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Experiences of telemedicine in neurological out-patient clinics during the COVID-19 pandemic.
Kristoffersen, Espen Saxhaug; Sandset, Else Charlotte; Winsvold, Bendik Slagsvold; Faiz, Kashif Waqar; Storstein, Anette Margrethe.
  • Kristoffersen ES; Department of Neurology, Akershus University Hospital, Lørenskog, Norway.
  • Sandset EC; Department of General Practice, University of Oslo, Oslo, Norway.
  • Winsvold BS; Department of Neurology, Oslo University Hospital, Oslo, Norway.
  • Faiz KW; The Norwegian Air Ambulance Foundation, Oslo, Norway.
  • Storstein AM; Department of Neurology, Oslo University Hospital, Oslo, Norway.
Ann Clin Transl Neurol ; 8(2): 440-447, 2021 02.
Article in English | MEDLINE | ID: covidwho-995828
Semantic information from SemMedBD (by NLM)
1. Telemedicine TREATS nervous system disorder
Subject
Telemedicine
Predicate
TREATS
Object
nervous system disorder
2. Consultation METHOD_OF Patient referral
Subject
Consultation
Predicate
METHOD_OF
Object
Patient referral
3. Epilepsy PROCESS_OF Patients
Subject
Epilepsy
Predicate
PROCESS_OF
Object
Patients
4. Movement Disorders PROCESS_OF Patients
Subject
Movement Disorders
Predicate
PROCESS_OF
Object
Patients
5. Telemedicine TREATS nervous system disorder
Subject
Telemedicine
Predicate
TREATS
Object
nervous system disorder
6. Consultation METHOD_OF Patient referral
Subject
Consultation
Predicate
METHOD_OF
Object
Patient referral
7. Epilepsy PROCESS_OF Patients
Subject
Epilepsy
Predicate
PROCESS_OF
Object
Patients
8. Movement Disorders PROCESS_OF Patients
Subject
Movement Disorders
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

OBJECTIVE:

The COVID-19 pandemic has led to rapid changes in the delivery of medical care worldwide. The main objective of this survey was to investigate the initial experiences of neurologists with the use of telemedicine for different neurological conditions during the first phase of the COVID-19.

METHODS:

All hospital-based neurologists in Norway (n = 400) were invited to a questionnaire survey by e-mail in April 2020. The study focused on telemedicine and all questions were answered with regard to the first weeks of the pandemic lockdown in Norway.

RESULTS:

One-hundred and thirty-five neurologists responded. Overall, 87% reported a shift toward more telemedicine, with significantly more use of telephone than video consultations for both new referrals (54% vs. 30%, P < 0.001) and follow-ups (99% vs. 50%, P < 0.001). Respondents deemed it much more professionally satisfactory to conduct follow-up consultations by telephone, than to carry out consultations with new patients by telephone (85% vs. 13%, P < 0.001). Teleconsultations were better suited for headache and epilepsy patients as compared to multiple sclerosis and movement disorder patients. There was no significant difference between residents and senior consultants regarding how they experienced teleconsultations. Female neurologists found telemedicine better and more effective than male neurologists.

INTERPRETATION:

Telemedicine was rapidly implemented in Norwegian neurological departments during the first weeks of the COVID-19 pandemic. Teleconsultations were better suited for follow-ups than for new referrals, and better for headache and epilepsy patients as compared to multiple sclerosis and movement disorder patients.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Telephone / Attitude of Health Personnel / Telemedicine / Videoconferencing / Ambulatory Care / Neurologists / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Ann Clin Transl Neurol Year: 2021 Document Type: Article Affiliation country: Acn3.51293

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telephone / Attitude of Health Personnel / Telemedicine / Videoconferencing / Ambulatory Care / Neurologists / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Ann Clin Transl Neurol Year: 2021 Document Type: Article Affiliation country: Acn3.51293