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Headache teleconsultation in the era of COVID-19: Patients' evaluation and future directions.
Dias, Leonor; Martins, Bárbara; Pinto, Maria João; Rocha, Ana Luísa; Pinto, Madalena; Costa, Andreia.
  • Dias L; Neurology Department, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal.
  • Martins B; Clinical Neuroscience and Mental Health Department, Faculty of Medicine, University of Porto, Porto, Portugal.
  • Pinto MJ; Neurology Department, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal.
  • Rocha AL; Clinical Neuroscience and Mental Health Department, Faculty of Medicine, University of Porto, Porto, Portugal.
  • Pinto M; Neurology Department, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal.
  • Costa A; Clinical Neuroscience and Mental Health Department, Faculty of Medicine, University of Porto, Porto, Portugal.
Eur J Neurol ; 28(11): 3798-3804, 2021 11.
Article in English | MEDLINE | ID: covidwho-1228751
ABSTRACT
BACKGROUND AND

PURPOSE:

Literature regarding headache teleconsultation and patient satisfaction is scarce. The SARS-CoV-2 pandemic led to the restructuring of traditional clinical activity by adopting telemedicine. Our objectives were to evaluate patients' satisfaction with headache teleconsultation by telephone during the SARS-CoV-2 pandemic and assess patients' preferred model of appointment (face-to-face, teleconsultation by telephone, or both).

METHODS:

Patients with a previous diagnosis of primary headache or neuropathies and facial pain disorders, and at least one telephone headache visit during the first wave of COVID-19, filled out an online questionnaire regarding sociodemographic parameters, satisfaction with teleconsultation, and preferred model of appointment.

RESULTS:

We included 83 patients (valid response rate of 64.3%); most had migraine (83.1%). Regarding teleconsultation, 81.9% considered this model adequate for follow-up, 88.0% were satisfied with the information provided about the disease/treatment, and 73.5% were satisfied with the medication modification. Ninety percent would agree with a new tele-evaluation if stable after the pandemic. The mixed model was the preferred medical consultation type for the postpandemic period (43.4%), followed by face-to-face visits (33.7%).

CONCLUSIONS:

Patients were satisfied with the headache teleconsultation during the COVID-19 era. However, an exclusive model of telemedicine does not seem suitable for monitoring all patients. A mixed approach could be integrated into clinical practice after the pandemic to optimize health care.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Remote Consultation / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: Eur J Neurol Journal subject: Neurology Year: 2021 Document Type: Article Affiliation country: Ene.14915

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Remote Consultation / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Humans Language: English Journal: Eur J Neurol Journal subject: Neurology Year: 2021 Document Type: Article Affiliation country: Ene.14915