Background: Regional Australians have reduced access to Stroke Unit Care despite being more likely to experience stroke. Echuca Regional Health and Eastern Health piloted a telestroke unit model to address this disparity.
Aims: The aim of this study was to understand patients’ and regional stroke clinician experience of a tele-stroke unit model.
Methods: BUILDS (Bridging the urban and regional divide in stroke care) provided assessment of all stroke/TIA patients by a stroke physician via telehealth with support from a local stroke coordinator. Development of education modules and case review audits for quality assurance were also included.
Patient and clinician surveys were developed using a 7-point Likert scale. These surveys included identification of disadvantages and advantages of the service.
Results:
37 experience surveys (15 females, 22 males) were analysed (34 patient, 3 family). 49% (n=18) had not used telehealth prior to BUILDS. 89% (n=33) indicated that the consultation reduced worry. 92% agreed the consultation was an acceptable way to access stroke services in regional areas. Free text analysis revealed patients felt comforted through access to a stroke specialist and stroke coordinator without the need to travel.
25 staff experience surveys (15 medical, 2 nursing, 8 allied health) were completed. 80% (n=20) had experience with telehealth. 80% (n=20) agreed BUILDS provided support in stroke care. 68% (n=17) of staff with previous experience in metropolitan stroke centres agree that BUILDS was comparable to inpatient metropolitan care. Free text analysis highlighted the following advantages: face to face communication (Zoom) with the stroke physician, timely access to specialist care, stroke education, improved care planning with diagnostic certainty and perceived improved workflow.
Conclusion:
Survey results revealed the tele-stroke model was positively received by patients and the clinical team. This information supports improving access to stroke unit care in regional areas using telehealth.