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. 2015 Jul;21(7):581-7.
doi: 10.1089/tmj.2014.0124. Epub 2015 Apr 21.

Preliminary Evidence for the Integrated Systems Using Telemedicine

R Matthew Reese  1 , Matthew J Braun  1 , Sarah Hoffmeier  2 , Lee Stickle  2 , Louann Rinner  1 , Catherine Smith  1 , Kathryn Ellerbeck  1 , Rene Jamison  1 , Maura Wendland  1 , Lindsey Jarrett  1 , Megan Hadorn  1
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Preliminary Evidence for the Integrated Systems Using Telemedicine

R Matthew Reese et al. Telemed J E Health. 2015 Jul.

Abstract

Background: Autism affects as many as 1 in 68 children in the United States. Early identification and access to intervention services promote improved outcomes for children with autism and other developmental delays. Children living in rural and underserved areas have limited access to such services and are diagnosed later than those living more suburban and urban areas. Our Integrated Systems Using Telemedicine (ISUT) Model uses a cost-effective method for families to access diagnostic and other specialty care through telemedicine. This model links families, trained early intervention providers and educators, and university-based medical professionals.

Materials and methods: We trained autism diagnostic teams throughout the state who completed diagnostic measures and connected to university medical center teams for final diagnosis of autism and coexisting conditions. We gathered preliminary data to measure the impact of the ISUT model on access to services, potential cost savings for families, and parent satisfaction with the model.

Results: Preliminary data indicate that our ISUT model provided families in rural and underserved areas improved access to diagnostic services as well as cost savings for travel. Our satisfaction data indicate that parents are equally satisfied with services received through the ISUT and through the University-Based Medical Center Team Model.

Conclusions: The ISUT model provides a unique collaboration among the family, educational system, autism experts in the community, and the university medical center autism team while providing a cost-effective means for families to access specialty care while promoting coordination of care within the community.

Keywords: autism; diagnosis; parent satisfaction; pediatrics; rural health; telemedicine.

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