Telestroke, QALYs, and current health care policy: The Heisenberg uncertainty principle

Neurology

Volumn 77, Issue 17, 2011, Pages 1584-1585

  Rudolph, Steven H ^a   Levine, Steven R ^b  

^a MAIMONIDES MEDICAL CENTER   (United States)

^b STATE UNIVERSITY OF NEW YORK   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ALTEPLASE;

BRAIN ISCHEMIA; CLINICAL DECISION MAKING; COMPARATIVE EFFECTIVENESS; COST EFFECTIVENESS ANALYSIS; EDITORIAL; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HUMAN; MEDICAL EDUCATION; MEDICAL LITERATURE; PRIORITY JOURNAL; QUALITY OF LIFE; TELEMEDICINE;

EID: 82955198541     PISSN: 00283878     EISSN: 1526632X     Source Type: Journal    
DOI: 10.1212/WNL.0b013e31823433aa     Document Type: Editorial

References (10)

1. Owens DK, Qaseem A, Chou R, Shekelle P. Clinical Guidelines Committee of the American College of Physicians. High-value, cost-conscious health care: concepts for clinicians to evaluate the benefits, harms, and costs of medical interventions Ann Intern Med 2011;154:174-180.
2. Fagan SC, Morgenstern LB, Pettita A, et al. NINDS rt-PA Stroke Study Group. Cost-effectiveness of tissue plasminogen activator for ischemic stroke. Neurology 1998;50: 882-900.
3. Levine SR, Gorman MJ. "Telestroke": the application of telemedicine for stroke. Stroke 1999;30:464-469.
4. Meyer BC, Raman R, Hemmen T, et al. Efficacy of siteindependent telemedicine in the STRokE DOC trial: a randomised, blinded, prospective study. Lancet Neurol 2008;7:787-795.
5. Johansson T, Wild C. Telemedicine in acute stroke management: systematic review. Int J Technol Assess Health Care 2010;26:149-155.
6. Schwamm LH, Audebert HJ, Amarenco P, et al, on behalf of the American Heart Association Stroke Council; Council on Epidemiology and Prevention; Interdisciplinary Council on Peripheral Vascular Disease; and the Council on Cardiovascular Radiology and Intervention. AHA Policy Statement: Recommendations for the Implementation of Telemedicine Within Stroke Systems of Care: A Policy Statement from the American Heart Association. Stroke 2009;40:2635-2660.
7. Ehlers L, Müskens WM, Lotte GJ, Kjølby M, Andersen G. National use of thrombolysis with alteplase for acute ischaemic stroke via telemedicine in Denmark: a model of budgetary impact and cost effectiveness. CNS Drugs 2008; 22:73-81. (Pubitemid 350243368)
8. Nelson RE, Saltzman GM, Skalabrin EJ, Demaerschalk BM, Majersik JJ. The cost-effectiveness of telestroke in the treatment of acute ischemic stroke. Neurology 2011;77: 1590-1598.
9. The Patient Protection and Affordable Care Act. PL 111- 148, 3-23-2010.
10. Neumann PJ, Weinstein MC. Legislating against use of cost-effectiveness information. N Engl J Med 2010;363: 1495-1497.