Journal
JOURNAL OF TELEMEDICINE AND TELECARE
Volume 22, Issue 2, Pages 114-120Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/1357633X15589534
Keywords
Teleneurology; tele-stroke; healthcare access; racial minorities; ethnic minorities; telemedicine
Categories
Funding
- AHRQ HHS [5 T32 HS013852-10, T32 HS013852] Funding Source: Medline
- NIMHD NIH HHS [P60 MD000502, 3 P60 MD000502-08S1] Funding Source: Medline
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Racial and ethnic disparities have been previously reported in acute stroke care. We sought to determine the effect of telemedicine (TM) on access to acute stroke care for racial and ethnic minorities in the state of Texas. Data were collected from the US Census Bureau, The Joint Commission and the American Hospital Association. Access for racial and ethnic minorities was determined by summing the population that could reach a primary stroke centre (PSC) or telemedicine spoke within specified time intervals using validated models. TM extended access to stroke expertise by 1.5 million residents. The odds of providing 60-minute access via TM were similar in Blacks and Whites (prevalence odds ratios (POR) 1.000, 95% CI 1.000-1.000), even after adjustment for urbanization (POR 1.000, 95% CI 1.000-1.001). The odds of providing access via TM were also similar for Hispanics and non-Hispanics (POR 1.000, 95% CI 1.000-1.000), even after adjustment for urbanization (POR 1.000, 95% CI 1.000-1.000). We found that telemedicine increased access to acute stroke care for 1.5 million Texans. While racial and ethnic disparities exist in other components of stroke care, we did not find evidence of disparities in access to the acute stroke expertise afforded by telemedicine.
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