Successful Implementation of a Telemedicine-Based Counseling Program for High-Risk Patients With Breast Cancer

Successful Implementation of a Telemedicine-Based Counseling Program for High-Risk Patients With Breast Cancer

Abstract An interactive audio and video telemedicine feasibility program was established to provide counseling on breast cancer risk-reducing strategies for underserved, high-risk Alaskan native women through a collaboration among the Alaska Native Medical Center, the Mayo Clinic Breast Clinic, Mayo...

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Bibliographic Details
Published in:Mayo Clinic proceedings Vol. 88; no. 1; pp. 68 - 73
Main Authors: Pruthi, Sandhya, MD, Stange, Kevin J., MD, Malagrino, Gerald D, Chawla, Kashmira S., BA, LaRusso, Nicholas F., MD, Kaur, Judith S., MD
Format: Journal Article
Language:English
Published: England Elsevier Inc 2013
Elsevier, Inc
Elsevier Limited
Subjects:
Adult
Alaska
Breast cancer
Breast Neoplasms - prevention & control
Breast Neoplasms - psychology
Counseling
Female
Health aspects
Humans
Internal Medicine
Patient Satisfaction
Pilot Projects
Prevention
Program Development
Program Evaluation
Risk factors
Rural Population
Telemedicine
Wellness programs
Alaska
United States
Mayo Clinic Breast Clinic
Alaska Native Medical Center
MCBC
ANMC
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Summary:Abstract An interactive audio and video telemedicine feasibility program was established to provide counseling on breast cancer risk-reducing strategies for underserved, high-risk Alaskan native women through a collaboration among the Alaska Native Medical Center, the Mayo Clinic Breast Clinic, Mayo’s Center for Innovation, and the Alaska Federal Health Care Access Network. The telemedicine model included a navigator to facilitate patient encounters (referrals, electronic records, and scheduling) and a subscription billing contract. Between January 1 and December 31, 2011, 60 consultations were provided to the Alaska Native Medical Center. A survey of a sample of 15 women demonstrated overall patient satisfaction of 98% pertaining to the experience, technology, and medical consultation. The referring physician satisfaction, from 11 visit surveys and 8 referring physicians, revealed 99% satisfaction with the service. In this telemedicine pilot study, we demonstrated the feasibility of a telemedicine program to provide integrated specialty care that resulted in a positive effect on patient satisfaction. This program has a sustainable business model, thus creating a new modality for health care delivery.
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ISSN:0025-6196
1942-5546
DOI:10.1016/j.mayocp.2012.10.015