NDLI: Emergency physician and stroke specialist beliefs and expectations regarding telestroke.

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Emergency physician and stroke specialist beliefs and expectations regarding telestroke.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Chan, Yu-Feng Yvonne Levine, Steven R. Bruns, John Moskowitz, Ari
Abstract	BACKGROUND AND PURPOSE: Telestroke has been effective in the management of acute ischemic stroke. This study characterizes and compares stroke specialist (SS) and emergency physician (EP) perceptions of telestroke and identifies barriers preventing increased implementation. METHODS: A survey was developed and distributed nationwide to 382 SSs through an online survey system and in paper form to 226 EPs attending the 2008 American College of Emergency Physicians national conference. RESULTS: Stroke specialists perceived themselves to be more knowledgeable about telemedicine and telestroke (P<0.001 and P=0.010, respectively). A large majority of physicians in both specialties either strongly agreed or agreed that telestroke will reduce geographical differences in stroke management and that it is superior to telephone consultation. EPs perceived patient preference (P<0.001), recombinant tissue plasminogen activator side effects (P<0.001), level of technology (P=0.005), and recombinant tissue plasminogen activator not the standard of care (P<0.001) to be more significant obstacles to increased implementation of telestroke than SSs. However, SSs found increased personal work to be a greater barrier than EPs (P<0.001). CONCLUSIONS: SSs and EPs report positive beliefs regarding telestroke; however, perceived obstacles exist to implementation. Differences between barriers perceived by EPs and SSs need to be addressed to enhance acute ischemic stroke treatment.
ISSN	00392499
e-ISSN	15244628
DOI	10.1161/STROKEAHA.109.574137
Journal	Stroke
Issue Number	4
Volume Number	41
Language	English
Publisher	Lippincott Williams & Wilkins (on behalf of the American Heart Association)
Publisher Date	2010-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Attitude Of Health Personnel Brain Ischemia Therapy Emergency Medicine Physicians Psychology Stroke Telemedicine Manpower Fibrinolytic Agents Therapeutic Use Health Care Surveys Diagnosis Utilization Tissue Plasminogen Activator Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Discipline Cardiology
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine Neuroscience Advanced and Specialized Nursing Neurology (clinical)

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