Neurologic Care … Anytime?
Open accessAbstract
The demand for neurologic care is increasing, and the need for timely neurologic evaluation is high. As the population ages, the demand for timely neurologic care will only increase. Long wait times are associated with increased morbidity and mortality, perhaps due to delays in diagnosis and treatment.1,2 In addition, delays in care lead to decreased patient satisfaction and increased emergency department (ED) visits for nonurgent conditions. In 2001, the Institute of Medicine (IOM) targeted timely access to health care as essential to improving the quality of our health care system.3 Last year, the IOM issued a report on increasing access to care and transforming patient scheduling. This report highlights the importance of national initiatives to address this issue and calls for a multifaceted approach in evaluating and researching the problem including continuous health care supply and demand assessments.4
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The scarcity of availability and long wait times hinder patients from accessing timely evaluations, and their conditions may deteriorate before being identified and treated.
“The scarcity of availability and long wait times hinder patients from accessing timely evaluations, and their conditions may deteriorate before being identified and treated [279,280].”
From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [280]
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Research works printed but not linked: 12
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- Institute of Medicine Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: The National Academies Press; 2001.
- Institute of Medicine Committee on Optimizing Scheduling in Health Care. Transforming Health Care Scheduling and Access: Getting to Now. Washington, DC: The National Academies Press; 2015.
- Galarraga JE, Pines JM. Costs of ED episodes of care in the United States. Am J Emerg Med 2016;34: 357-365.
- Patel AD, Terry D, Moore JP, et al. Reduction of emergency department visits using an urgent clinic for children with established epilepsy. Neurol Clin Pract 2016;6:480-486.
- Dall TM, Storm MV, Chakrabarti R, et al. Supply and demand analysis of the current and future US neurology workforce. Neurology 2013;81:470-478.
- Dorsey ER, George BP, Leff B, Willis AW. The coming crisis: obtaining care for the growing burden of neurodegenerative conditions. Neurology 2013;80:1989-1996.
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- DISCLOSURES J.L. Adams has served as a consultant for VisualDx. B.P. George reports no disclosures. E.R. Dorsey serves on scientific advisory boards for Shire Pharmaceuticals, Huntington's Disease Society of America, and NINDS; has received travel funding and/or honoraria from the American Academy of Neurology; serves on the editorial board of Journal of Huntington's Disease and as Editor of HD Insights; is author on a patent application related to telemedicine; serves as a consultant for 23andMe, Amgen, Avid Radio- pharmaceuticals, GlaxoSmithKline, Teva, UCB, Clintrex, Grand Rounds, Lundbeck, MC10, Shire, MedAvante, Transparency Life Sciences, and NINDS; estimates 20% effort in clinical practice, including telemedicine, as a movement disorder neurologist; receives research support from AMC Health, Avid Radiopharmaceuticals, Biogen, Great Lakes Neurotechnologies, Lundbeck, Medtronic, Prana Biotech- nology, Duke University, Greater Rochester Health Foundation, Huntington Study Group, Raptor Pharmaceuticals, Roche, Safra Foundations, University of California Irvine, Agency for Health Care Research and Quality, NINDS, National Science Foundation, Patient-Centered Outcomes Research Institute, Davis Phinney Foundation, Michael J. Fox Foundation, and Sage Bionetworks; holds stock options in Grand Rounds; and has received compensation for expert testimony. Full disclosure form information provided by the authors is available with the full text of this article at Neurology.org/cp.
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Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors
Yen, C., Epling, J. W., Rockwell, M., & Vaughn-Cooke, M. (2026) · Diagnostics · doi:10.3390/diagnostics16020347 · Cited by 6 · see citing works
- Authors
- Adams, J. L., George, B. P., & Dorsey, E. R.
- Affiliations
- University of Rochester Medicine (US)
- Venue
- Neurology Clinical Practice
- Published
- 2016-12
- Volume
- 6
- Issue
- 6
- Pages
- 472-474
- ISSN
- 2163-0402 (ISSN-L)
- 2163-0933
- PMC
- PMC5964821
- OpenAlex
- W2554841044
- Cited by
- 3
- References
- 0
- Citations by year
- 2026: 1 · 2019: 2
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Neurology Clinical Practice (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- neurologic care, health care access, waiting time, health care demand, health care demand and supply, emergency department visits, patient satisfaction, quality of care, population aging
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