NDLI: Population trends and disparities in outpatient utilization of neurologists for ischemic stroke.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Karve, Sudeep Balkrishnan, Rajesh Seiber, Eric Nahata, Milap Levine, Deborah A.
Spatial Coverage	United States
Description	Author Affiliation: Karve S ( Department of Health Economics, RTI Health Solutions, Research Triangle Park, North Carolina.)
Abstract	BACKGROUND: Inpatient stroke utilization may be decreasing over time and may vary by patient demographics. Less is known about temporal trends and demographic variations in outpatient stroke utilization. We assessed ischemic stroke (IS)-related outpatient utilization across physician specialty and time, exploring any demographic variability, using recent US population-based data. METHODS: We identified all outpatient medical visits for IS by adults (≥ 18 years) using the National Ambulatory Medical Care Survey (NAMCS) years 1998 to 2009. Physician numbers were derived from American Medical Association or American Osteopathic Association data by NAMCS. We assessed IS-related outpatient visits to neurologists and generalists over time and by patient demographics. RESULTS: We identified 9.7 million IS-related visits from 1998 to 2009. The rate of IS-related visits to neurologists increased from 0.56 million visits in 1998 to 2000 to 0.90 million visits in 2007 to 2009, representing a 62% increase over the study period. The rate of IS-related visits to generalists declined from 2.0 million visits in 1998 to 2000 to 1.6 million visits in 2007 to 2009 (18% decrease). Between 1998 and 2009, the number of neurologists increased by 23% and the number of generalists grew by 19%. The IS visit rate per 100 physicians increased by 90% for neurologists but decreased by 31% for generalists. Fewer ambulatory IS-related visits to neurologists were reported among stroke survivors who were older, female, nonwhite, or living in rural areas. CONCLUSIONS: Between 1998 and 2009, IS-related outpatient utilization increased substantially to neurologists but declined to generalists. We identified demographic variations in outpatient utilization of neurologists that potentially lead to disparities in stroke evaluation and management.
File Format	HTM / HTML
ISSN	10523057
Issue Number	7
Volume Number	22
e-ISSN	15328511
Journal	Journal of Stroke and Cerebrovascular Diseases
Language	English
Publisher	Elsevier
Publisher Date	2013-10-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Therapy Brain Ischemia Stroke Office Visits United States Humans Middle Aged Male Aged, 80 And Over Ambulatory Care Journal Article Neurology Outpatients Discipline Cardiology Adolescent Adult Female Aged Statistics & Numerical Data Trends Health Care Surveys
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Neurology (clinical) Surgery Cardiology and Cardiovascular Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Access to Mechanical Thrombectomy for Ischemic Stroke in the United States

Trends in cancer diagnoses among inpatients hospitalized with stroke.

Sex differences in revascularization interventions after acute ischemic stroke.

Nationwide patterns of hospitalization after transient ischemic attack.

Itch as a patient-reported symptom in ambulatory care visits in the United States.

The rate of hemicraniectomy for acute ischemic stroke is increasing in the United States.

Racial-ethnic disparities in outpatient mental health visits to U.S. physicians, 1993-2008.

Increase in outpatient knee arthroscopy in the United States: a comparison of National Surveys of Ambulatory Surgery, 1996 and 2006.

Regional differences in emergency medical services use for patients with acute stroke (findings from the National Hospital Ambulatory Medical Care Survey Emergency Department Data File).

Population trends and disparities in outpatient utilization of neurologists for ischemic stroke.

Similar Documents

Access to Mechanical Thrombectomy for Ischemic Stroke in the United States

Trends in cancer diagnoses among inpatients hospitalized with stroke.

Sex differences in revascularization interventions after acute ischemic stroke.

Nationwide patterns of hospitalization after transient ischemic attack.

Itch as a patient-reported symptom in ambulatory care visits in the United States.

The rate of hemicraniectomy for acute ischemic stroke is increasing in the United States.

Racial-ethnic disparities in outpatient mental health visits to U.S. physicians, 1993-2008.

Increase in outpatient knee arthroscopy in the United States: a comparison of National Surveys of Ambulatory Surgery, 1996 and 2006.

Regional differences in emergency medical services use for patients with acute stroke (findings from the National Hospital Ambulatory Medical Care Survey Emergency Department Data File).

Population trends and disparities in outpatient utilization of neurologists for ischemic stroke.