Trends in characteristics of neurologists who provide stroke consultations in the USA,2008-2021  

作　　者：Carter H Nakamoto Andrew D Wilcock Lee H Schwamm Jennifer J Majersik Kori S Zachrison Ateev Mehrotra 

机构地区：[1]Department of Health Care Policy,Harvard Medical School,Boston,Massachusetts,USA [2]Department of Family Medicine,University of Vermont Larner College of Medicine,Burlington,Vermont,USA [3]Department of Neurology,Massachusetts General Hospital,Boston,Massachusetts,USA [4]Department of Neurology,University of Utah,Salt Lake City,Utah,USA [5]Department of Emergency Medicine,Massachusetts General Hospital,Boston,Massachusetts,USA [6]Division of General Medicine and Primary Care,Beth Israel Deaconess Medical Center,Boston,Massachusetts,USA

出　　处：《Stroke & Vascular Neurology》2023年第1期86-88,共3页卒中与血管神经病学（英文）

基　　金：Supported by grant R01-NS111952 from the National Institute of Neurological Disorders and Stroke.

摘　　要：Introduction Patients with acute ischaemic strokes(AIS),on average,fare better with timely neurologist consultation,and a growing proportion of them receive one.However,little is known about trends in the characteristics of neurologists who treat AIS.Methods We identified AIS and transient ischaemic attack(TIA)episodes with neurologist consults in fee-for service Medicare from January 2008 to September 2021.For each episode,we determined whether the neurologist was a vascular neurologist,was a high-volume provider,whether the patient was transferred between hospitals and the distance between the patient’s home and physician’s practice.Results From 2008 to 2021,the share of AIS/TIA episodes(n=5073294)with neurologist consults increased(52.9%to 61.7%).Among episodes with consults,the fraction conducted by a vascular neurologist(5.2%to 13.7%)or by a high-volume neurologist(13.2%to 14.9%)also increased.The fraction with the patient’s home and neurologist greater than 100 miles apart(4.8%to 9.6%)or in different states(5.1%to 8.1%)increased,as did the fraction with transfers(4.2%to 8.5%).Discussion Over the study period,the proportion of AIS/TIA episodes with consultations from neurologists with either vascular neurology certifications or high volumes increased substantially.

关 键 词：acute CHARACTERISTICS CONSULTATION 

分 类 号：R741[医药卫生—神经病学与精神病学]