The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age Inequalities
Background. Ischemic stroke is a time sensitive disease with the effectiveness of treatment decreasing over time. Treatment is more likely to occur at Primary Stroke Centers (PSC); thus rapid access to acute stroke care through stand-alone PSCs or telemedicine (TM) is vital for all Americans. The ob...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Stroke Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2015/813493 |
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| author | Karen C. Albright Amelia K. Boehme Michael T. Mullen Tzu-Ching Wu Charles C. Branas James C. Grotta Sean I. Savitz Catherine Wolff Bisakha Sen Brendan G. Carr |
| author_facet | Karen C. Albright Amelia K. Boehme Michael T. Mullen Tzu-Ching Wu Charles C. Branas James C. Grotta Sean I. Savitz Catherine Wolff Bisakha Sen Brendan G. Carr |
| author_sort | Karen C. Albright |
| collection | DOAJ |
| description | Background. Ischemic stroke is a time sensitive disease with the effectiveness of treatment decreasing over time. Treatment is more likely to occur at Primary Stroke Centers (PSC); thus rapid access to acute stroke care through stand-alone PSCs or telemedicine (TM) is vital for all Americans. The objective of this study is to determine if disparities exist in access to PSCs or the extended access to acute stroke care provided by TM. Methods. Data from the US Census Bureau and the 2010 Neilson Claritas Demographic Estimation Program, American Hospital Association annual survey, and The Joint Commission list of PSCs and survey response data for all hospitals in the state of Texas were used. Results. Over 64% of block groups had 60-minute ground access to acute stroke care. The odds of a block group having 60-minute access to acute stroke care decreased with age, despite adjustment for sex, race, ethnicity, socioeconomic status, urbanization, and total population. Conclusion. Our survey of Texas hospitals found that as the median age of a block group increased, the odds of having access to acute stroke care decreased. |
| format | Article |
| id | doaj-art-65631c326e4a4fbe80a629b853d472e3 |
| institution | Kabale University |
| issn | 2090-8105 2042-0056 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke Research and Treatment |
| spelling | doaj-art-65631c326e4a4fbe80a629b853d472e32025-02-03T05:45:54ZengWileyStroke Research and Treatment2090-81052042-00562015-01-01201510.1155/2015/813493813493The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age InequalitiesKaren C. Albright0Amelia K. Boehme1Michael T. Mullen2Tzu-Ching Wu3Charles C. Branas4James C. Grotta5Sean I. Savitz6Catherine Wolff7Bisakha Sen8Brendan G. Carr9Geriatric Research, Education and Clinical Center (GRECC), Birmingham VA Medical Center, Birmingham, AL 35249, USADepartment of Neurology, Columbia University, New York, NY 10032, USADepartment of Neurology, University of Pennsylvania, Philadelphia, PA 19104, USAStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030, USADepartment of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104, USAStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030, USAStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030, USADepartment of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104, USADepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35249, USADepartment of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104, USABackground. Ischemic stroke is a time sensitive disease with the effectiveness of treatment decreasing over time. Treatment is more likely to occur at Primary Stroke Centers (PSC); thus rapid access to acute stroke care through stand-alone PSCs or telemedicine (TM) is vital for all Americans. The objective of this study is to determine if disparities exist in access to PSCs or the extended access to acute stroke care provided by TM. Methods. Data from the US Census Bureau and the 2010 Neilson Claritas Demographic Estimation Program, American Hospital Association annual survey, and The Joint Commission list of PSCs and survey response data for all hospitals in the state of Texas were used. Results. Over 64% of block groups had 60-minute ground access to acute stroke care. The odds of a block group having 60-minute access to acute stroke care decreased with age, despite adjustment for sex, race, ethnicity, socioeconomic status, urbanization, and total population. Conclusion. Our survey of Texas hospitals found that as the median age of a block group increased, the odds of having access to acute stroke care decreased.http://dx.doi.org/10.1155/2015/813493 |
| spellingShingle | Karen C. Albright Amelia K. Boehme Michael T. Mullen Tzu-Ching Wu Charles C. Branas James C. Grotta Sean I. Savitz Catherine Wolff Bisakha Sen Brendan G. Carr The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age Inequalities Stroke Research and Treatment |
| title | The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age Inequalities |
| title_full | The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age Inequalities |
| title_fullStr | The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age Inequalities |
| title_full_unstemmed | The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age Inequalities |
| title_short | The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age Inequalities |
| title_sort | effect of telemedicine on access to acute stroke care in texas the story of age inequalities |
| url | http://dx.doi.org/10.1155/2015/813493 |
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