Munzo Gateway Rural Health Resh Institute

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