Date of Award

Spring 3-14-2025

Embargo Period

4-25-2030

Document Type

Dissertation - MUSC Only

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Jillian Harvey

Second Advisor

Kit Simpson

Third Advisor

James McElligott

Abstract

South Carolina correctional facilities face significant obstacles in providing adequate healthcare, particularly in chronic disease management, preventive care, and mental health services, with rural areas disproportionately affected. This study explores the collaboration between the Medical University of South Carolina (MUSC) and the South Carolina Department of Corrections (SCDC), the establishment of a dedicated prison wing, and the expansion of telehealth to address these systemic issues. Using a descriptive case study design guided by Yin’s (2003) framework, this research examines the partnership within its real-world context. A mixed-methods approach combines qualitative data (interviews, hospital reports, document analysis) and quantitative data to evaluate telehealth's impact on care quality and operational efficiency. Grounded in the Donabedian model, the study focuses on telehealth’s role in improving access to care, particularly for chronic disease management and mental health services, while reducing logistical barriers in rural prisons. Findings highlight how the MUSC and SCDC partnership enhances healthcare delivery, achieves cost-effectiveness, and addresses stakeholder concerns. This research offers critical insights into the operational realities of correctional healthcare reform. It provides a replicable framework for leveraging telehealth to advance patient safety and healthcare quality within correctional environments.

Rights

Copyright is held by the author. All rights reserved.

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Available for download on Thursday, April 25, 2030

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