title: Teleneurology applications: Report of the Telemedicine Work Group of the American Academy of Neurology.
abstract: OBJECTIVE
  To review current literature on neurology telemedicine and to discuss its application to patient care, neurology practice, military medicine, and current federal policy.
  
  
  METHODS
  Review of practice models and published literature on primary studies of the efficacy of neurology telemedicine.
  
  
  RESULTS
  Teleneurology is of greatest benefit to populations with restricted access to general and subspecialty neurologic care in rural areas, those with limited mobility, and those deployed by the military. Through the use of real-time audio-visual interaction, imaging, and store-and-forward systems, a greater proportion of neurologists are able to meet the demand for specialty care in underserved communities, decrease the response time for acute stroke assessment, and expand the collaboration between primary care physicians, neurologists, and other disciplines. The American Stroke Association has developed a defined policy on teleneurology, and the American Academy of Neurology and federal health care policy are beginning to follow suit.
  
  
  CONCLUSIONS
  Teleneurology is an effective tool for the rapid evaluation of patients in remote locations requiring neurologic care. These underserved locations include geographically isolated rural areas as well as urban cores with insufficient available neurology specialists. With this technology, neurologists will be better able to meet the burgeoning demand for access to neurologic care in an era of declining availability. An increase in physician awareness and support at the federal and state level is necessary to facilitate expansion of telemedicine into further areas of neurology.
authors: Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
authors: Lawrence R
authors: LR
authors: Wechsler
authors: Jack W
authors: JW
authors: Tsao
authors: Steven R
authors: SR
authors: Levine
authors: Rebecca J
authors: RJ
authors: Swain-Eng
authors: Robert J
authors: RJ
authors: Adams
authors: Bart M
authors: BM
authors: Demaerschalk
authors: David C
authors: DC
authors: Hess
authors: Elena
authors: E
authors: Moro
authors: Lee H
authors: LH
authors: Schwamm
authors: Steve
authors: S
authors: Steffensen
authors: Barney J
authors: BJ
authors: Stern
authors: Steven J
authors: SJ
authors: Zuckerman
authors: Pratik
authors: P
authors: Bhattacharya
authors: Larry E
authors: LE
authors: Davis
authors: Ilana R
authors: IR
authors: Yurkiewicz
authors: Aimee L
authors: AL
authors: Alphonso
mesh_terms: D006801:Humans; D009422:Nervous System Diseases / Q000175:diagnosis* / Q000628:therapy*; D009462:Neurology; D019114:Remote Consultation; D017216:Telemedicine
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