153427 20240420115850.0 pmid:32807159 pmid 10.1186/s12913-020-05576-w doi pmc:PMC7430113 pmc DZNE-2020-01424 English 610 Weber, J. E. 0000-0002-1666-6021 0 Corresponding author Acute neurological care in north-east Germany with telemedicine support (ANNOTeM): protocol of a multi-center, controlled, open-label, two-arm intervention study London 2020 BioMed Central article DRIVER Output Types/Journal article DataCite Journal Article journal journal PUB:(DE-HGF)16 1713528525_11034 PUB:(DE-HGF) ARTICLE BibTeX JOURNAL_ARTICLE ORCID Journal Article 0 EndNote BackgroundBoth diagnosis and treatment of neurological emergencies require neurological expertise and are time-sensitive. The lack of fast neurological expertise in regions with underserved infrastructure poses a major barrier for state-of-the-art care of patients with acute neurological diseases and leads to disparity in provision of health care. The main purpose of ANNOTeM (acute neurological care in North East Germany with telemedicine support) is to establish effective and sustainable support structures for evidence based treatments for stroke and other neurological emergencies and to improve outcome for acute neurological diseases in these rural regions.MethodsA “hub-and-spoke” network structure was implemented connecting three academic neurological centres (“hubs”) and rural hospitals (“spokes”) caring for neurological emergencies. The network structure includes (1) the establishment of a 24/7 telemedicine consultation service, (2) the implementation of standardized operating procedures (SOPs) in the network hospitals, (3) a multiprofessional training scheme, and (4) a quality management program. Data from three major health insurance companies as well as data from the quality management program are being collected and evaluated. Primary outcome is the composite of first time of receiving paid outpatient nursing care, first time of receiving care in a nursing home, or death within 90 days after hospital admission.DiscussionBeyond stroke only few studies have assessed the effects of telemedically supported networks on diagnosis and outcome of neurological emergencies. ANNOTeM will provide information whether this approach leads to improved outcome. In addition, a health economic analysis will be performed. 344 - Clinical and Health Care Research (POF3-344) G:(DE-HGF)POF3-344 POF3-344 POF III 0 Dataset connected to CrossRef Acute Disease MeSH Adult MeSH Critical Care: organization & administration MeSH Female MeSH Germany MeSH Health Services Research MeSH Hospitals, Rural: organization & administration MeSH Humans MeSH Male MeSH Nervous System Diseases: therapy MeSH Research Design MeSH Stroke: therapy MeSH Telemedicine: organization & administration MeSH Angermaier, A. 1 Bollweg, K. 2 Erdur, H. 3 Ernst, S. 4 Flöel, A. P:(DE-2719)2812683 5 dzne Gorski, C. 6 Kandil, F. I. 7 Kinze, S. 8 Kleinsteuber, K. 9 Kurth, T. P:(DE-HGF)0 10 Schmehl, I. 11 Theen, S. 12 Endres, M. P:(DE-2719)2811033 13 dzne Audebert, H. J. 14 10.1186/s12913-020-05576-w Vol. 20, no. 1, p. 755 PERI:(DE-600)2050434-2 1 755 BMC health services research 20 2020 1472-6963 https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05576-w http://pub.dzne.de/record/153427/files/DZNE-2020-01424.pdf OpenAccess http://pub.dzne.de/record/153427/files/DZNE-2020-01424.pdf?subformat=pdfa pdfa OpenAccess oai:pub.dzne.de:153427 openaire open_access VDB driver dnbdelivery Deutsches Zentrum für Neurodegenerative Erkrankungen I:(DE-588)1065079516 DZNE 5 P:(DE-2719)2812683 Deutsches Zentrum für Neurodegenerative Erkrankungen I:(DE-588)1065079516 DZNE 13 P:(DE-2719)2811033 DE-HGF Gesundheit Erkrankungen des Nervensystems G:(DE-HGF)POF3-340 G:(DE-HGF)POF3-344 G:(DE-HGF)POF3 G:(DE-HGF)POF3-300 G:(DE-HGF)POF Clinical and Health Care Research 0 2020 DBCoverage StatID:(DE-HGF)0200 StatID SCOPUS 2022-11-08 Creative Commons Attribution CC BY (No Version) LIC:(DE-HGF)CCBYNV V:(DE-HGF) DOAJ 2020-08-27 DBCoverage StatID:(DE-HGF)0600 StatID Ebsco Academic Search 2022-11-08 JCR StatID:(DE-HGF)0100 StatID BMC HEALTH SERV RES : 2021 2022-11-08 DBCoverage StatID:(DE-HGF)0501 StatID DOAJ Seal 2021-02-14T16:19:57Z WoS StatID:(DE-HGF)0113 StatID Science Citation Index Expanded 2020-08-27 DBCoverage StatID:(DE-HGF)0500 StatID DOAJ 2021-02-14T16:19:57Z DBCoverage StatID:(DE-HGF)0300 StatID Medline 2022-11-08 DBCoverage StatID:(DE-HGF)0150 StatID Web of Science Core Collection 2022-11-08 IF < 5 StatID:(DE-HGF)9900 StatID 2022-11-08 OpenAccess StatID:(DE-HGF)0510 StatID Peer Review StatID:(DE-HGF)0030 StatID ASC 2022-11-08 Article Processing Charges StatID:(DE-HGF)0561 StatID 2020-08-27 DBCoverage StatID:(DE-HGF)0160 StatID Essential Science Indicators 2020-08-27 DBCoverage StatID:(DE-HGF)1110 StatID Current Contents - Clinical Medicine 2022-11-08 DBCoverage StatID:(DE-HGF)0199 StatID Clarivate Analytics Master Journal List 2022-11-08 Fees StatID:(DE-HGF)0700 StatID 2020-08-27 I:(DE-2719)5000001 AG Grabe Biomarkers of Dementia in the General Population 0 I:(DE-2719)1811005 AG Endres Interdisciplinary Dementia Research 1 journal VDB UNRESTRICTED I:(DE-2719)5000001 I:(DE-2719)1811005 FullTexts