ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2018
Telestroke Adoption Among Community Hospitals in North Carolina: A Cross-Sectional Study.
Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- The Advantageous Impact of Telestroke: Global Insights and Implications for Africa: A Scoping Review of Literature.Stroke research and treatment · 2025Review
- The role of stroke care infrastructure on the effectiveness of a hub-and-spoke telestroke model in South Carolina.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024Article
- A scoping review of applications of the Consolidated Framework for Implementation Research (CFIR) to telehealth service implementation initiatives.BMC health services research · 2022Article
- Association of Financial Factors and Telemedicine Adoption for Heart Attack and Stroke Care Among Rural and Urban Hospitals: A Longitudinal Study.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Article
- Telehealth in emergency medicine: A consensus conference to map the intersection of telehealth and emergency medicine.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
- Telehealth in US hospitals: State-level reimbursement policies no longer influence adoption rates.International journal of medical informatics · 2021Article
- Assessing the costs and savings of telemedicine: Insights from the consolidated framework for implementation research.Digital healthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThis study identifies community and hospital characteristics associated with adoption of telestroke among acute care hospitals in North Carolina (NC).
methodsOur sample included 107 hospitals located in NC. Our analytic dataset included variables from the American Hospital Association (AHA) annual survey, AHA Health IT supplement, Healthcare Cost Report Information System, and Centers for Disease Control and Prevention's WONDER online database. We supplemented our secondary sources with data on telestroke adoption and market-level variables developed for NC. We used the Consolidated Framework for Implementation Research and previous telehealth studies to guide selection of variables. We conducted a multivariate logistic regression to determine associations with telestroke adoption.
resultsProportion of discharges that are Medicare (odds ratio [OR] = 1.93, P < .04) and total operating margin (OR = 2.89, P = .00) were positively associated with telestroke adoption. Critical access hospital status was positively associated with telestroke adoption, although not at P < .05 (OR = 5.61, P = .07). Distance to the nearest hospital with a telestroke program (OR = .91, P = .01) and volume of emergency department visits (OR = .98, P < .05) were both negatively associated with telestroke adoption.
conclusionsOur study is novel in its focus on telestroke adoption and use of variables not included in previous telehealth analyses. Our findings suggest some hospitals have neither the financial resources nor the ability to pool resources for acquiring needed technology, and differences in adoption may result in geographic inequities in access to telestroke services.
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