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. 2016 Mar;22(2):114-20.
doi: 10.1177/1357633X15589534. Epub 2015 Jun 26.

The effects of telemedicine on racial and ethnic disparities in access to acute stroke care

Michael J Lyerly  1 , Tzu-Ching Wu  2 , Michael T Mullen  3 , Karen C Albright  4 , Catherine Wolff  5 , Amelia K Boehme  6 , Charles C Branas  7 , James C Grotta  2 , Sean I Savitz  2 , Brendan G Carr  8
Affiliations

The effects of telemedicine on racial and ethnic disparities in access to acute stroke care

Michael J Lyerly et al. J Telemed Telecare. 2016 Mar.

Abstract

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.

Keywords: Teleneurology; ethnic minorities; healthcare access; racial minorities; tele-stroke; telemedicine.

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Conflict of interest statement

Declaration of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1
Figure 1
The effects of telemedicine on primary stroke centre access in Texas. A: Hispanic population B: Black population C: White population D: Adult population density E: 60 minute primary stroke centre access F: 60 minute access afforded by telemedicine PSC: primary stroke centre; TM: telemedicine Maps were generated using ESRI ArcMap 10.1.
See this image and copyright information in PMC

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