Telemed J E Health - Improving stroke outcomes in rural areas through telestroke programs: an examination of barriers, facilitators, and state policies.

Tópicos

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Resumo

TRODUCTION: Every year in the United States more than 600,000 ischemic stroke patients do not receive proven, effective stroke treatment or may not be medically eligible to receive the one medication endorsed by the U.S. Food and Drug Administration for acute ischemic stroke. The lack of treatment is due partly to shortages of neurological experts in rural and underserved areas. Telestroke programs can improve stroke care for stroke patients in rural and underserved settings by using interactive telecommunication technology that connects centrally located neurological experts to rural healthcare facilities. Many states have enacted policies and practices that facilitate telestroke access.MATERIALS AND METHODS: We reviewed statutes and regulations in all 50 states that affect the adoption of telemedicine programs and describe examples of state-implemented programs in two states with policies that encourage telestroke use.RESULTS AND DISCUSSION: This review presents evidence of the value and effectiveness of telestroke programs, as well as an explanation of common barriers and facilitators of telestroke, including licensing and credentialing rules, reimbursement issues, and liability concerns. Most states have adopted policies that affect the adoption of telestroke programs. Georgia and South Carolina are examples of states implementing stroke policies using a telestroke model to treat stroke patients in rural areas.

Resumo Limpo

troduct everi year unit state ischem stroke patient receiv proven effect stroke treatment may medic elig receiv one medic endors us food drug administr acut ischem stroke lack treatment due part shortag neurolog expert rural underserv area telestrok program can improv stroke care stroke patient rural underserv set use interact telecommun technolog connect central locat neurolog expert rural healthcar facil mani state enact polici practic facilit telestrok accessmateri method review statut regul state affect adopt telemedicin program describ exampl stateimpl program two state polici encourag telestrok useresult discuss review present evid valu effect telestrok program well explan common barrier facilit telestrok includ licens credenti rule reimburs issu liabil concern state adopt polici affect adopt telestrok program georgia south carolina exampl state implement stroke polici use telestrok model treat stroke patient rural area

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