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Editor's Correspondence |

Specific Elements of Teleintensivist Paradigm Require Additional Scrutiny and Justification—Reply

Matthew McCambridge, MD; Kari Jones, PhD; Hannah Paxton, RN, MPH; Kathy Baker, RN, MPH; Elliot Sussman, MD; Jeff Etchason, MD
Arch Intern Med. 2010;170(16):1509-1510. doi:10.1001/archinternmed.2010.298.
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Davis and Jackson applaud us while questioning the value of our study1 because we examined the effectiveness of a multifaceted, comprehensive approach to tele-ICU care. They claim “such study design may invite persistent argument on the value of individual elements of care.” In our article we acknowledged that, because we studied a multifaceted intervention, we could not comment on the effectiveness of its individual components. However, we believe that studies examining the individual components of a tele-ICU approach would face other limitations. For example, if a particular component of an HITB were shown to have no effect on outcomes, when studied in isolation, it would still leave unanswered the question of whether that technology would be a necessary part of an effective, comprehensive HITB.

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September 13, 2010
Matthew McCambridge, MD; Kari Jones, PhD; Hannah Paxton, RN, MPH; Kathy Baker, RN, MPH; Elliot Sussman, MD; Jeff Etchason, MD
Arch Intern Med. 2010;170(16):1509-1510. doi:10.1001/archinternmed.2010.298.
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