title: Telehealth in Alaska: delivery of health care services from a specialist's perspective.
abstract: Integrating store-and-forward telemedicine into the ANMC ENT practice for remotely located patients has improved access for care as well as the quality of care for our patients. The involvement of the ANMC ENT department in the design of the telemedicine system was critical. Yet building the telemedicine service required creative measures to encourage use and careful management of our capacity to receive a growing number of cases. Cost savings due to avoided travel have been readily apparent, based on the high cost of travel in Alaska, The improvement in departmental productivity was an unexpected yet welcome outcome. Much of the current research in telemedicine appropriately focuses on the applicability of this modality to clinical problems. Our four years experience indicates that one of the challenges in the future will be to integrate telemedicine with the existing infrastructure of medicine so that it can more easily become part of mainstream practice.
authors.affiliation: Alaska Native Medical Center, Department of Otolaryngology, Anchorage 99508, USA. jkokesh@anmc.org
authors.forename: John
authors.initials: J
authors.lastname: Kokesh
authors.forename: A Stewart
authors.initials: AS
authors.lastname: Ferguson
authors.forename: Chris
authors.initials: C
authors.lastname: Patricoski
mesh_terms: D000413:Alaska; D003695:Delivery of Health Care / Q000458:organization & administration; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D008507:Medically Underserved Area; D010036:Otolaryngology / Q000379:methods*; D017063:Outcome Assessment, Health Care; D012017:Referral and Consultation; D019114:Remote Consultation / Q000592:standards / Q000639:trends; D012424:Rural Population; D017216:Telemedicine / Q000592:standards* / Q000639:trends; D019112:Teleradiology / Q000379:methods