Expansion Of Telestroke Services Improves Quality Of Care Provided In Super Rural Areas

Zhang, Donglan; Wang, Guijing; Zhu, Weiming; Thapa, Janani R.; Switzer, Jeffrey A.; Hess, David C.; Smith, Matthew Lee; Ritchey, Matthew D.

doi:10.1377/hlthaff.2018.05089

Cited by 39 publications

(37 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this sample of New England EDs, we observed rapid uptake of telemedicine from 2014 to 2018, with a quarter of EDs adopting telemedicine, and in total, roughly 3 quarters of EDs now have this technology. Our results are consistent with other reports in the literature describing growth in the use of telemedicine for mental health visits, 32 substance use disorder visits, 33 and stroke care 34 . Previous work has been primarily focused at the patient level, identifying increasing rates of telemedicine consultations in administrative data.…”

Section: Discussionsupporting

confidence: 91%

“…Our results are consistent with other reports in the literature describing growth in the use of telemedicine for mental health visits, 32 substance use disorder visits, 33 and stroke care. 34 Previous work has been primarily focused at the patient level, identifying increasing rates of telemedicine consultations in administrative data. In contrast, we focus at the ED level, examining characteristics associated with EDs' adoption of telemedicine.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Factors associated with emergency department adoption of telemedicine: 2014 to 2018

et al. 2020

View full text Add to dashboard Cite

Objective: Telemedicine is used by emergency departments (EDs) to connect patients with specialty consultation and resources not available locally. Despite its utility, uptake of telemedicine in EDs has varied. We studied characteristics associated with telemedicine adoption during a 4-year period. Methods: We analyzed data from the 2014 National Emergency Department Inventory (NEDI)-New England survey and follow-up data from 2016 and 2017 NEDI-USA and 2018 NEDI-New England surveys, with data from the Center for Connected Health Policy. Among EDs not using telemedicine in 2014, we examined characteristics associated with adoption by 2018. Results: Of the 159 New England EDs with available data, 80 (50%) and 125 (79%) reported telemedicine receipt in 2014 and 2018, respectively. Among the 79 EDs without telemedicine in 2014, academic EDs were less likely to adopt by 2018 (odds ratio, 0.12; 95% confidence interval, 0.03-0.46). State policy environment was not associated with likelihood of adoption. In 2018, all 7 freestanding EDs received telemedicine, whereas only 1 of 9 academic EDs (11%) did. Conclusions: Telemedicine use by EDs continues to grow rapidly and by 2018, >3 quarters of EDs in our sample were receiving telemedicine. From 2014 to 2018, the initiation of telemedicine receipt was less common among higher volume and academic EDs.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Factors associated with emergency department adoption of telemedicine: 2014 to 2018

et al. 2020

View full text Add to dashboard Cite

show abstract

“…37 Furthermore, the expansion of telemedicine has the potential to improve access, use, and outcomes among rural residents, partially mitigating health disparities due to rural clinician shortages. 38 , 39 …”

Section: Discussionmentioning

confidence: 99%

Assessment of Changes in Rural and Urban Primary Care Workforce in the United States From 2009 to 2017

et al. 2020

Self Cite

View full text Add to dashboard Cite

Key Points Question What are the changes in the rural-urban distribution of the primary care workforce in the US from 2009 to 2017? Findings In this cross-sectional study of 3143 US counties (1167 urban and 1976 rural) using county-level data, the density of primary care clinicians increased significantly in both rural and urban counties from 2009 to 2017. The increase in primary care clinician density was more pronounced in urban counties compared with rural counties. Meaning In this study, the density of primary care clinicians increased overall, yet rural-urban disparities in the primary care workforce are increasing in the US.

show abstract

“…The implementation of telestroke networks significantly improved access to intravenous tissue plasminogen activator (IVtPA) in rural areas [1]. Through the telestroke system of care, patients who present to a community hospital (spoke) are evaluated using a videoconferencing platform by a stroke expert.…”

Section: Dear Sirmentioning

confidence: 99%

Long-Term Functional Outcome for Patients Treated under Drip and Stay versus Drip and Ship Paradigm: A Single Network Experience

et al. 2019

View full text Add to dashboard Cite

Expansion Of Telestroke Services Improves Quality Of Care Provided In Super Rural Areas

Cited by 39 publications

References 23 publications

Factors associated with emergency department adoption of telemedicine: 2014 to 2018

Factors associated with emergency department adoption of telemedicine: 2014 to 2018

Assessment of Changes in Rural and Urban Primary Care Workforce in the United States From 2009 to 2017

Long-Term Functional Outcome for Patients Treated under Drip and Stay versus Drip and Ship Paradigm: A Single Network Experience

Contact Info

Product

Resources

About