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Chapter 8
DOI: 10.4018/978-1-4666-2979-0.ch008
INTRODUCTION
Shortage of physicians in underserved areas creates
unmet demands for health services. These unmet
demands are aggravated by an aging population
(Glasgow 2000; Ziembroski 2006). To identify
these underserved areas, researchers have utilized
large-scale data in various ways. For example,
using data from the National Center for Health
Statistics, the Kaiser Family Foundation has shown
that physicians in patient care per 10,000 ranged
from 17.0 to 65.9 across the fifty states in the U.S.
in 2008 (The Kaiser Family Foundation 2008).
BACKGROUND
While demands for health services may not be
reduced easily, it is possible to increase the avail-
ability of health services by utilizing new medical
Ricky C. Leung
University of Missouri School of Medicine, USA
Telemedicine Utilization,
Availability of Physicians,
Distance, and Urbanity:
An Exploratory Study
ABSTRACT
This study examines the relationship between telemedicine utilization, the availability of physicians,
the level of urbanity of a locality, and the physical distance between a locality and an urban health
facility at the county level within a rural state in the United States. As an exploratory study, the author
conducts correlation analysis and analysis of variance to test if the chosen exploratory variables may
account for variations in telemedicine utilization. The author obtained statistically signifcant results,
but recognizes that there are other potential variables to be included in further studies. The results are
useful for practitioners and may motivate further studies. The chapter discusses the implications of the
study in its conclusion.