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Journal of Correctional Health Care
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Integration of Telemedicine Practice Into Correctional Medicine: An Evolving Standard

Charles R. Doarn, MBA

Debbie Justis, RN, MSHA

Muhammad S. Chaudhri, MD

Ronald C. Merrell, MD, FACS

Medical Informatics and Technology Applications Consortium, Department of Surgery, Virginia Commonwealth University, P.O. Box 980480, 1101 E. Marshall St., Richmond, VA 23298-0480; rcmerrel{at}vcu.edu.

The application of telemedicine in corrections has grown rapidly. A comprehensive literature review was conducted to develop a status report on the value that telemedicine has added to health care delivery in the prison setting. When most state and federal correctional telemedicine projects started, operation costs were high and applications were limited. However, with technologies increasingly affordable, access to specialized consultations for prisoners expanded greatly. Further, many legal barriers to service have been resolved. The number of health complaints that result in trips outside of a secure facility has dropped significantly. Each avoided trip saves hundreds of dollars in transport and security expenses, which has been the best indicator of success. Published material supports the value of telemedicine as a highly effective tool in health care delivery without compromise to patient safety or confidentiality. In fact, telemedi-cine can increase quality of care due to interaction between specialist and caregiver, as well as greater access to specialty care.

Journal of Correctional Health Care, Vol. 11, No. 3, 253-270 (2005)
DOI: 10.1177/107834580401100304
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