fact, "depending on how it is defined, telemedicine can involve the use
of imaging and diagnostic equipment to gather data from a patient, computer
hardware and software to record data, communication lines or satellites to
send the data from one location to another, and computer equipment at the
receiving end for a physician or specialist to interpret the data."
(Weldon, 4) This suggests a range of potential uses for telemedicine that
is broad and still subject to continued exploration and experimentation.
Therefore, in attempting to intervene with the above-noted pattern of
rural diabetes spread, researchers have found that telemedicine approaches
are far more manageable and affordable than the construction of new
hospital facilities or the expansion of existing ones. Indeed, for those
who are truly immobilized by the nagging health concerns either relevant to
or consequent of diabetes at an advanced age, such facilities which still
provoke unwanted strain on the system. By contrast, "without leaving the
office or clinic, doctors and nurses can make personal "visits" to patients
at home, using state-of-the-art technology that simultaneously transmits
voice and video combined with clinical data streams from medical
peripherals such as blood pressure monitors, stethoscopes, and glucose
meters - all over standard telephone lines." (Moore, 1)
Telehealth has also come to serve as a blanket term for the delivery
of information and information services. Again, the recurrent issue of
poor nutritional and lifestyle habits in the spread of diabetes implicates
the need for just such a delivery. The increased presence of terminals for
access of such information in the homes of diabetes sufferers can
contribute to improved lifestyle habits and lowered mortality due to
insufficient self-treatment. According to the article by Templeton (2007),
this can be a path to overcoming some of the key informational problems
which make rural areas most vulnerable to conditions like diabetes.
Templeton indicates that such "problems include poverty, lack of healthy
food and, worst of all, lack of doctors, pharmacists, dietitians,
psychologists and diabetes educators." (Templeton, 1)
These are problems which are directly associated with the conditions
often inherent to rural life in the United States, where economic
inequality pervades and carries with it a wide scope of social symptoms.
Chronic health conditions are among the most prominent of these symptoms,
owing to the negative cycle of persistent poverty and its related lifestyle
tendencies. For those living with diabetes in rural areas, chances of
mortality are made considerably higher by this reality and a lack of
concrete resources denotes the need for far-reaching healthcare solutions
that are simultaneously cost-effective. This is underscored by Bull's
(1993) prescient observation of the persistent patterns facing rural
America. Bull reports that "according to W.R. Lassey, a contributing
author to The Elderly In Rural Society, "Poor rural older people suffer
from what might be referred to as the 'poverty-illness syndrome'--that is,
they are poor, which ... limits their access to medical services while
subjecting them to many of the risk factors associated with the higher
incidence of chronic disease. Because of their chronic diseases, they are
often unable to improve their incomes. Geographic and social isolation
limit their ability to escape from either poverty or (ill) health.'" (Bull,
1)
This suggests a condition in which the problems of poverty produce
healthcare obstacles which can become self-perpetuating. The prospects of
telehealth to resolve this are immense according to currently applied
research, which has put into practice the prospect both for the
distribution of information and of health services through
telecommunication means. Reporting on these efforts, Moore (2005)
indicates that "one of the most interesting and promising… READ MORE
Quoted Instructions for "Home Telehealth for Chronic Disease Diabetes Management in Rural Community" Assignment:
1. This project report examines the important role information technology play in the management of chronic diseases in rural community.Although there have been many studies about the use of telehealth or telemedicine to manage chronic diseases such as congestive heart failure, diabetes, and chronic obstructive pulmonary disease in the United States and abroad, our project will focus on the impact of home telehealth in managing one of these diseases in rural community. The objective of this study is to evaluate the clinical benefits and cost-effectiveness of rural health as compare to conventional care in the management of chronic diseases. Information presented in our project was obtained from multiple research literatures, and internet websites.
2. Diabetes is the chronic illness and how telehealth or telemedicine can help the medical system.
How to Reference "Home Telehealth for Chronic Disease Diabetes Management in Rural Community" Research Paper in a Bibliography
“Home Telehealth for Chronic Disease Diabetes Management in Rural Community.” A1-TermPaper.com, 2009, https://www.a1-termpaper.com/topics/essay/improving-diabetes-outcomes-rural/925024. Accessed 3 Jul 2024.
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