Global &amp; Community Health: Implementation of and Patient Satisfaction With the First Neurologic Telemedicine Program in Mexico During COVID-19

Domínguez-Moreno, Rogelio; García‐Grimshaw, Miguel; Chávez-Martínez, Oswaldo Alan; Rebolledo-García, Daniel; Diestel-Bautista, Jarumi Crystal; Michel-Chávez, Anaclara; Calderón-Martínez, Juan Andrés; Tristán-Samaniego, Dioselina Panamá; Vigueras-Hernández, Alma; Estrada-Rodriguez, Humberto A.; Vega-Boada, Felipe; Dávila-Maldonado, Luis; Tanimoto-Licona, Miguel Ángel; Cantú-Brito, Carlos; González‐Duarte, Alejandra

doi:10.1212/wnl.0000000000012291

Cited by 6 publications

(6 citation statements)

References 10 publications

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“… 40 , 41 , 44 , 48 , 53 , 54 , 57 , 71 , 73 – 75 , 79 , 84 In current studies, Zoom was the most frequent application used mostly for Video-conference and virtual visits. 36 , 40 , 41 , 43 , 54 , 53 , 57 , 71 , 73 , 77 , 79 , 84…”

Section: Discussionmentioning

confidence: 81%

“…20,95 The wide variety of free software and platforms currently available, such as Zoom, WeChat, WhatsApp, Google Duo, WebEx, FaceTime, Redcap platform, Doxy.me platform, emails and also new software were introduced like e-CoVig, Microsoft Teams and TELEA tool; adequate lighting; good camera quality; and a good internet connection allow for the proper evaluation of patients. 40,41,44,48,53,54,57,71,[73][74][75]79,84 In current studies, Zoom was the most frequent application used mostly for Video-conference and virtual visits. 36,40,41,43,54,53,57,71,73,77,79,84 As telemedicine is being used widely, preparing specific guidelines by worldwide institutions (e.g., WHO) might help HCPs and patients feel safe when using telemedicine.…”

Section: Discussionmentioning

confidence: 90%

“…40,41,44,48,53,54,57,71,[73][74][75]79,84 In current studies, Zoom was the most frequent application used mostly for Video-conference and virtual visits. 36,40,41,43,54,53,57,71,73,77,79,84 As telemedicine is being used widely, preparing specific guidelines by worldwide institutions (e.g., WHO) might help HCPs and patients feel safe when using telemedicine. Moreover, developers should pay attention to data security and assure physicians and patients regarding their privacy.…”

Section: Discussionmentioning

confidence: 90%

“… 85 Telephone calls were the first method of connecting patients with HCPs at a distance, and it remains a crucial component of care in different situations. The telephone is now used in medical areas such as cardiology, 35 , 50 , 87 dermatology, 56 mental health, 36 , 54 , 78 rheumatology, 64 trauma and orthopedics, 69 neurologic disorders, 40 , 81 urology, 33 , 42 endocrine disorders 34 , 39 , 57 , 65 to deliver improved treatment, follow up, consulting, monitoring and primary care to populations underserved by healthcare providers. It is often thought to be a way to reduce notably the expense of treating health problems such as diabetes type I and II, heart failure, and HIV which benefit from continuous observation of a patient’s condition 38 , 50 , 73 , 80 Telephone calls deal with these problems in various areas, including performing cognitive or psychiatric assessments, consulting, drug therapies or social/lifestyle changes, primary care and remotely observing patients.…”

Section: Discussionmentioning

confidence: 99%

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Telemedicine technologies and applications in the era of COVID-19 pandemic: A systematic review

Mehraeen

SeyedAlinaghi

Heydari

et al. 2023

Health Informatics J

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Introduction Telemedicine services saw substantial surges in their use during the COVID-19 pandemic due to the lockdowns and characteristics of the pandemic. Therefore, the authors aimed to systematically review the telemedicine services provided during the COVID-19 pandemic and their potential applications. Methods The authors searched PubMed, Scopus, and Cochrane databases on September 14, 2021. Then, the retrieved records underwent two-step title/abstract and full-text screening processes, and the eligible articles were included for qualitative synthesis. Results The review of studies demonstrated that the telephone is listed 38 times, making it the most common technology used in telemedicine. Video conferencing is also mentioned in 29 articles, as well as other technologies: Mobile-health ( n = 15), Virtual reality ( n = 7). According to the findings of the present study, Tele-follow-up ( n = 24), Tele-consulting ( n = 20), Virtual visits (20), and Tele-monitoring ( n = 18) were the most widely used telemedicine applications. Conclusion Telemedicine has been an effective approach to COVID-19 management. Telemedicine technology is going to play a key role in the future of health medicine, patient consultation, and many other extended applications of health care in remote rural locations.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Telemedicine technologies and applications in the era of COVID-19 pandemic: A systematic review

Mehraeen

SeyedAlinaghi

Heydari

et al. 2023

Health Informatics J

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“…77 Another study from Mexico implemented teleconsultations to provide remote neurology support. 90 Over 95% of the 304 teleconsultations conducted by neurology residents successfully addressed neurological issues without needing an in-person evaluation.…”

Section: Resultsmentioning

confidence: 99%

Disruption to diabetes and hypertension care during the COVID-19 pandemic in Latin America and the Caribbean and mitigation approaches: A Scoping Review

Ogungbe,

Jabakhanji,

Mehta

et al. 2024

Preprint

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Summary Background The COVID-19 pandemic disrupted care for non-communicable diseases globally. This study synthesizes evidence on disruptions to primary care, focusing on hypertension and diabetes care and mitigation approaches taken during the pandemic in Latin America and the Caribbean (LAC). Methods We conducted a scoping review, searching nine electronic databases for studies from January 2020 to December 2022 on COVID-19-related primary care disruptions and interventions, including studies on hospital-based interventions given their relevance to the pandemic response in LAC. We adapted the Primary Health Care Performance Initiative framework to develop our search strategy and synthesize data. For studies reporting interventions, we included studies conducted outside of LAC. Findings Of 33,510 references screened, 388 studies were included (259 reported disruptions in LAC, 61 interventions in LAC, 63 interventions outside LAC, and five interventions from countries within and outside LAC), with three-quarters presenting data from Brazil, Argentina, Mexico, and Peru; few studies focused on rural areas. Additionally, the few studies that adequately quantified care disruptions reported a reduction in hypertension and diabetes control during the pandemic (e.g., hypertension control rate decreased from 68% to 55% in Mexico). Frequently reported causes of disruption included burnout and mental health challenges among healthcare workers (with disproportionate effects by type of worker), reduced medication supplies, and reduced frequency of clinic visits by patients (e.g., due to financial constraints). The most reported interventions included remote care strategies (e.g., smartphone applications, virtual meeting platforms) and mental health programs for healthcare workers. Remote care strategies were deemed feasible for care delivery, triaging, and clinical support for non-physicians. Patients were generally satisfied with telemedicine, whereas providers had mixed perceptions. Robust evidence on the effectiveness of remote care strategies for diabetes and hypertension care was unavailable in LAC. Interpretation Hypertension and diabetes control appeared to worsen in LAC during the pandemic. Major reported causes of care disruptions were workforce issues, reduced medication supply, and changes in patient perceptions of seeking and receiving primary healthcare. Remote care strategies were feasible for various purposes and were well received by patients. However, the lack of data on intervention effectiveness underscores the importance of strengthening research capacity to generate robust evidence during future pandemics. Developing resilient healthcare systems able to provide care for hypertension and diabetes during future pandemics will depend on investment in the healthcare workforce, medical supply chain, health data and research infrastructure, and technology readiness.

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Implementation of a Teleneurology Clinic in Zambia during the COVID‐19 Pandemic

Asukile

Chishimba

Chomba

et al. 2022

Annals of Neurology

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Objective: The objective of this study was to assess the feasibility, acceptability, and benefits of a teleneurology clinic serving adults usually attending a neurology outpatient clinic in Lusaka, Zambia during the coronavirus disease 2019 (COVID-19) pandemic. Methods: Televisits were offered to patients scheduled for neurology appointments between March and July 2020 using the telephone, WhatsApp video, or Zoom calls based on patient accessibility. Visit outcomes were documented, and patient and neurologist satisfaction surveys were completed. Results: Of 323 patients, 195 (60%) were reachable by telephone, 179 of these were alive, and 74% (133/179) of those alive agreed to a televisit. Stroke (30%), seizures (20%), and headache (16%) were the most common diagnoses seen via televisit. Most televisits (80%) were by telephone call, 14% by WhatsApp video call, and 6% by Zoom. Nearly onethird (30%) of the patients were stable and discharged from the clinic, 32% only required medication refills, and 19% required an in-person visit. Sixty patients (out of 85 reachable and 71% response rate) and 7 of 9 neurologists (78% response rate) completed satisfaction surveys. Neurologists reported greater assessment confidence with Zoom, but confidence was high for all modalities. Patients preferring televisits (75%, 45/60) noted reduced expense and time requirements, whereas those preferring in-person visits (22%, 13/60) cited the desire for physical examinations. Overall, 98% of patients and 100% of neurologists were satisfied with televisits. Interpretation: Teleneurology visits were acceptable and feasible for adults attending an outpatient neurology clinic in Zambia and their neurologists. They offer a promising supplement to in-person visits in resource-limited settings, even when video-conference capabilities and electronic medical records are absent.

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Global & Community Health: Implementation of and Patient Satisfaction With the First Neurologic Telemedicine Program in Mexico During COVID-19

Cited by 6 publications

References 10 publications

Telemedicine technologies and applications in the era of COVID-19 pandemic: A systematic review

Telemedicine technologies and applications in the era of COVID-19 pandemic: A systematic review

Disruption to diabetes and hypertension care during the COVID-19 pandemic in Latin America and the Caribbean and mitigation approaches: A Scoping Review

Implementation of a Teleneurology Clinic in Zambia during the COVID‐19 Pandemic

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