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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8476832PMC
http://dx.doi.org/10.3389/fneur.2021.689191DOI Listing

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Article Synopsis
  • The adoption of digital synchronous video communication for telecare and teletherapy has surged recently, fueled by COVID-19 and a broader trend toward digital healthcare in the past two decades.
  • A study involving 20 qualitative interviews with health professionals and patients from Germany, Austria, and Switzerland identified six main categories and 20 sub-categories that can influence the effectiveness of telesettings, highlighting the importance of motivation and digital skills.
  • The findings suggest a need for structured guidelines and training to support telesetting, emphasizing the adaptation of methodologies to incorporate audio-visual technology effectively.
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Article Synopsis
  • Mechanical thrombectomy (MT) access for acute ischemic stroke varies greatly across countries, prompting the need for a scoring system to evaluate and improve treatment accessibility worldwide.
  • A systematic review and a modified Delphi method were used to identify key attributes affecting MT access, culminating in a final score of 0-36 based on 12 consensus attributes selected by international experts.
  • The MT access score serves as a pioneering tool to identify barriers to MT access, aiming to enhance stroke care and outcomes globally by guiding public health interventions.
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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.

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Background: Inpatient telestroke programs have emerged as a solution to provide timely stroke care in underserved areas, but their successful implementation and factors influencing their effectiveness remain underexplored. This study aimed to qualitatively evaluate the perspectives of inpatient clinicians located at spoke hospitals participating in a newly established inpatient telestroke program to identify implementation barriers and facilitators.

Methods: This was a formative evaluation relying on semistructured qualitative interviews with 16 inpatient providers (physicians and nurse practitioners) at 5 spoke sites of a hub-and-spoke inpatient telestroke program.

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Introduction: Acute ischemic stroke therapy has improved in recent decades, decreasing the rates of disability and death among stroke patients. Unfortunately, all health care systems have geographical disparities in infrastructure for stroke patients. A centralized telestroke network might be a low-cost strategy to reduce differences in terms of geographical barriers, equitable access, and quality monitoring across different hospitals.

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