title: Patient satisfaction with telemedicine consultation in primary care: comparison of ratings of medical and mental health applications.
abstract: OBJECTIVE
  To assess the viability of telemedicine as a vehicle for offering mental health consultations to primary-care patients.
  
  
  METHODS
  Satisfaction ratings from 34 mental health encounters were compared with ratings from a convenience sample of 59 non-mental health encounters on four aspects of satisfaction: self-reported ability to speak freely; probability of further use of telemedicine; perceived experience of telemedicine personnel; and relative preference for a telemedicine visit compared with a face-to-face visit. The study was conducted in the context of the Telemedicine Program at the University of California, Davis.
  
  
  RESULTS
  No significant differences in satisfaction were found between mental health and non-mental health encounter groups for any of the four aspects of satisfaction.
  
  
  CONCLUSIONS
  Ratings from patients receiving mental health consultation using telemedicine yielded levels of satisfaction similar to those found in telemedicine consultations in non-mental health medical areas. The results support telemedicine as a means to extend mental health consultation to rural primary-care patients.
authors.affiliation: Department of Family and Community Medicine and Center for Health Services Research in Primary Care, University of California at Davis, School of Medicine, Sacramento, California 95817, USA.
authors.forename: E J
authors.initials: EJ
authors.lastname: Callahan
authors.forename: D M
authors.initials: DM
authors.lastname: Hilty
authors.forename: T S
authors.initials: TS
authors.lastname: Nesbitt
mesh_terms: D000275:Adjustment Disorders / Q000628:therapy; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D002140:California; D003142:Communication; D003866:Depressive Disorder / Q000628:therapy; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D009819:Office Visits; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011320:Primary Health Care; D019114:Remote Consultation