The authors wish to thank the University of California, Office of the President, California Policy Research Center, California Program on Access to Care for providing a grant to complete this research and the US Rural Utility Service (98-01680V) for providing the telemedicine equipment at each study site. We also wish to thank Jana Katz, MPH, for administrative direction and Kristina Golden, MA, for manuscript preparation. This research was supported by funds from the California Program on Access to Care (CPAC), California Policy Research Center, University of California. The views and opinions expressed do not necessarily represent those of The Regents of the University of California, CPAC, its advisory board, or any state or county executive agency represented thereon.
Perceptions of Local Health Care Quality in 7 Rural Communities with Telemedicine
Article first published online: 6 JUN 2006
The Journal of Rural Health
Volume 21, Issue 1, pages 79–85, January 2005
How to Cite
Nesbitt, T. S., Marcin, J. P., Daschbach;, M. M. and Cole, S. L. (2005), Perceptions of Local Health Care Quality in 7 Rural Communities with Telemedicine. The Journal of Rural Health, 21: 79–85. doi: 10.1111/j.1748-0361.2005.tb00066.x
- Issue published online: 6 JUN 2006
- Article first published online: 6 JUN 2006
ABSTRACT: Context: Rural health services are difficult to maintain because of low patient volumes, limited numbers of providers, and unfavorable economies of scale. Rural patients may perceive poor quality in local health care, directly impacting the sustainability of local health care services. Purpose: This study examines perceptions of local health care quality in 7 rural, underserved communities where telemedicine was implemented. This study also assesses factors associated with travel outside of local communities for health care services. Methods: Community-based pretelemedicine and posttelemedicine random telephone surveys were conducted in 7 northern California rural communities assessing local residents' perceptions of health care quality and the frequency of travel outside their community for health care services. Five-hundred rural residents were interviewed in each of the pretelemedicine and posttelemedicine surveys. Between surveys, telemedicine services were made available in each of the communities. Findings: Residents aware of telemedicine services in their community had a significantly higher opinion of local health care quality (P =.002). Satisfaction with telemedicine was rated high by both rural providers and patients. Residents with lower opinions of local health care quality were more likely to have traveled out of their community for medical care services (P =.014). Conclusions: The introduction of telemedicine into rural communities is associated with increases in the local communities' perception of local health care quality. Therefore, is it possible that telemedicine may result in a decrease in the desire and need for local patients to travel outside of their community for health care services.