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Understanding the Business Case for Telemental Health in Rural Communities
Telemental health has been promoted to address long-standing access barriers to rural mental health care, including low supply and long travel distances. Examples of rural telemental health programs are common; there is a less clear picture of how widely implemented these programs are, their organiz...
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| Published in: | The journal of behavioral health services & research 2016-07, Vol.43 (3), p.366-379 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c372t-fd68ad8aa8cfacd87a4f13f737147b35250a3929a1b86a2db1c0d7004cfd7ef63 |
| container_end_page | 379 |
| container_issue | 3 |
| container_start_page | 366 |
| container_title | The journal of behavioral health services & research |
| container_volume | 43 |
| creator | Lambert, David Gale, John Hartley, David Croll, Zachariah Hansen, Anush |
| description | Telemental health has been promoted to address long-standing access barriers to rural mental health care, including low supply and long travel distances. Examples of rural telemental health programs are common; there is a less clear picture of how widely implemented these programs are, their organization, staffing, and services. There is also a need to understand the business case for these programs and assess whether and how they might realize their promise. To address these gaps, a national study was conducted of rural telemental health programs including an online survey of 53 programs and follow-up interviews with 23 programs. This article describes the current landscape and characteristics of these programs and then examines their business case. Can rural telemental health programs be sustained within current delivery systems and reimbursement structures? This question is explored in four areas: need and demand, infrastructure and workforce, funding and reimbursement, and organizational fit and alignment. |
| doi_str_mv | 10.1007/s11414-015-9490-7 |
| format | article |
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Examples of rural telemental health programs are common; there is a less clear picture of how widely implemented these programs are, their organization, staffing, and services. There is also a need to understand the business case for these programs and assess whether and how they might realize their promise. To address these gaps, a national study was conducted of rural telemental health programs including an online survey of 53 programs and follow-up interviews with 23 programs. This article describes the current landscape and characteristics of these programs and then examines their business case. Can rural telemental health programs be sustained within current delivery systems and reimbursement structures? This question is explored in four areas: need and demand, infrastructure and workforce, funding and reimbursement, and organizational fit and alignment.</description><subject>Business</subject><subject>Community and Environmental Psychology</subject><subject>Delivery systems</subject><subject>Financing</subject><subject>Funding</subject><subject>Health care</subject><subject>Health care delivery</subject><subject>Health care policy</subject><subject>Health Informatics</subject><subject>Health Promotion and Disease Prevention</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>Humans</subject><subject>Infrastructure</subject><subject>Labor force</subject><subject>Landscape</subject><subject>Medicaid</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - therapy</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Mental Health Services - organization & administration</subject><subject>Occupational health</subject><subject>On-line programming</subject><subject>Psychiatry</subject><subject>Public Health</subject><subject>Reimbursement</subject><subject>Remote Consultation - organization & administration</subject><subject>Research centers</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>Rural health care</subject><subject>Rural Health Services - organization & administration</subject><subject>Rural Population</subject><subject>Service provision</subject><subject>Social services 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| identifier | ISSN: 1094-3412 |
| ispartof | The journal of behavioral health services & research, 2016-07, Vol.43 (3), p.366-379 |
| issn | 1094-3412 1556-3308 |
| language | eng |
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| source | Criminology Collection; Applied Social Sciences Index & Abstracts (ASSIA); Business Source Ultimate; ABI/INFORM global; Springer Nature; Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociology Collection |
| subjects | Business Community and Environmental Psychology Delivery systems Financing Funding Health care Health care delivery Health care policy Health Informatics Health Promotion and Disease Prevention Health Psychology Health services Humans Infrastructure Labor force Landscape Medicaid Medical research Medicine Medicine & Public Health Mental disorders Mental Disorders - psychology Mental Disorders - therapy Mental health Mental health care Mental health services Mental Health Services - organization & administration Occupational health On-line programming Psychiatry Public Health Reimbursement Remote Consultation - organization & administration Research centers Rural areas Rural communities Rural health care Rural Health Services - organization & administration Rural Population Service provision Social services delivery Staffing Studies Telemedicine Workforce |
| title | Understanding the Business Case for Telemental Health in Rural Communities |
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