ArticleJournal of telemedicine and telecare2016
The effects of telemedicine on racial and ethnic disparities in access to acute stroke care.
Article in Journal of telemedicine and telecare, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- The Empirical Foundations of Telemedicine Interventions in Primary Care.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2016Pooled it
- Telehealth Uptake and Rural-Urban and Racial/Ethnic Disparities in Postpartum Care Access Among Medicaid Beneficiaries in South Carolina, 2018-2022.Medical care · 2026Article
- Racial and ethnic disparities in access to acute stroke capabilities in California: Association with rurality and telestroke access.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026Article
- Health differences between rural and non-rural Texas counties based on 2023 County Health Rankings.BMC health services research · 2025Article
- Sociodemographic patterns of provider-to-home telehealth use within the veterans health administration between 2015 and 2023.Discover health systems · 2025Article
- Provider Care Segregation and Hospital-Region Racial Disparities in the United States for Acute Ischemic Stroke and Endovascular Therapy Outcomes.Journal of the American Heart Association · 2024Article
- Review
- An Overview of Telehealth in the Management of Cardiovascular Disease: A Scientific Statement From the American Heart Association.Circulation · 2022Review
- Factors Associated With the Utilization of Outpatient Virtual Clinics: Retrospective Observational Study Using Multilevel Analysis.Journal of medical Internet research · 2022Observational
- Patient-Level Factors Associated with Utilization of Telemedicine Services from a Free Clinic During COVID-19.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Article
- Article
- Rapid Implementation of Outpatient Teleneurology in Rural Appalachia: Barriers and Disparities.Neurology. Clinical practice · 2021Article
- Racial and ethnic differences in self-reported telehealth use during the COVID-19 pandemic: a secondary analysis of a US survey of internet users from late March.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Provider Communication and Telepresence Enhance Veteran Satisfaction With Telestroke Consultations.Stroke · 2021Article
- Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2).Frontiers in public health · 2020Article
- Rationale and design of a statewide telestroke registry: Lone Star Stroke Consortium Telestroke Registry (LeSteR).BMJ open · 2019Article
- Teleneurology and mobile technologies: the future of neurological care.Nature reviews. Neurology · 2018Review
- Examining Tensions That Affect the Evaluation of Technology in Health Care: Considerations for System Decision Makers From the Perspective of Industry and Evaluators.JMIR medical informatics · 2017Article
- Access disparities to Magnet hospitals for ischemic stroke patients.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2017Review
- Identification and Cost of Potentially Avoidable Transfers to a Tertiary Care Neurosurgery Service: A Pilot Study.Neurosurgery · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
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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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.