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Telemedicine Use in Rural Native American Communities in the Era of the ACA: a Systematic Literature Review

Kruse, Clemens Scott ; Bouffard, Shelby ; Dougherty, Michael ; Parro, Jenna Stewart

Journal of medical systems, 2016-06, Vol.40 (6), p.145-145, Article 145 [Periódico revisado por pares]

New York: Springer US

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  • Título:
    Telemedicine Use in Rural Native American Communities in the Era of the ACA: a Systematic Literature Review
  • Autor: Kruse, Clemens Scott ; Bouffard, Shelby ; Dougherty, Michael ; Parro, Jenna Stewart
  • Assuntos: Health care ; Health Informatics ; Health Sciences ; Humans ; Indians, North American ; Medicine ; Medicine & Public Health ; Native North Americans ; Patient Facing Systems ; Patient Protection & Affordable Care Act 2010-US ; Patient Protection and Affordable Care Act ; Rural areas ; Rural Population ; Statistics for Life Sciences ; Telemedicine
  • É parte de: Journal of medical systems, 2016-06, Vol.40 (6), p.145-145, Article 145
  • Notas: SourceType-Scholarly Journals-1
    ObjectType-Feature-4
    ObjectType-Undefined-1
    content type line 23
    ObjectType-Review-2
    ObjectType-Article-3
  • Descrição: Native American communities face serious health disparities and, living in rural areas, often lack regular access to healthcare services as compared to other Americans. Since the early 1970’s, telecommunication technology has been explored as a means to address the cost and quality of, as well as access to, healthcare on rural reservations. This systematic review seeks to explore the use of telemedicine in rural Native American communities using the framework of cost, quality, and access as promulgated by the Affordable Care Act of 2010 and urge additional legislation to increase its use in this vulnerable population. As a systematic literature review, this study analyzes 15 peer-reviewed articles from four databases using the themes of cost, quality, and access. The theme of access was referenced most frequently in the reviewed literature, indicating that access to healthcare may be the biggest obstacle facing widespread adoption of telemedicine programs on rural Native American reservations. The use of telemedicine mitigates the costs of healthcare, which impede access to high-quality care delivery and, in some cases, deters prospective patients from accessing healthcare at all. Telemedicine offers rural Native American communities a means of accessing healthcare without incurring high costs. With attention to reimbursement policies, educational services, technological infrastructure, and culturally competent care, telemedicine has the potential to decrease costs, increase quality, and increase access to healthcare for rural Native American patients. While challenges facing the implementation of telemedicine programs exist, there is great potential for it to improve healthcare delivery in rural Native American communities. Public policy that increases funding for programs that help to expand access to healthcare for Native Americans will improve outcomes because of the increase in access.
  • Editor: New York: Springer US
  • Idioma: Inglês
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