## Abstract __Objective:__ To examine differences across a community mental health system and a private managed care system in the accuracy of a warning system designed to identify youth at risk for deterioration in mental health services. __Design:__ Longitudinal outcome data from the Youth Outcom
Technology and managed care: patient benefits of telemedicine in a rural health care network
β Scribed by Matthew Berman; Andrea Fenaughty
- Publisher
- John Wiley and Sons
- Year
- 2005
- Tongue
- English
- Weight
- 181 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1057-9230
- DOI
- 10.1002/hec.952
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
Rural health providers have looked to telemedicine as a technology to reduce costs. However, virtual access to physicians and specialists may alter patients' demand for faceβtoβface physician access. We develop a model of service demand under managed care, and apply the model to a telemedicine application in rural Alaska. Providerβimposed delays and patient costs were highly significant predictors of patient contingent choices in a survey of ENT clinic patients. The results suggest that telemedicine increased estimated patient benefits by about $40 per visit, and reduced patients' loss from rationing of access to physicians by about 20%. Copyright Β© 2004 John Wiley & Sons, Ltd.
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