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Technology and managed care: patient benefits of telemedicine in a rural health care network

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Author Info

  • Matthew Berman

    (Institute of Social and Economic Research, University of Alaska Anchorage, USA)

  • Andrea Fenaughty

    (Division of Public Health, State of Alaska, USA)

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    Abstract

    Rural health providers have looked to telemedicine as a technology to reduce costs. However, virtual access to physicians and specialists may alter patients' demand for face-to-face physician access. We develop a model of service demand under managed care, and apply the model to a telemedicine application in rural Alaska. Provider-imposed delays and patient costs were highly significant predictors of patient contingent choices in a survey of ENT clinic patients. The results suggest that telemedicine increased estimated patient benefits by about $40 per visit, and reduced patients' loss from rationing of access to physicians by about 20%. Copyright © 2004 John Wiley & Sons, Ltd.

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    File URL: http://hdl.handle.net/10.1002/hec.952
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    Bibliographic Info

    Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

    Volume (Year): 14 (2005)
    Issue (Month): 6 ()
    Pages: 559-573

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    Handle: RePEc:wly:hlthec:v:14:y:2005:i:6:p:559-573

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    Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

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    9. Ulla Slothuus Skjoldborg & Dorte Gyrd-Hansen, 2003. "Conjoint analysis. The cost variable: an Achilles' heel?," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 479-491.
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