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The Journal of the American Board of Family Practice, Vol 15, Issue 2 123-127, Copyright © 2002 by American Board of Family Practice

ARTICLES

Low-bandwidth, low-cost telemedicine consultations in rural family practice

T. E. Norris, G. L. Hart, E. H. Larson, P. Tarczy-Hornoch, D. L. Masuda, S. S. Fuller, P. J. House and S. M. Dyck
Department of Family Medicine, University of Washington School of Medicine, Seattle 98195-6340, USA.

BACKGROUND: Telemedicine, based on the use of interactive video consultations, is being used more commonly in rural settings. This development is potentially important to rural patients because there are fewer physicians, particularly specialist physicians, in rural areas. Declining costs of telemedicine equipment and transmission have created increased access to these technologies for rural family physicians and their patients. METHODS: This study considers satisfaction levels of rural family physicians, academic-based specialists, and rural patients in 130 consultations between rural physicians, rural patients, and urban academic specialists. To increase the practicability for rural use, low-cost equipment and low-bandwidth digital telephone transmission lines were utilized. Data were collected using questionnaires that were completed by patients, family physicians, and specialist consultants after each consultation. RESULTS: All categories of participants noted very high levels of satisfaction. CONCLUSION: Telemedicine-based consultations are well accepted by rural patients, rural family physicians, and urban academic specialist consultants. This approach could offer a useful adjunct to rural health care.




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Copyright © 2002 by the American Board of Family Medicine.