402 Project Echo Expands Access to Hepatitis C (Hcv) Treatment in Rural Areas and Prisons. Treatment Is as Effective as a University HCV Clinic

Improving care quality with prison telemedicine: The effects of context and multiplicity on successful implementation and use

“…The quantitative outcomes data reported varied from correlation between in-person/telemedicine assessment scores, 38 numbers of consultations, 39–42 patient satisfaction scores, 43 cost effectiveness, 34,44–50 and clinical outcome measures. 51–52 Very few studies reported outright failures of telemedicine, 53–54 with most finding it offered equivalent or improved care quality 5,42,43,51,52,55–70 at an acceptable cost. 8,9,25,31,34,38,43,47,50,53,56–59,62,64,69…”

“…Additional benefits realised were predominantly health-related such as improved quality of care, resulting from increased access and specialist input. 5,9,24,37,46,50–52,57,59,61,64,68–70,73,77,83,88,89,93,97,101–103,105–107,116,118,124,129,135,143,146,148,150–153 For example, in juvenile justice facilities more timely delivery of behavioural health counselling over telemedicine gave students improved chances to develop coping techniques for interpersonal relationships, with acceptance of therapy also thought to be improved due to the adolescents’ preference for technological solutions. 148 In Illinois, telemedicine facilitated multidisciplinary input for HIV care, which subsequently improved prescribing practices, patient safety and the management of long-term conditions secondary to HIV infection.…”

“…The literature reviewed suggests few benefits for hospital staff are expected prior to implementation, however upon implementation hospital staff were appreciative of improvements to care that could be delivered such as multidisciplinary input from prison healthcare staff, 65 whilst also reporting personal benefits such as increased feelings of safety, 43,65,69,97,104 opportunities to do research 5,9,41,72,98 and a reduction in clinician burnout. 41,65,68 Prison healthcare staff meanwhile were appreciative of the opportunity to upskill in disease management, 12,24,30,37,50,51,61,64,68,70,72,99,103,105,106,118,134,145,154,156 collaborate with hospital specialists, 37,50,64,71,72,105,106 and to ultimately provide more multidisciplinary care, 30,37,41,52,59,64,69,72,74,83,102,103,105,107,114,115,123,…”

“…Quantitative outcomes data reported varied from correlation between in-person/telemedicine assessment scores (38), numbers of consultations (39)(40)(41)(42), patient satisfaction scores (43), cost effectiveness (34,(44)(45)(46)(47)(48)(49)(50) and clinical outcome measures (51,52). Very few studies reported outright failures of telemedicine (53,54), with most finding it to offer equivalent or improved care quality (5,42,43,51,52,(55)(56)(57)(58)(59)(60)(61)(62)(63)(64)(65)(66)(67)(68)(69)(70) at an acceptable cost (8, 9, 25, 31, 34, 38, 43, 47, 50, 53, 56-59, 62, 64, 69-110). Of those studies that measured or reported on patient satisfaction, most found telemedicine satisfactory or even preferred by patients (8, 12, 58, 60, 62, 64, 65, 71-73, 80, 82, 83, 85, 88, 93-95, 99, 104, 105, 111-121) (Table 1).…”

Telemedicine Enables Broader Access to Movement Disorders Curricula for Medical Students

“…In the United States, the Extension for Community Healthcare Outcomes uses video conferencing technology to train local primary care providers to provide specialized chronic care management for remote populations who do not see a specialist. 17 The University of KwaZulu-Natal Medical School in South Africa has conducted videoconferencebased education in a number of medical disciplines since 2001, including pediatric surgery and rural midwifery. 18 In this context, videoconference and face-to-face education were considered equivalent, and the report concluded that the results were grade B (moderate) Average answer was calculated based on the 5-point Likert-type scale from 5 5 strongly agree to 1 5 strongly disagree.…”