Publications by authors named "B Kummer"

: Interprofessional electronic consultations (eConsults) can reduce health care utilization and improve access to specialty care. However, health care utilization and access impacts of eConsults for headache disorders remain incompletely characterized. : We conducted a retrospective, 1:3-matched cohort study comparing patients referred for in-person headache evaluations to patients who had a headache-related eConsult.

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Article Synopsis
  • The study examines the use of remote patient monitoring (RPM) for neurological disorders using data from 2019 to 2021, focusing on the differences between first-generation and second-generation billing codes.
  • The analysis included 27,756 encounters from 11,326 patients, revealing that over half utilized second-generation codes, with a notable demographic skew towards females, older adults, and urban residents in this group.
  • Findings indicate a higher prevalence of sleep-wake disorders and the involvement of non-neurologists, suggesting a need for better understanding and integration of RPM services in neurological care.
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As teleheath becomes integrated into the practice of medicine, it is important to understand the benefits, limitations, and variety of applications. Telestroke was an early example of teleneurology that arose from a need for urgent access to neurologists for time-sensitive treatments for stroke. It made a scarce resource widely available via video conferencing technologies.

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Article Synopsis
  • Large language models (LLMs) are AI systems that can generate and understand human-like language, which might benefit neurology-related tasks, but their effectiveness in real clinical scenarios is still uncertain.
  • The article highlights several limitations of LLMs in healthcare, including issues like limited clinical reasoning and biases, alongside practical challenges such as costs and infrastructure needs.
  • To successfully integrate LLMs into clinical practice, healthcare organizations must foster an AI-friendly culture, engage stakeholders, and prioritize patient data privacy while ensuring proper testing and monitoring to mitigate biases.
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Interprofessional consultations ("eConsults"), which facilitate asynchronous specialist consultations, remain understudied in neurological disorders. We aimed to describe the patient population receiving eConsult services for neurological disorders nationwide and to conduct a comparative analysis between rural and urban patients within this eConsult cohort. We analyzed a dataset of U.

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