scholarly journals MP54-06 IMPROVING ACCESS AND QUALITY OF CARE IN KIDNEY STONE PATIENTS IN AN UNDERSERVED COMMUNITY

2021 ◽  
Vol 206 (Supplement 3) ◽  
Author(s):  
Megan Stout ◽  
Matthew Murtha ◽  
Max Yudovich ◽  
Alicia Scimeca ◽  
Dinah Diab ◽  
...  
2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Alberto Coustasse ◽  
Morgan Ruley ◽  
Tonnie C. Mike ◽  
Briana M. Washington ◽  
Anna Robinson

Rural areas have experienced a higher than average shortage of healthcare professionals. Numerous challenges have limited access to mental health services. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. Recently, the utilization of telepsychiatry has increased in rural areas. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. References and sources were written in English and were taken from studies in the United States between 2004 and 2018 to keep this review current. Fifty-nine references were selected from five databases. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. At the same time, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. There are numerous benefits to implementing telepsychiatry in rural areas. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices. Telepsychiatry utilization in rural areas in the United States has demonstrated to have a significant ability to transform mental health care delivery and clinician productivity. As technology continues to advance access, telepsychiatry will also advance, making access more readily available.


2008 ◽  
Vol 38 (4) ◽  
pp. 697-715 ◽  
Author(s):  
Göran Dahlgren

The conservative government that came to power in Sweden in 2006 has initiated major market-oriented reforms in the health sector. Its first health care policy bill changed the health legislation to make it possible to sell/transfer public hospitals to commercial providers while maintaining public funding. Far-reaching market-oriented primary health care reforms are also initiated, for example in Stockholm County. They are typically presented as “free choice models” in which “the money follows the patient.” The actual and likely effects of these reforms in terms of access and quality of care are discussed in this article. One main finding is that existing social inequities in geographic access to care not only are reinforced but also become very difficult to change by democratic political decisions. Furthermore, dynamic market forces will gradually reduce the quality of care in low-income areas while both access and quality of care will be even better in high-income areas. Public funds are thus transferred from people living in low-income areas to people living in high-income areas, even though the need for good health services is much greater in the low-income areas. Certain policy options for reversing the inverse law of care are also presented.


PEDIATRICS ◽  
2004 ◽  
Vol 113 (5) ◽  
pp. e395-e404 ◽  
Author(s):  
P. G. Szilagyi ◽  
A. W. Dick ◽  
J. D. Klein ◽  
L. P. Shone ◽  
J. Zwanziger ◽  
...  

Medical Care ◽  
2012 ◽  
Vol 50 (8) ◽  
pp. 692-699 ◽  
Author(s):  
Kitty S. Chan ◽  
Darrell J. Gaskin ◽  
Gniesha Y. Dinwiddie ◽  
Rachael McCleary

2008 ◽  
Vol 11 (2) ◽  
pp. 67-75 ◽  
Author(s):  
Susan Robarts ◽  
Deborah Kennedy ◽  
Anne MacLeod ◽  
Helen Findlay ◽  
Jeffrey Gollish

2008 ◽  
Vol 134 (4) ◽  
pp. A-152
Author(s):  
Yarrow McConnell ◽  
Karen Inglis ◽  
Geoff Porter

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