Journal of Medical Systems

, 42:12 | Cite as

Using Telemedicine for Tuberculosis Care Management: a Three County Inter-Municipal Approach

  • Brenden A. BedardEmail author
  • Mary Younge
  • Paul A. Pettit
  • Michael Mendoza
Patient Facing Systems
Part of the following topical collections:
  1. Patient Facing Systems


Tuberculosis (TB) is a life threatening illness caused by the bacterium Mycobacterium tuberculosis. TB requires specialty knowledge and is treated with multiple combinations of antibiotics for a course that ranges from 6 to 12 months [1]. TB is becoming increasingly more complex for clinicians due to rise in antibiotic resistance which can occur when the drugs are misused or mismanaged. Many healthcare providers do not have the expertise in identifying and managing patients infected with TB [2, 3]. New York State Public Health Law requires all county health departments to be responsible for providing or securing TB care and treatment. With this law, it has been challenging for local health departments such as Genesee and Orleans County Health Departments to find expert TB specialists to effectively diagnose and manage infection within their counties.

Genesee and Orleans are rural counties that are located between the cities of Rochester and Buffalo in Western New York....



We would like to thank Colette Kogut, Annette Zobel and Elaine Watson from Genesee County Health Department and Connie Ferris, Mary Ellen Messmer, Deborah Restivo, Melissa Pless, Gail Pettit and Doris Delano from Orleans County Health Department. Chittadaphone Phounthavong, Renee Jenkins, Drey Piedmont and Shane Gurnee from Monroe County Public Health Department.

Compliance with Ethical Standards

Conflict of Interest



  1. 1.
    Buchman, T., and Cabello, C.A., New method to directly observe tuberculosis treatment: Skype observed therapy, a patient-centered approach. J. Public Health Manag. Pract. 23(2):175–177, 2017.CrossRefPubMedGoogle Scholar
  2. 2.
    LoBue, P.A., Moser, K., and Catanzaro, A., Management of tuberculosis in San Diego County: a survey of physicians’ knowledge, attitudes and practices. Int. J. Tuberc. Lung Dis. 5(10):933–938, 2001.PubMedGoogle Scholar
  3. 3.
    Rao, S.N., Mookerjee, A.L., Obasanjo, O.O., et al., Errors in the treatment of tuberculosis in Baltimore. Chest. 117:734–737, 2000.CrossRefPubMedGoogle Scholar
  4. 4.
    County Health Rankings & Roadmaps Building a Culture of Health, County by County. ( Accessed May 25, 2017.
  5. 5.
    Matteelli, A., Centis, R., D’Ambrosio, L., et al., WHO Strategies for the programmatic management of drug-resistant tuberculosis. Expert Rev. Respir. Med. 10(9):991–1002, 2016.CrossRefPubMedGoogle Scholar
  6. 6.
    Caminero JA, Cayla JA, Garcia-Garcia JM, et al. J, Diagnosis and treatment of drug-resistant tuberculosis. Archivos de Bronconeumologia. Epub ahead of print 27 March 2017; doi:
  7. 7.
    Dheda, K., Gumbo, T., Maartens, G., et al., The epidemiology, pathogenesis, transmission, diagnosis, and management of multidrug-resistant, extensively drug-resistant, and incurable tuberculosis. Lancet Respir. Med. 5(4):291–360, 2017.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  • Brenden A. Bedard
    • 1
    • 2
    Email author
  • Mary Younge
    • 3
  • Paul A. Pettit
    • 1
  • Michael Mendoza
    • 3
    • 4
  1. 1.Genesee and Orleans County Health DepartmentWest AlbionUSA
  2. 2.Department of Public HealthThe College at Brockport State University of New YorkBrockportUSA
  3. 3.Monroe County Public Health DepartmentRochesterUSA
  4. 4.Departments of Family Medicine, Public Health Sciences, and NursingUniversity of RochesterRochesterUSA

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