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. 2024 Sep;83(9):250-256.
doi: 10.62547/VZQV6670.

A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance

Angel Lynn E Talana  1 , Kyrillos B Guirguis  1 , J Aaron Matthews  1 , Pola A Chojecka  1 , Sherita Chapman  2   3 , Matthew A Koenig  1
Affiliations

A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance

Angel Lynn E Talana et al. Hawaii J Health Soc Welf. 2024 Sep.

Erratum in

Abstract

The research team assessed community acceptability of prehospital stroke telemedicine services in rural O'ahu communities. Tools were developed to evaluate patient-centered goals about implementing ambulance-based telemedicine which aimed to retain appropriate patients in community hospitals and improve thrombolytic treatment times. Using a mixed methods approach, the team surveyed well-appearing adults (ie, able to complete survey and interview) at O'ahu community events. Participants were asked to complete a short Likert-scale questionnaire (n=263) followed by a semi-structured interview (n=29). Data were summarized by descriptive and inferential statistics. Comparisons between rural and urban groups were made by chi-square analysis and Wilcoxon rank-sum 2-tailed test. Interviews were transcribed, coded, and analyzed using inductive and deductive methods. The findings suggest that use of prehospital telemedicine for specialty care is viewed favorably by both rural and urban respondents. Additionally, most respondents felt comfortable staying at their local hospital if they had access to a specialist by telemedicine. However, mistrust in rural hospitals may be a potential barrier to implementation. Compared to urban respondents, rural respondents were less confident in their local hospital's resources and capabilities for stroke care. The findings identified a potential misalignment of the project's goal with some patients' goal to use emergency medical services (EMS) to bypass rural hospitals for stroke care. Future community outreach efforts are needed to encourage activation of EMS and highlight the advantages of utilizing prehospital telemedicine for accessing specialty care thereby improving treatment times.

Keywords: Ambulance; Emergency Medicine; Rural Population; Stroke; Telemedicine.

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Conflict of interest statement

None of the authors identify a conflict of interest.

Figures

Figure 1.
Figure 1.
Mapa of Defined Rural Communities (Dark Gray) and Urban Communities (Light Gray) by O‘ahu Zip Codes aMap created by the author using shapefiles from Hawai‘i Statewide GIS Program.
Figure 2.
Figure 2.
Summary of Themes from O‘ahu Telehealth Stroke Services Interview Responses with Example Quotes (n=29)
See this image and copyright information in PMC

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