ISSN:1078-3024    

DOI:10.1089/tmj.1.1996.2.1

年代:1996

数据来源: MAL

摘要:

Background:A project was established by The Ohio State University Medical Center (OSUMC) and the Ohio Department of Rehabilitation and Corrections (ODRC) to investigate the use of telemedicine in providing health care to Ohio's prison inmates.ObjectivesTo determine the effects of telemedicine on continuity of inmate care, the sense of isolation experienced by health care providers at remote institutions, the security risks incurred when transporting inmates to outside facilities, and the overall cost of care. In tracing the initial adoption and implementation of the project, the authors describe health care in Ohio's prisons and the unique nature of providing that care.MethodsThe project was conducted over a 1-year period, from November 1994 through December 1995, using a variety of methods: direct observation of inmate consultations; participation in task force meetings; unstructured interviews with physicians, prison administrators, ancillary health care personnel, and security guards; and initial collection of survey data.ResultsTelemedicine enables Ohio's inmates to receive health care in a more timely fashion than before. Physicians and inmates were generally satisfied, and the costs of providing inmate medical care were reduced by lessening or eliminating the need for additional security guards, vans, chase vehicles, and travel time for physicians.ConclusionsSome initial hurdles in using the system, such as scheduling and triage, are being overcome as new methods are devised, and additional incentives for specialty physicians to use the system are being investigated. The OSUMC/ODRC project suggests that the advantages of using telemedicine in prison settings are immense, and the ODRC plans to expand the network to include two more remote sites early in 1996.

ISSN:1078-3024    

DOI:10.1089/tmj.1.1996.2.17

年代:1996

数据来源: MAL

摘要:

BackgroundThe University of Texas Medical Branch (UTMB) and Texas Tech Health Science Center (TTHSC) are responsible for providing health care for approximately 130,000 inmates of the Texas Department of Criminal Justice through a health maintenance organization (HMO). Telemedicine was considered a way to solve some of the problems presented.ObjectivesTo develop approaches to patient care, technology, support systems, evaluation, and uses of the system for applications other than patient care as part of the first stage of implementation.MethodsFour prison delivery unit models were utilized. After a pilot study, the first patients were seen from October 1994 to November 1995, when 1715 consults were conducted in 18 scheduled specialty telemedicine clinics. Patients and providers were surveyed by interviews and questionnaires for their views on this form of providing care.ResultsNinety-five per cent of the telemedicine consults saved one or more trips to UTMB for outpatient specialty appointments. User surveys indicated a high degree of satisfaction on the part of patients, presenters, and specialty consultants.Conclusions: Preliminary review of the data indicated favorable care outcomes, and initial economic analyses suggested that telemedicine is likely to be cost-effective in this environment. The project will be continued.

ISSN:1078-3024    

DOI:10.1089/tmj.1.1996.2.25

年代:1996

数据来源: MAL

ISSN:1078-3024    

DOI:10.1089/tmj.1.1996.2.37

年代:1996

数据来源: MAL

摘要:

ObjectivesTo estimate the use of telemedicine in rural hospitals in the U.S. and to identify and describe those rural hospitals that are active in telemedicine.Materials and MethodsNationwide mailed survey, with telephone follow-up, to all hospitals not located in a Metropolitan Statistical Area.ResultsThe overall response rate was 95% of all rural hospitals. Of these, 416 (17.55%) reported having telemedicine, and more than 530 more have plans to begin telemedicine programs during the next few years. Rural hospitals of all sizes and in all regions of the country are initiating telemedicine programs, but there is significant variation by region. Specifically, hospitals located in more populous rural counties near metropolitan areas are less likely to have telemedicine than are hospitals located in less populous rural counties in more remote areas. Conservatively, more than 4000 teleconsults per month are estimated among rural hospitals nationwide in 1995, including all forms of telemedicine.ConclusionsTelemedicine is becoming an important means of providing specialty medical services in rural areas. This screening survey generated information about the extent of telemedicine use in rural communities, but it also raised many new questions. These questions are being pursued through a detailed follow-up survey.

ISSN:1078-3024    

DOI:10.1089/tmj.1.1996.2.43

年代:1996

数据来源: MAL

ISSN:1078-3024    

DOI:10.1089/tmj.1.1996.2.49

年代:1996

数据来源: MAL

ISSN:1078-3024    

DOI:10.1089/tmj.1.1996.2.79

年代:1996

数据来源: MAL

ISSN:1078-3024    

DOI:10.1089/tmj.1.1996.2.81

年代:1996

数据来源: MAL