Impact of Telemedicine on Access to Acute Stroke Care in the State of Texas.
Impact of Telemedicine on Access to Acute Stroke Care in the State of Texas.
复制标题
DOI：
10.1002/acn3.20
复制
发表时间：
2014-01-01
影响因子：
5.3
通讯作者：
Carr, Brendan G.
中科院分区：
文献类型：
--
作者：
Wu, Tzu-Ching;Lyerly, Michael J.;Albright, Karen C.;Ward, Eric;Hassler, Amanda;Messier, Jessica;Wolff, Catherine;Brannas, Charles C.;Savitz, Sean I.;Carr, Brendan G.
研究远程医疗(TM)对得克萨斯州获得急性中风护理和专业知识的影响。德克萨斯州的医院使用标准问卷进行调查，分类为：(1)独立的初级卒中中心(PSC)不使用TM进行急性卒中护理，(2)PSC使用TM进行急性卒中护理，(3)非PSC医院使用TM进行急性卒中护理，或(4)非PSC医院不使用TM进行急性卒中护理。人口数据是从美国人口普查局和尼尔森·克拉里塔斯人口估计项目获得的。60分钟内对指定设施的访问按区块组级别计算。超过75%的德克萨斯人可以在60分钟内访问独立的PSC。包括使用TM的PSC，接入增加了6.5%。增加了使用TM进行急性中风护理的非PSC，为另外2%的德克萨斯人提供了60分钟的护理机会，使16%的德克萨斯人无法获得60分钟的急性中风护理。大约62%的德克萨斯人可以在60分钟内获得超过一种提供急性中风护理的设施。德克萨斯州TM的使用为200万得克萨斯州人带来了60分钟的机会，否则他们将无法获得急性中风的专业知识。我们的发现表明，使用TM治疗急性卒中有能力为神经学服务不足的地区提供急性卒中护理。
To examine the impact of telemedicine (TM) on access to acute stroke care and expertise in the state of Texas. Texas hospitals were surveyed using a standard questionnaire and categorized as: (1) stand-alone Primary Stroke Centers (PSC) not using TM for acute stroke care, (2) PSC using TM for acute stroke care, (3) non-PSC hospitals using TM for acute stroke care, or (4) non-PSC hospitals not using TM for acute stroke care. Population data were obtained from the U.S. Census Bureau and the Neilson Claritas Demographic Estimation Program. Access within 60 min to a designated facility was calculated at the block group level. Over 75% of Texans had 60-min access to a stand-alone PSC. Including PSC using TM increased access by 6.5%. Adding non-PSC that use TM for acute stroke care provided 60-min access for an additional 2% of Texans, leaving 16% of Texans without 60-min access to acute stroke care. Approximately 62% of Texans had 60-min access to more than one type of facility that provided acute stroke care. The use of TM in the state of Texas brought 60-min access to >2 million Texans who otherwise would not have had access to acute stroke expertise. Our findings demonstrate that using TM for acute stroke has the ability to provide neurologically underserved areas access to acute stroke care.
登录
查看更多内容
影响因子：
5.4
作者：
LOVE, RF;MORRIS, JG
通讯作者：
MORRIS, JG
影响因子：
9.9
作者：
Barber, PA;Zhang, J;Buchan, AM
通讯作者：
Buchan, AM
DOI：
10.1016/s1553-7250(06)32025-9
发表时间：
2006-04-01
影响因子：
2.3
作者：
Choi, John Y.;Porche, Nichole A.;Grotta, James C.
通讯作者：
Grotta, James C.
影响因子：
4.9
作者：
Gebhardt, JG;Norris, TE
通讯作者：
Norris, TE
DOI：
10.1007/s11936-011-0124-y
发表时间：
2011-06
影响因子：
--
作者：
Saler, Mihaela;Switzer, Jeffrey A;Hess, David C
通讯作者：
Hess, David C