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  Summary

Low-cost telemedicine sessions offered frequently reduced waiting times for all specialties analyzed. It is possible that the same reduction in waiting time could have been achieved with local in-person physicians, but the individual prisons had little incentive to do so.

At least one important new specialty is now available to inmates via telemedicine to which they would otherwise not have access: infectious disease expertise for care of HIV-positive inmates.

Aggressive acts by inmates seem to have declined at two demonstration prisons coincident with the introduction of telemedicine, but not at the third. Use of force by officers began to decline at the same two prisons well before telemedicine began but did not decline at the third. It cannot be concluded, therefore, that there was a consistent "calming" effect due to improved psychiatric care via telemedicine.

There were no significant changes in the number of grievances filed about medical or mental health care.


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