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Telemental Health and Telehealth in Rural Areas and Urban Hospitals

1. Which of the following is noted as a “deadly” barrier by a representative from the American Telemedicine Association to the ongoing expansion of telehealth?

A. Limited reimbursement rates and fear of driving up costs.

B. Licensure and practice regulations.

C. Excitement and enthusiasm that exceed practice realities and challenges.

D. All of the above.


2. Which of the following is the most common setting for telemental health programs?

A. Academic medical centers

B. Community mental health centers

C. Acute care hospitals

D. Private vendors


3. Telemental health services are most commonly provided by each of the following, except for:

A. Psychiatrists

B. Clinical social workers

C. Primary care physicians

D. Psychiatric nurse practitioners


4. A challenge to telemental health is the difficulty of sustaining programs that rely on contracts with independent clinicians, as it is often difficult to recruit replacements when a clinician terminates his or her agreement with the practice.

A. True

B. False


5. Although providers are generally satisfied with using telemental health technology to provide services, their patients are not satisfied with telemental health services and show a resistance to their use.

A. True

B. False


6. Barriers that burden the operation and viability of on-site rural mental health services, such as poor reimbursement rates, recruitment and retention difficulties, high rates of un-insurance, and high no show rates, also burden telemental health programs.

A. True

B. False


7. In terms of rural inpatient applications, telehealth benefits include which of the following?

A. Increased access to services.

B. Increased quality of care.

C. Avoidance of transfers for patients.

D. All of the above.


8. Given that telehealth is commonly used to connect remote patients and providers to urban-based care, it is not surprising that the rates of overall telehealth utilization is significantly higher for rural hospitals when compared to urban hospitals.

A. True

B. False


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