Hospital Utilization Among Rural Children Served by Pediatric Neurology Telemedicine Clinics

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Abstract
Limited access to outpatient pediatric neurology care can lead to inconsistent management of patients’ medical conditions and may result in unplanned hospital encounters, including visits to the emergency department (ED) and hospital admissions.1-8 For children, appropriate access to outpatient care is hindered by the shortage of pediatric neurologists across the country.9 Confounding these shortages is the fact that pediatric subspecialists are concentrated at tertiary care centers located primarily in urban areas,10-12 forcing children with neurologic disorders living in rural communities to travel long distances to see the nearest pediatric neurologist.

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