Successful Implementation of a Telemedicine-Based Counseling Program for High-Risk Patients With Breast Cancer
Abstract
An interactive audio and video telemedicine feasibility program was established to provide counseling on breast cancer risk-reducing strategies for underserved, high-risk Alaskan native women through a collaboration among the Alaska Native Medical Center, the Mayo Clinic Breast Clinic, Mayo's Center for Innovation, and the Alaska Federal Health Care Access Network. The telemedicine model included a navigator to facilitate patient encounters (referrals, electronic records, and scheduling) and a subscription billing contract. Between January 1 and December 31, 2011, 60 consultations were provided to the Alaska Native Medical Center. A survey of a sample of 15 women demonstrated overall patient satisfaction of 98% pertaining to the experience, technology, and medical consultation. The referring physician satisfaction, from 11 visit surveys and 8 referring physicians, revealed 99% satisfaction with the service. In this telemedicine pilot study, we demonstrated the feasibility of a telemedicine program to provide integrated specialty care that resulted in a positive effect on patient satisfaction. This program has a sustainable business model, thus creating a new modality for health care delivery.
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An on-site clinical navigator may help personalize televideo care, guide patients through encounters, and prevent undue emotional escalation.
“an on-site clinical navigator may help make the experience more personal,47 help patients navigate clinical encounters,48 and safeguard against undue emotional escalations.49”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [48]
Several US states have not resolved licensing and credentialing so clinicians can be reimbursed for cross-state consultation.
“Several states in the US have yet to resolve licensing and credentialing issues so clinicians can be reimbursed for consultation across state lines.48,71”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [48]
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- Authors
- Pruthi, S., Stange, K. J., Malagrino, G. D., Chawla, K. S., LaRusso, N. F., & Kaur, J. S.
- Affiliations
- Mayo Clinic (US)
- Alaska Native Medical Center (US)
- Corresponding author
- Pruthi, Sandhya
- Venue
- Mayo Clinic Proceedings
- Publisher
- Elsevier BV
- Published
- 2013-01
- Volume
- 88
- Issue
- 1
- Pages
- 68-73
- ISSN
- 0025-6196 (ISSN-L)
- OpenAlex
- W1964802095
- Cited by
- 48
- References
- 6
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 8 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 1 · 2014: 8 · 2013: 1
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Mayo Clinic Proceedings (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mayo Foundation for Medical Education and Research
- National Cancer Institute (U01CA114609)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- telemedicine, breast cancer risk reduction, patient counseling, Alaska Native women, underserved populations, patient navigators, patient satisfaction, physician satisfaction, feasibility, models of care, breast cancer screening
- MeSH terms
- Adult, Alaska, Breast Neoplasms, Counseling, Female, Humans, Pilot Projects, Rural Population, Program Evaluation, Program Development, Patient Satisfaction, Telemedicine
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