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Integrating a telemedicine solution improves thrombolysis rates in out-of-hours severe swing care and it is involving NHS and personal treatment cost savings and QALY gains. Telemedicine is a cost-effective approach to delivering stroke treatment to remote communities with restricted accessibility swing experts.Integrating a telemedicine solution gets better thrombolysis rates in out-of-hours severe swing treatment and is associated with NHS and social treatment savings and QALY gains. Tele