The effects of telemedicine on racial and ethnic disparities in access to acute stroke care
Open accessAbstract
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.
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One article looked for racial and ethnic disparities in the delivery of acute stroke care in Texas but did not find any.
“One article did look for racial and ethnic disparities in the delivery of acute stroke care in Texas but did not find any.138”
From The Empirical Foundations of Telemedicine Interventions in Primary Care (2016) · cites this paper as [138]
The Introduction (page unavailable) says the study examined racial and ethnic differences in access to acute stroke care in Texas. The Abstract (page unavailable) reports no evidence of disparities specifically in access to acute stroke expertise afforded by telemedicine, but explicitly notes disparities in other components of stroke care. The claim overgeneralizes that finding to the delivery of acute stroke care as a whole. (LLM, conf=0.89)
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References 49 · Cited by 52
- Authors
- Lyerly, M. J., Wu, T.-C., Mullen, M. T., Albright, K. C., Wolff, C., Boehme, A. K., Branas, C. C., Grotta, J. C., Savitz, S. I., & Carr, B. G.
- Affiliations
- University of Alabama at Birmingham (US)
- Memorial Hermann (US)
- University of Pennsylvania (US)
- Duke University (US)
- Columbia University (US)
- Corresponding author
- Lyerly, Michael J
- ORCID
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2015-06-26
- Volume
- 22
- Issue
- 2
- Pages
- 114-120
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- PMC
- PMC4948296
- OpenAlex
- W2300361757
- Cited by
- 52
- References
- 49
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 2 · 2023: 6 · 2022: 8 · 2021: 5 · 2020: 8 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 4
- FWCI
- 3.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Heart Association
- National Institutes of Health
- Agency for Healthcare Research and Quality (5t32hs013852-10, T32HS013852)
- National Institute on Minority Health and Health Disparities (P60MD000502)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- telemedicine, acute stroke care, racial and ethnic disparities, health care access, access to stroke care, Texas, Hispanic population, Black population, urbanization
- MeSH terms
- Adult, Aged, Ethnicity, Female, Health Services Accessibility, Humans, Male, Middle Aged, Risk Factors, Texas, United States, Odds Ratio, Telemedicine, Stroke, Healthcare Disparities, Young Adult
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