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Ruskin[ 51] found that telepsychiatry was more expensive if the psychiatrist needed to travel less than 22 miles to an outlying clinic.
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The Eldoret clinic acted as the program hub, receiving daily deliveries of patient data and laboratory samples from outlying clinics.
Following patient visit data entry and laboratory specimen processing in Eldoret, forms and test results were returned to outlying clinics.
They will be recruited through the referral source to Physical Therapy from outlying clinics (Family Practice, Orthopaedics and Primary Care clinics).
From the 315 patients referred for physiotherapy the main source of loss for the PDR data was the inability to trace patients referred to outlying clinics.
Visits to the agency's seven outlying clinics totaled 4,382 for September, down 942.
The best way to do this is to have an integrated system, like what Kaiser Permanente runs in the western U.S., where the hospital owns the outlying clinics and surgery centers and, ideally, also provides insurance.
The AMRS database was not directly accessible at the outlying clinics.
Distribution of ART, other medications and food to the outlying clinics also originated from the main pharmacy and stocks in Eldoret.
The Hospital Albert Schweitzer District of Haiti is a 600-square mile area with approximately 258,000 population served by a hospital, an associated clinic, and outlying health centers.
Mobile services provide clinics in outlying villages where medical care is either lacking or inadequate.
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