Teleneurology in Rural General Practice Improved Triage but Did Not Reduce Secondary Care Use in a Stepped-Wedge Randomized Trial
Highlights
In the NeTKoH stepped-wedge cluster randomized clinical trial, neurological teleconsultations embedded in rural general practice did not increase the proportion of patients managed exclusively by general practitioners.
Compared with standard care, teleconsultations reduced referrals to neurologists but increased referrals to other specialists and hospitals, consistent with a triage-enhancing rather than care-substituting effect.
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