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Preliminary Evidence for the Integrated Systems Using Telemedicine
R Matthew Reese1, Matthew J Braun1, Sarah Hoffmeier2
11 Center for Child Health and Development, University of Kansas Medical Center , Kansas City, Kansas.
Insights
The Integrated Systems Using Telemedicine (ISUT) model improves access to autism diagnostic services for rural families, offering cost savings and high parent satisfaction. This telemedicine approach enhances early intervention for children with autism.
Area of Science:
- Pediatric medicine
- Telehealth applications
- Developmental pediatrics
Background:
- Autism spectrum disorder (ASD) impacts 1 in 68 US children, with early diagnosis crucial for improved outcomes.
- Children in rural/underserved areas face disparities in accessing timely autism diagnostic and intervention services.
- The Integrated Systems Using Telemedicine (ISUT) model was developed to address these access barriers.
Purpose of the Study:
- To evaluate the impact of the ISUT model on service accessibility for families in rural and underserved areas.
- To assess potential cost savings for families utilizing the ISUT model.
- To measure parent satisfaction with telemedicine-based autism diagnostic services.
Main Methods:
- Statewide training of autism diagnostic teams to utilize telemedicine for assessments.
- Connection of local teams with university medical center specialists for final autism diagnosis and co-occurring condition identification.
- Collection of preliminary data on service access, cost savings, and parent satisfaction.
Main Results:
- The ISUT model significantly improved access to autism diagnostic services for families in rural and underserved regions.
- Families experienced cost savings due to reduced travel expenses.
- Parent satisfaction levels with the ISUT model were comparable to traditional university-based center services.
Conclusions:
- The ISUT model fosters collaboration between families, educators, community providers, and university medical centers.
- Telemedicine offers a cost-effective solution for families seeking specialized autism care.
- The ISUT model promotes coordinated community-based care for children with autism.
Background:
Autism affects as many as 1 in 68 children in the United States. Early identification and access to intervention services promote improved outcomes for children with autism and other developmental delays. Children living in rural and underserved areas have limited access to such services and are diagnosed later than those living more suburban and urban areas. Our Integrated Systems Using Telemedicine (ISUT) Model uses a cost-effective method for families to access diagnostic and other specialty care through telemedicine. This model links families, trained early intervention providers and educators, and university-based medical professionals.
Materials And Methods:
We trained autism diagnostic teams throughout the state who completed diagnostic measures and connected to university medical center teams for final diagnosis of autism and coexisting conditions. We gathered preliminary data to measure the impact of the ISUT model on access to services, potential cost savings for families, and parent satisfaction with the model.
Results:
Preliminary data indicate that our ISUT model provided families in rural and underserved areas improved access to diagnostic services as well as cost savings for travel. Our satisfaction data indicate that parents are equally satisfied with services received through the ISUT and through the University-Based Medical Center Team Model.
Conclusions:
The ISUT model provides a unique collaboration among the family, educational system, autism experts in the community, and the university medical center autism team while providing a cost-effective means for families to access specialty care while promoting coordination of care within the community.
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