munzo gateway rural health resh institute
TRANSCRIPT
The DaTA Study: A success story
Claudio Munoz MD,PhDScientific Director
Source: Canadian Institute for Health Information
Huron County
Percentage of people with high blood pressure
0
5
10
15
20
25
Perc
en
t 15.2
17.215.7
20.3 19.9
15.7 16.417.9
16.1
Stats Canada, Canadian Community Health Survey 2005Stats Canada, Canadian Community Health Survey 2005
People with diabetes
0
2
4
6
8
10
4.85.2
4.1
8.0
6.3
3.8
4.9
6.66.2
Perc
en
t
Stats Canada, Canadian Community Health Survey 2005Stats Canada, Canadian Community Health Survey 2005
Obese Adults (18+) with BMI > 30
0
5
10
15
20
25
15.1
18.116.6
18.6
22.721.1
19.7
17.7 18.2
Perc
en
t
Stats Canada, Canadian Community Health Survey 2005Stats Canada, Canadian Community Health Survey 2005
Diabetes: Worldwide Epidemic
1985 1995 2000 2010 2025 20300
100
200
300
400
30
135177
221
300
370
Year
Mill
ions
wit
h di
abet
es
Type-2 Diabetes: Canadian Epidemic
CVD rebound
1960 1980 2000 2020 2040
Isc
he
mic
He
art
Dis
ea
se
Referral bias
ILLNESS/INJURY
GENERAL PRACTICE
TEACHING CENTRES
POPULATION
Clinical Research
Gateway Rural Health Research Institute
Diabetes and Technology for increased Activity: DaTA Study
To assess the use of technology as an intervention to increase physical activity in subjects with metabolic syndrome, risk factors for type 2 diabetes and cardiovascular disease and to improve cardiovascular health
American College of Sports Medicine (ACSM) Guidelines
Lifestyle PrescriptionSTEP™STEP™
Remote Monitoring Devices
Monitoring Devices
Rural Health Issues Shortage of rural health professionalsHealth disparities between rural &
urbanInsufficient infrastructure for:
rural health researchcommunity-based clinical research
Insufficient teaching capacity in rural health
Rural Health Centre
PRECEPTOR
Student
Informal Inconsistent Take time away from patients Insufficient exposure Too few students No time for research
Informal Inconsistent Take time away from patients Insufficient exposure Too few students No time for research
Is this model appropriate?
Academic Rural Health CentreRural
Clinical Professor
StudentStudent Student
ResidentRural
Medicine
Increase teaching capacity Academic credentialsResident as clinical resourceMore time for:
•Professional development•Research•Community service
Recruitment tool
Increase teaching capacity Academic credentialsResident as clinical resourceMore time for:
•Professional development•Research•Community service
Recruitment tool
Integrated model for rural healthresearch and education
Gateway