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

<table class="table-group" id="tab2"><tr><td><table class="table"><tr><td class="thead-hr" colspan="3"><hr/></td></tr><tr class="thead"><td align="left">Specialist to PCP</td><td align="left">Specialist to Patient (<i>Specialist can also take the place of APN: RN, CNL, CNS, NP, PA) </i></td><td align="left">Specialist to PCP &amp; Patient (Post patient “hand off” by PCP)</td></tr><tr><td class="thead-hr" colspan="3"><hr/></td></tr><tr><td align="left"><i>Education/General Scenario/Case based</i></td><td align="left"><i>Education/General Scenario based in Group format</i></td><td align="left"><i>Clinical/Diagnostic/Real</i>-<i>time Consultation </i></td></tr><tr><td align="left">Grand Rounds</td><td align="left">Chronic Disease Management (HIV/Diabetes)</td><td align="left">Disease specific—based on case by case basis “Patient Rounds”</td></tr><tr><td align="left">Provider education (CME)</td><td align="left">Group Visits with patients in preparation for specific diagnostic procedure (Ex. Informed consent for colonoscopy, Cardio tests, other procedures)</td><td align="left">“Hands-free” specialties “Does not require touch” Ex: Psychiatry and Dermatology</td></tr><tr class="table-tr"><td colspan="3"><hr class="tbody-hr"/></td></tr></table></td></tr></table>

Summary of the three types of telemedicine services.

International Journal of Telemedicine and Applications

tab2

Table 2

Table 2: Identifying Telemedicine Services to Improve Access to Specialty Care for the Underserved in the San Francisco Safety Net 