Identifying Telemedicine Services to Improve Access to Specialty Care for the Underserved in the San Francisco Safety Net

Table 1

Increased collaboration between the PCP and specialist.

Referral from PCP	Feedback from specialist	Centralized tracking for “no shows” and “come and go’s”/reminders
Ex: video file option (MPEG) with speech recognition transcription software embedded into electronic referral system. Requires recording apparatus such as a webcam on the computer.; This could occur in presence of patient or PCP alone.	Ex: expanding library of responses with the option of customizing free text linked to the medical literature/pub med databases for automated citations of peer-reviewed literature. Possibility of saving time and improving efficiency and reliability in design.	Ex: automated phone call reminders “one day” in advance of visit, “no show” and “come and go” tracking within e-referral for both PCP and specialist.