Research Article
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Published Online: 27 May 2010

Provider Satisfaction and Patient Outcomes Associated with a Statewide Prison Telemedicine Program in Louisiana

Publication: Telemedicine and e-Health
Volume 16, Issue Number 4

Abstract

Health information technology including telemedicine offers potential to improve patient care outcomes. As part of the response to Hurricanes Katrina and Rita in 2005, the Louisiana State University Health Care Services Division expanded its statewide telemedicine program. The aim of this study was to evaluate provider satisfaction and patient outcomes associated with telemedicine when used for the administration of prisoner medical care. Providers completed a survey following each patient encounter in real-time; questions were adapted from standard satisfaction indices. Statistical methods included uni-, bi-, and multivariable including ordinal regression methods to characterize unadjusted and adjusted factors associated with telemedicine use and provider satisfaction, and patient outcomes. Data were collected between December 2007 and May 2008 and were analyzed using SAS and Stata. Out of 737 patient visits, the majority of patients were African American (68.6%), men (92.9%), seen for either infectious disease or mental health (46.2% and 50.2%), with most surveys completed by a physician (63.1%). Most telemedicine encounters were completed (92.8%), a treatment plan was established (97.0%), the provider perceived that the technology was adequate to conduct visit (93.4%), and a follow-up telemedicine appointment was requested (90.8%). Most providers were satisfied with telemedicine for the visit overall (87.0%), believed that telemedicine improved patient prognosis (88.2%), and perceived that the patient was satisfied (83.0%). This study suggests that telemedicine was an effective and accepted method of healthcare provision.

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Published In

cover image Telemedicine and e-Health
Telemedicine and e-Health
Volume 16Issue Number 4May 2010
Pages: 472 - 479
PubMed: 20438385

History

Published online: 27 May 2010
Published ahead of print: 3 May 2010
Published in print: May 2010
Accepted: 24 December 2009
Received: 21 November 2009

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Michelle Glaser
Department of Epidemiology and Biostatistics, The George Washington University School of Public Health and Health Services, Washington, DC.
Tom Winchell
LSU Health Sciences Center, New Orleans, Louisiana.
Patty Plant
LSU Health Care Services Division, Baton Rouge, Louisiana.
Wayne Wilbright
LSU Health Care Services Division, Baton Rouge, Louisiana.
Michael Kaiser
LSU Health Care Services Division, Baton Rouge, Louisiana.
Michael K. Butler
LSU Health Care Services Division, Baton Rouge, Louisiana.
Matthew Goldshore
Department of Epidemiology and Biostatistics, The George Washington University School of Public Health and Health Services, Washington, DC.
Manya Magnus
Department of Epidemiology and Biostatistics, The George Washington University School of Public Health and Health Services, Washington, DC.

Notes

Address correspondence to:Manya Magnus, Ph.D., M.P.H.Department of Epidemiology and BiostatisticsThe George Washington University School of Public Health and Health Services2100-W Pennsylvania Avenue, NW, Suite 807Washington, DC 20037E-mail: [email protected]

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