Comparison of telemedicine versus in-person visits for persons with multiple sclerosis: A randomized crossover study of feasibility, cost, and satisfaction

Robb, Jessica F.; Hyland, Megan; Goodman, Andrew

doi:10.1016/j.msard.2019.05.001

Cited by 84 publications

(97 citation statements)

References 5 publications

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“…From a patient perspective, it allows the delivery of subspecialty care to patients in rural regions, limiting the need for transportation and improving healthcare access in remote areas. 5 It also allows for patients with reduced mobility to stay home for assessments and decision-making. Those who were assessed by video conference platforms were also able to view relevant images shared with them from the physician's screen.…”

Section: Discussionmentioning

confidence: 99%

“…Telemedicine is an emerging tool that precedes the time of COVID-19; its initiation was already implemented in many other specialties, including neurology, as a means of delivering subspecialty care to remote/rural regions. [5][6][7] However, in the field of interventional neuroradiology (INR), virtual clinics are an uncommon practice with minimal literature to support its use. Here, we report data from the first documented INR virtual clinic.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Transition to virtual appointments for interventional neuroradiology due to the COVID-19 pandemic: a survey of satisfaction

Lun

Walker

Daham

et al. 2020

J NeuroIntervent Surg

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BackgroundThe COVID-19 pandemic has changed the way medicine is practiced, including the implementation of virtual care in many specialties. In the field of interventional neuroradiology (INR), virtual clinics are an uncommon practice with minimal literature to support its use. Our objective was to report prospective, single-centre data regarding patient and physician experience with virtual INR clinics for routine follow-up appointments.MethodsWe surveyed all patients that participated in a virtual INR clinic follow-up appointment at our hospital over a 3 month period. Information gathered included length of appointment delays (ie, wait times), length of appointment times, overall satisfaction, and perceived safety metrics. A survey was also sent out to all physicians who participated in virtual clinics with similar questions.Results118/122 patients and 6/6 physicians completed the survey. Wait times before previous in-person appointments were perceived to be much longer than virtual appointments, whereas in-person appointment times were longer. 112/118 (94.9%) patients and 4/6 (67%) physicians reported general satisfaction with their virtual clinic experience. There were 8/118 patients who felt their conditions could not be safely assessed virtually, compared with 1/6 (17%) physicians. Lastly, 72.2% of patients reported that they would prefer virtual or telephone visits in the future for non-urgent follow-up, and 5/6 (83%) of physicians reported the same.ConclusionVirtual INR clinics are more efficient and are preferred among patients and physicians for non-urgent follow-up appointments. Our study demonstrates the feasibility of a virtual platform for INR care, which could be sustainable for future practice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Transition to virtual appointments for interventional neuroradiology due to the COVID-19 pandemic: a survey of satisfaction

Lun

Walker

Daham

et al. 2020

J NeuroIntervent Surg

View full text Add to dashboard Cite

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“…It typically involves acute assessment and coordination of care for a patient in an emergency department by a neurologist at another location . Since then, telehealth has been used in several chronic neurological disorders, including multiple sclerosis, migraine and other headaches, Parkinson's disease, epilepsy, and dementia …”

Section: Health Care Barriers and Burdensmentioning

confidence: 99%

The Use of Telehealth to Enhance Care in ALS and other Neuromuscular Disorders

et al. 2020

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Telehealth has the potential to improve the efficiency of healthcare while reducing the burden on patients and caregivers. Encounters can be synchronous or asynchronous. When used for care of those with amyotrophic lateral sclerosis (ALS) by individual health care providers or by a multidisciplinary team, synchronous telehealth is feasible, acceptable, may produce outcomes comparable to those of in-person care, and is cost effective. Individuals with ALS who use telehealth tend to have lower physical and respiratory function and to live farther from an ALS clinic than those who exclusively attend in-person clinic visits. Asynchronous telehealth can be used as a substitute full multidisciplinary visits, or for remote monitoring of pulmonary function, gait/falls, and speech. Barriers to implementing telehealth on a wider scale include disparities in access to technology and challenges surrounding medical licensure and billing, but these are being addressed. K E Y W O R D S ALS, mHealth, mobile health, telehealth, telemedicine 1 | INTRODUCTION TO TELEMEDICINE AND TELEHEALTH Today's healthcare landscape contains many references to, and examples of, telemedicine and telehealth. Sometimes, these terms are used interchangeably. Generally, telemedicine is defined as a remote interaction between a clinician and a patient. This is the traditional way most people think of telemedicine. Telehealth is the provision of a broader range of services remotely. 1 For patients with neuromuscular diseases, this can include collection of data on clinical measures such as respiratory function, gait, falls, muscle strength, and the rate and quality of speech.Telehealth encounters can be synchronous or asynchronous. In synchronous encounters, information is transmitted in both directions during the same period of time. These can be binary transmissions between patients or caregivers and healthcare providers, or multiperson encounters with other healthcare providers or family members interacting simultaneously. A live videoconference between a patient, his or her caregiver, and a healthcare provider is an example of synchronous telehealth. Asynchronous encounters, also sometimes called the "store and forward" method, occur when information is collected at one time and then forwarded for review at another time. Examples of this include taking photographs, filming videos, or recording medical data (respiratory, cardiac, gait, etc.) at a location remote from the Abbreviations: AAN, American Academy of Neurology; ALS, amyotrophic lateral sclerosis;

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“…This reduces total time dedicated to the appointments as well as unnecessary wait times, which are frequently quoted as the worst components of a clinic visit. 17,18 In addition, telemedicine can decrease reliance on care partners. Current inperson appointments can present a unique cost to the patient and family though care partner loss of productivity during the appointment and external transport services.…”

Section: Patient-specific Advantages Of Telemedicine In Neurosurgicalmentioning

confidence: 99%

“…Current inperson appointments can present a unique cost to the patient and family though care partner loss of productivity during the appointment and external transport services. [17][18][19] Moreover, telemedicine offers unparalleled flexibility; care partners can be either at the patient's side or physically distant and easily be conferenced via voice or video into the visit.…”

Section: Patient-specific Advantages Of Telemedicine In Neurosurgicalmentioning

confidence: 99%

Telemedicine for Outpatient Neurosurgical Oncology Care: Lessons Learned for the Future During the COVID-19 Pandemic

et al. 2020

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BACKGROUND: The coronavirus 2019 (COVD-19) pandemic has drastically disrupted the delivery of neurosurgical care, especially for the already at-risk neuro-oncology population. The sudden change to clinic visits has rapidly spurned the implementation of telemedicine. A recommendation care paradigm of neuro-oncologic patients limited by telemedicine has not been reported.-METHODS: A summary of a multi-institution experience detailing the potential benefits, pitfalls, and the necessary considerations to outpatient care of neurosurgical oncology patients.-RESULTS: There are limitations and advantages to incorporating telemedicine into the outpatient care of neuro-oncology patients. Telemedicine-specific considerations for each step and stakeholder of the appointment (physician, patient, scheduling, previsit, imaging, and physical examination) are examined.-CONCLUSIONS: Telemedicine, pushed to prominence during this COVID-19 pandemic, is a powerful and possibly preferential tool for the future of outpatient neurooncologic care.

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Comparison of telemedicine versus in-person visits for persons with multiple sclerosis: A randomized crossover study of feasibility, cost, and satisfaction

Cited by 84 publications

References 5 publications

Transition to virtual appointments for interventional neuroradiology due to the COVID-19 pandemic: a survey of satisfaction

Transition to virtual appointments for interventional neuroradiology due to the COVID-19 pandemic: a survey of satisfaction

The Use of Telehealth to Enhance Care in ALS and other Neuromuscular Disorders

Telemedicine for Outpatient Neurosurgical Oncology Care: Lessons Learned for the Future During the COVID-19 Pandemic

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