A narrative review of the evidence regarding the use of telemedicine to deliver video‐interpreting during dementia assessments for older people

Haralambous, Betty; Subramaniam, Santini; Hwang, Kerry; Dow, Briony; LoGiudice, Dina

doi:10.1111/appy.12355

Cited by 20 publications

(17 citation statements)

References 42 publications

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“…However, in accordance to our result, patient and physician satisfaction remained high even in patients with cognitive impairments like dementia, multiple sclerosis, or movement disorders. 4,13,[15][16][17] In our study, when the physician and the patient were asked if the teleconsultation replaced the physical consultation, they disagreed. This agreement had never been studied, several studies reported preference of the patients for face-toface consultation.…”

Section: Discussionmentioning

confidence: 74%

Efficiency and satisfaction with telephone consultation of follow‐up patients in neuro‐urology: Experience of the COVID‐19 pandemic

Chesnel

Hentzen

Breton

et al. 2021

Neurourology and Urodynamics

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The COVID-19 pandemic led to limit patients' visits to the neuro-urology department. Telemedicine was seen as a pragmatic solution to provide follow-up care. This study aimed to assess the efficiency and satisfaction of a telephone consultation in neuro-urology. Methods: During the pandemic, the scheduled medical visits were converted into telephone consultation. For each teleconsultation, the physician assessed the efficiency and the patient-rated global satisfaction of the teleconsultation. The physician and the patient assessed whether this teleconsultation replaced a physical visit. Results: About 358 neurologic patients were included in the study. The mean efficiency of the telephone consultation was 9.3/10 (±1.5). The mean global satisfaction was 9.0/10 (±1.3). The majority of the patients (52.4%) would prefer a physical consultation. 90.2% might convert some clinic visits to teleconsultations in the future. No agreement was found between the patient and the physician when they were asked if the teleconsultation replaced the physical consultation initially scheduled (weight kappa = 0.02; 95% confidence interval = [−0.06 to 0.11]). Cognitive impairment, difficulty to obtain relevant information, and lack of physical examination were unfavorable to the efficiency of the teleconsultation. Cognitive impairment, embarrassing nature of the teleconsultation, and preference for a physical consultation were unfavorable to satisfaction of the patient. Conclusion: Telemedicine in neuro-urology was associated with a high satisfaction of the patients and was described as efficient by the physicians. Despite this, the majority of the patients reported a preference for physical consultation. The COVID-19 pandemic might be an opportunity to refine our practices in neuro-urology and to develop telemedicine.

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Section: Discussionmentioning

confidence: 74%

Efficiency and satisfaction with telephone consultation of follow‐up patients in neuro‐urology: Experience of the COVID‐19 pandemic

Chesnel

Hentzen

Breton

et al. 2021

Neurourology and Urodynamics

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“…The potential benefits of TeleNP have long been recognised, including convenience, user satisfaction, potential cost-reductions and improved access (geographic; availability of interpreter services [ 46 ]). Nonetheless, the neuropsychological community has not uniformly embraced the adoption of TeleNP necessitated by the emergence of COVID-19.…”

Section: Practical Considerations For Telenpmentioning

confidence: 99%

Teleneuropsychology in the time of COVID-19: The experience of The Australian Epilepsy Project

Tailby¹,

Collins²,

Vaughan³

et al. 2020

Seizure

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Highlights TeleNP represents a medium through which clinical research and important clinical care can continue. We discuss benefits, challenges, and practical considerations in the use of teleNP. We describe how the Australian Epilepsy Project has adapted to the COVID-19 environment. TeleNP data acquired to date reveals deficits typical of those observed in epilepsy. TeleNP presents an opportunity to expand the reach and breadth of neuropsychological services.

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“…The use of interpreters via telemedicine had overcome these barriers to care and was comparably feasible and acceptable to that of in-person interpretation. 34 When the psychiatrist and patient do not speak in a common language or dialect or have cultural differences, it can hamper their interaction, causing a gap in communication of the clinical management. In such a scenario, albeit interpreters are of great help, they skip communicating the nuances of patients’ intimate, sensitive details to psychiatrists.…”

Section: Dimensions Of Telepsychiatric Carementioning

confidence: 99%

Patient’s Perspectives of Telepsychiatry: The Past, Present and Future

Naik

Manjunatha

Kumar

et al. 2020

Indian Journal of Psychological Medicine

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Access to mental health care has significant disparities due to treatment gap, more so particularly for the remotely residing, physically vulnerable, aging populations. Adoption of technology will enable more people to receive specialty care addressing distance, transportation and cost-related barriers to treatment engagement from the comfort of home. Telemedicine has been regarded as “electronic personal protective equipment” by reducing the number of physical contacts and risk contamination for patients during COVID-19 crisis. This review aimed to give a broad view of patients’ perception of the use of telepsychiatry in terms of clinical outcome, cost-effectiveness, and solutions to address patients’ challenges with the adoption of technology. Over the years, telepsychiatry, both in synchronous and asynchronous modalities, had shown to improve patients’ adherence to treatment, follow-up rates, and clinical symptoms, overcome stigma and discrimination, and save cost expenses accessing health care with better satisfaction and usability outcomes. Its utility is widespread such as in delivering care emergency evaluation, crisis intervention, conducting neuropsychological assessments, psychotherapy, promoting lifestyle modification, enhancing self-efficacy, and overcoming patients’ linguistic and cultural barriers to care. However, patients’ privacy and confidentiality and psychiatrists’ legal liability remain as matter of major concern in digital platform. To keep up with the pace of technology and patients’ expectations, a more agile approach is essential to develop, improve, and evaluate telepsychiatric interventions.

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A narrative review of the evidence regarding the use of telemedicine to deliver video‐interpreting during dementia assessments for older people

Cited by 20 publications

References 42 publications

Efficiency and satisfaction with telephone consultation of follow‐up patients in neuro‐urology: Experience of the COVID‐19 pandemic

Efficiency and satisfaction with telephone consultation of follow‐up patients in neuro‐urology: Experience of the COVID‐19 pandemic

Teleneuropsychology in the time of COVID-19: The experience of The Australian Epilepsy Project

Patient’s Perspectives of Telepsychiatry: The Past, Present and Future

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