TECHNOLOGY SERVES THE PEOPLE The Story⋅ of a Co-operative Telemedicine Project by NASA, The Indian Health Service and the Papago People

This monograph is a documented history of the planning and development process of a major advanced telemedicine system call Space Technology Applied to Rural Papago Advanced Health Care (STARPAHC). This history was prepared to document basic processes. Projects such as STARPAHC usually result in volumes of technical system descriptions, evaluation reports and technical performance analyses. This report provides a good description of the high degree and quality of productive functional relationships developed among the participating agencies and the private sector.The project was conceived and sponsored by both the National Aeronautic and Space Administration (NASA) and Lockheed Missile and Space Company (LMSC). STARPAHC was not the first attempt to implement a telemedicine system in the United States. Ultimately, STARPAHC would provide a full communications range, two-way television, audio and data communications between the central station at Sells, Arizona on the Papago Reservation, and a fixed satellite clinic at Santa Rosa, a regularly scheduled mobile health clinic, and a full facility hospital-based clinic at Phoenix. The program presumed that the telemetry and remote monitoring equipment developed for the space program would have eventually made its way into the open market. The study rests on the conclusion that some form of telemedicine is the invariant pattern of the future. The time periods for the research and demonstration projects were insufficient to reach definitive conclusions regarding the cost-effectiveness of telemedicine in relation to other modes of health service delivery. In an intensively technological system, the capital investment may only be recovered over an extended period of time, and services must be distributed over a large number of patients/clients. Problems with program objectives led to situations where it was not clear whether telemedicine was intended to supplement, enhance, or replace existing delivery systems. Funding was severely curtailed before many of the problems could be resolved. The STARPAHC project may prove to be the most successful model for the future of telemedical diagnostics. In terms of costs, it used the least expensive technology (audio-link and slow-scan TV). In terms of quality, it provided an opportunity to have a second option for diagnostic purposes, clinical decision making, and specialist consultation done rapidly and efficiently. In terms of acceptance, both providers and patients were happy to have the system.Reinitiate funding for telemedicine

Archived Website - School of Public Health, 2002

Archived version of the School of Public Health website as it appeared on May 15, 2002. Documents the academic programs, accomplishments, resources, events, and people at the School of Public Health. Content includes important news and announcements, publications (such as newsletters and course catalogs), and information about admissions, curriculum, degree requirements, faculty, and the overall mission of the School.http://deepblue.lib.umich.edu/bitstream/2027.42/114389/1/sph-2002.zi

Archived Website - School of Public Health, 2008

Archived version of the School of Public Health website as it appeared on May 6, 2008. Documents the academic programs, accomplishments, resources, events, and people at the School of Public Health. Content includes important news and announcements, publications (such as newsletters and course catalogs), and information about admissions, curriculum, degree requirements, faculty, and the overall mission of the School.http://deepblue.lib.umich.edu/bitstream/2027.42/115468/2/sph-2008.zi

Evaluation of the Physical Activity and Public Health Course for Practitioners

PURPOSE: From 1996–2013, a 6-day Physical Activity and Public Health Course for Practitioners has been offered yearly in the United States. An evaluation was conducted to assess the impact of the course on building public health capacity for physical activity and on shaping the physical activity and public health careers of fellows since taking the courses. METHOD: An evaluation quantified time that fellows spent in different course offerings and surveyed fellows. RESULTS: From 1996–2012, 410 fellows attended the course and, in 2013, 186 participated in the web-based survey (56% response rate). The number of fellows attending the course ranged from 15–33 yearly. From 1996–2012, the course averaged 38 hr of instructional time including topics on interventions and environment/policy work to increase physical activity, program evaluation, public health research, and health disparities. The course included consultations, collaborative work, and field-based experiences. Fellows who participated in the survey agreed that the course had a positive impact on the physical activity research or practice work they did (98%), met their expectations (96%), helped them with research/practice collaborations with other physical activity professionals (96%), assisted them in conducting higher quality interventions/programs (95%), helped increase their professional networking in the field (93%), and had a positive impact on other work they did (91%). Following the course, 66% and 56% had further contact with faculty and other fellows, respectively. CONCLUSION: The Physical Activity and Public Health Course for Practitioners made important contributions towards building the capacity of physical activity and public health practitioners