Reyes Antonio Jose, Ramcharan Kanterpersad
Department of Medicine, Neurology Unit, San Fernando Teaching Hospital, San Fernando, Trinidad and Tobago.
Department of Medicine, San Fernando Teaching Hospital, San Fernando, Trinidad and Tobago Department of Medicine, Surgi-Med Clinic, San Fenando, Trinidad and Tobago.
BMJ Case Rep. 2016 Aug 2;2016:bcr2016215122. doi: 10.1136/bcr-2016-215122.
We report a patient driven home care system that successfully assisted 24/7 with the management of a 68-year-old woman after a stroke-a global illness. The patient's caregiver and physician used computer devices, smartphones and internet access for information exchange. Patient, caregiver, family and physician satisfaction, coupled with outcome and cost were indictors of quality of care. The novelty of this basic model of teleneurology is characterised by implementing a patient/caregiver driven system designed to improve access to cost-efficient neurological care, which has potential for use in primary, secondary and tertiary levels of healthcare in rural and underserved regions of the world. We suggest involvement of healthcare stakeholders in teleneurology to address this global problem of limited access to neurological care. This model can facilitate the management of neurological diseases, impact on outcome, reduce frequency of consultations and hospitalisations, facilitate teaching of healthcare workers and promote research.
我们报告了一个由患者驱动的家庭护理系统，该系统成功地全天候协助管理一名68岁中风（一种全身性疾病）女性患者。患者的护理人员和医生使用计算机设备、智能手机和互联网进行信息交流。患者、护理人员、家属和医生的满意度，以及治疗结果和成本是护理质量的指标。这种远程神经病学基本模式的新颖之处在于实施了一个由患者/护理人员驱动的系统，旨在改善获得具有成本效益的神经病学护理的机会，该系统有可能在世界农村和医疗服务不足地区的初级、二级和三级医疗保健中使用。我们建议医疗保健利益相关者参与远程神经病学，以解决神经病学护理获取受限这一全球性问题。该模式可促进神经病学疾病的管理，影响治疗结果，减少会诊和住院频率，促进医护人员教学并推动研究。
