TY - JOUR T1 - SPecific elements of teleintensivist paradigm require additional scrutiny and justification—reply AU - McCambridge M, Jones K, Paxton H, Baker K, Sussman E, Etchason J Y1 - 2010/09/13 N1 - 10.1001/archinternmed.2010.298 JO - Archives of Internal Medicine SP - 1509 EP - 1510 VL - 170 IS - 16 N2 - 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. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2010.298 UR - http://dx.doi.org/10.1001/archinternmed.2010.298 ER -