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Teleneurology during the COVID-19 pandemic: A step forward in modernizing medical care.
Roy, Bhaskar; Nowak, Richard J; Roda, Ricardo; Khokhar, Babar; Patwa, Huned S; Lloyd, Thomas; Rutkove, Seward B.
  • Roy B; Yale University School of Medicine, Department of Neurology, 15 York Street, LCI 9, P.O. Box 208108, New Haven 06519, CT, USA. Electronic address: bhaskar.roy@yale.edu.
  • Nowak RJ; Yale University School of Medicine, Department of Neurology, 15 York Street, LCI 9, P.O. Box 208108, New Haven 06519, CT, USA. Electronic address: richard.nowak@yale.edu.
  • Roda R; Johns Hopkins School of Medicine, Department of Neurology, 600 N. Wolfe Street, Baltimore, MD 21287, USA.
  • Khokhar B; Yale University School of Medicine, Department of Neurology, 15 York Street, LCI 9, P.O. Box 208108, New Haven 06519, CT, USA.
  • Patwa HS; Yale University School of Medicine, Department of Neurology, 15 York Street, LCI 9, P.O. Box 208108, New Haven 06519, CT, USA.
  • Lloyd T; Johns Hopkins School of Medicine, Department of Neurology, 600 N. Wolfe Street, Baltimore, MD 21287, USA.
  • Rutkove SB; Beth Israel Deaconess Medical Center, Department of Neurology, 330 Brookline Ave, Boston 02215, MA, USA.
J Neurol Sci ; 414: 116930, 2020 07 15.
Article in English | MEDLINE | ID: covidwho-378542
ABSTRACT

BACKGROUND:

The COVID-19 pandemic mandated rapid transition from face-to-face encounters to teleneurology visits. While teleneurology is regularly used in acute stroke care, its application in other branches of neurology was limited. Here we review how the recent pandemic has created a paradigm shift in caring for patients with chronic neurological disorders and how academic institutions have responded to the present need.

METHOD:

Literature review was performed to examine the recent changes in health policies. Number of outpatient visits and televisits in the Department of Neurology was reviewed from Yale University School of Medicine and Johns Hopkins School of Medicine to examine the road to transition to televisit.

RESULTS:

The federal government and the insurance providers extended their supports during the COVID-19 pandemic. Several rules and regulations regarding teleneurology were revised and relaxed to address the current need. New technologies for video conferencing were incorporated. The transition to televisits went smoothly in both the institutions and number of face-to-face encounters decreased dramatically along with a rapid rise in televisits within 2 weeks of the declaration of national emergency. CONCLUSION AND RELEVANCE The need for "social distancing" during the COVID-19 pandemic has created a major surge in the number of teleneurology visits, which will probably continue for the next few months. It may have initiated a more permanent transition to virtual technology incorporated medical care.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Telemedicine / Coronavirus Infections / Pandemics / Betacoronavirus / Nervous System Diseases / Neurology Type of study: Reviews Limits: Humans Country/Region as subject: North America Language: English Journal: J Neurol Sci Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Telemedicine / Coronavirus Infections / Pandemics / Betacoronavirus / Nervous System Diseases / Neurology Type of study: Reviews Limits: Humans Country/Region as subject: North America Language: English Journal: J Neurol Sci Year: 2020 Document Type: Article