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Wiley InterScience

The Journal of Rural Health

The Journal of Rural Health

Volume 23 Issue 2, Pages 163 - 165

Published Online: 28 Mar 2007

© 2010 National Rural Health Association



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Rural Versus Suburban Primary Care Needs, Utilization, and Satisfaction With Telepsychiatric Consultation
Donald M. Hilty, MD; 1 Thomas S. Nesbitt, MD, MPH; 2 Christina A. Kuenneth, MPH; 3 Grace M. Cruz, BA, BS; 1 Robert E. Hales, MD, MBA 1
  1 Department of Psychiatry and Behaviorial Science, University of California, Davis, Sacramento, Calif.
  2 Department of Family and Community Medicine, University of California, Davis, Sacramento, Calif.
  3 Center for Health Services Research in Primary Care, University of California, Davis, Sacramento, Calif.
Correspondence to  For further information, contact: Donald M. Hilty, MD, Department of Psychiatry and Behavioral Science, University of California, Davis, 2230 Stockton Boulevard, Sacramento, CA 95817; e-mail dmhilty@ucdavis.edu.
Copyright 2007 National Rural Health Association

ABSTRACT

ABSTRACT:  Context and Purpose: Rural and suburban populations remain underserved in terms of psychiatric services but have not been compared directly in terms of using telepsychiatry. Methods: Patient demographics, reasons for consultation, diagnosis, and alternatives to telepsychiatric consultation were collected for 200 consecutive, first-time telepsychiatric consultations at rural and suburban clinics. Findings: Rural patients were more likely than suburban patients to be younger than 18 years, using Medicaid, and needing treatment planning (lest they be referred out of the community). Rural patient and primary care physician satisfaction was higher than that of suburban counterparts. Conclusion: Telepsychiatry programs may enhance access, satisfaction, and quality of rural care.


Received: 18 January 2007; Accepted: 22 March 2007;
DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1748-0361.2007.00084.x About DOI

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