TY - JOUR
KW - access to care
KW - primary care
KW - teleconsultation
KW - Telemedicine
AU - A. P. Lesher
AU - S. M. Fakhry
AU - R. DuBose-Morris
AU - J. Harvey
AU - L. B. Langston
AU - D. M. Wheeler
AU - J. T. Brack
AU - J. T. McElligott
A1 - 
AB - Despite a robust health care system in the United States, many Americans experience health care disparities as a result of poor access to medical care. Academic medicine plays an important role in addressing health care disparities by providing primary and specialty care for the poor and uninsured. In South Carolina, 43 of its 46 counties are designated as fully or partially Medically Underserved Areas (MUAs), defined as areas with a shortage of medical providers, high infant mortality, and either high elderly population or high poverty rates. To address these health care disparities, an academic medical center in South Carolina created a hub-and-spoke specialty care model using telemedicine in partnership with primary care providers across community settings. Initial private foundation grant funding enabled the development and dissemination of technology to provide remote teleconsultations by physicians at the academic medical center (hub) to patients in their primary care offices (spoke). This model, now supported by recurring state funding and professional billing, provides much-needed services, including psychiatry, nutrition counseling, and various surgical and medical subspecialties, to rural and underserved populations in the state. This manuscript provides a narrative review of the development of this statewide telemedicine service, with an emphasis on identification of stakeholders, technology issues, barriers to implementation, and future directions.
AD - Department of Surgery, Medical University of South Carolina, Charleston, South Carolina.; Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.; Synergy Surgicalists, Reston Hospital Center, Reston, Virginia.; Center for Telehealth, Academic Affairs, Medical University of South Carolina, Charleston, South Carolina.; Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina.; Center for Telehealth, Medical University of South Carolina, Charleston, South Carolina.; Center for Telehealth, Medical University of South Carolina, Charleston, South Carolina.; Clemson University, Clemson, South Carolina.; Center for Telehealth, Medical University of South Carolina, Charleston, South Carolina.
BT - Population health management
C5 - Healthcare Disparities; HIT & Telehealth
CP - 1
CY - United States
DO - 10.1089/pop.2018.0212
IS - 1
JF - Population health management
M1 - Journal Article
N2 - Despite a robust health care system in the United States, many Americans experience health care disparities as a result of poor access to medical care. Academic medicine plays an important role in addressing health care disparities by providing primary and specialty care for the poor and uninsured. In South Carolina, 43 of its 46 counties are designated as fully or partially Medically Underserved Areas (MUAs), defined as areas with a shortage of medical providers, high infant mortality, and either high elderly population or high poverty rates. To address these health care disparities, an academic medical center in South Carolina created a hub-and-spoke specialty care model using telemedicine in partnership with primary care providers across community settings. Initial private foundation grant funding enabled the development and dissemination of technology to provide remote teleconsultations by physicians at the academic medical center (hub) to patients in their primary care offices (spoke). This model, now supported by recurring state funding and professional billing, provides much-needed services, including psychiatry, nutrition counseling, and various surgical and medical subspecialties, to rural and underserved populations in the state. This manuscript provides a narrative review of the development of this statewide telemedicine service, with an emphasis on identification of stakeholders, technology issues, barriers to implementation, and future directions.
PP - United States
PY - 2020
SN - 1942-7905; 1942-7891
SP - 20
EP - 28
EP - 
T1 - Development and Evolution of a Statewide Outpatient Consultation Service: Leveraging Telemedicine to Improve Access to Specialty Care
T2 - Population health management
TI - Development and Evolution of a Statewide Outpatient Consultation Service: Leveraging Telemedicine to Improve Access to Specialty Care
U1 - Healthcare Disparities; HIT & Telehealth
U2 - 31161963
U3 - 10.1089/pop.2018.0212
VL - 23
VO - 1942-7905; 1942-7891
Y1 - 2020
Y2 - Feb
ER -