Paper Type

Short

Paper Number

PACIS2025-1320

Description

Enhancing healthcare accessibility is the foundational purpose of healthcare digitalization. Telemedicine, which utilizes digital communication tools, offers a promising solution to alleviate physician shortages and improve clinical decision-making in stroke management. This study investigates the impact of telemedicine on treatment decision-making and post-acute care demands for stroke patients. Using a comprehensive dataset of 314,665 stroke patient visits in Florida from 2010 to 2017, we examine the pathways linking telemedicine adoption, treatment decisions, and discharge disposition. Applying the Input-Process-Output (IPO) framework and conducting causal mediation analysis, we find that telemedicine significantly improves clinical decision-making. This results in a higher rate of routine home discharges and a reduction in discharges to nursing homes or hospital transfers. Our findings highlight the potential of telemedicine to enhance the efficiency of stroke care and treatment decisions, ultimately transforming post-acute care delivery.

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Healthcare

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Jul 6th, 12:00 AM

Telemedicine and Post-Acute Care Demands: Evidence from Stroke Patients

Enhancing healthcare accessibility is the foundational purpose of healthcare digitalization. Telemedicine, which utilizes digital communication tools, offers a promising solution to alleviate physician shortages and improve clinical decision-making in stroke management. This study investigates the impact of telemedicine on treatment decision-making and post-acute care demands for stroke patients. Using a comprehensive dataset of 314,665 stroke patient visits in Florida from 2010 to 2017, we examine the pathways linking telemedicine adoption, treatment decisions, and discharge disposition. Applying the Input-Process-Output (IPO) framework and conducting causal mediation analysis, we find that telemedicine significantly improves clinical decision-making. This results in a higher rate of routine home discharges and a reduction in discharges to nursing homes or hospital transfers. Our findings highlight the potential of telemedicine to enhance the efficiency of stroke care and treatment decisions, ultimately transforming post-acute care delivery.