Addressing rural and remote access disparities for patients with inflammatory arthritis through video‐conferencing and innovative inter‐professional care models

Abstract

We found no evidence of a difference in effectiveness between inter-professional video-conferencing and traditional rheumatology clinic for both the provision of effective follow-up care and patient satisfaction for established RA patients. High dropout rates reinforce the need for consultation with patients' needs and preferences in developing models of care. While use of video-conferencing/telehealth technologies may be a distinct advantage for some patients, there may be loss of travel-related auxiliary benefits for others.

Primary health care services for patients with chronic disease in Newfoundland and Labrador: a descriptive analysis

“…19, 20 Telehealth services have the potential to improve disease self-management and reduce disparities in health service access across rural communities. 21,22 Although telehealth is used extensively at many rural sites in the province for specialist chronic disease management services, it appears to be underused in primary health care. 5 Increased use of technology has the potential to improve access to primary health care services in the province.…”

Cancer clinical trials – Survey evaluating patient participation and acceptance in a university-based Comprehensive Cancer Center (CCC)

“…A solution is the integration of new and alternative strategies for clinical visits and aftercare. Outsourcing these to primary care physicians and rural medical centers reduces travel time and costs for patients [12] , [13] . Here, data management and exchange are crucial so that the complete information is available in the leading clinic for scientific use [13] , [14] .…”

Rheumatology workforce issues in South Asia: Challenges and solutions

“…Comparison of teleconferencing with a remote center with in‐person consultation led to similar control of disease activity. However, it was felt that patient preference should be taken into account when offering these services as there was a significant dropout in both arms …”

“…However, it was felt that patient preference should be taken into account when offering these services as there was a significant dropout in both arms. 39 Mobile apps are also being utilized by healthcare professionals to connect with patients. These apps can help a patient report his/ her disease-related outcomes, receive health education, behavioral feedback and support.…”