神经病学中的远程医疗：美国神经病学学会远程医疗工作组更新。
Telemedicine in neurology: Telemedicine Work Group of the American Academy of Neurology update.
机构信息
From Department of Neurology (J.M.H.-M.), Emory University Brain Health Center, Atlanta, GA; SOC Telemed (J.M.H.-M., T.M.B.), Reston, VA; Department of Neurology (J.L.A.), University of Rochester Medical Center, NY; Intensive Neuro (E.R.A.), Gulfport, FL; Sandler Neurosciences Center (R.B.), University of California, San Francisco; iNeuro Headache Specialist (M.C.), McLean, VA; American Academy of Neurology (M.D.O., S.R.W.), Minneapolis, MN; UCLA Seizure Disorder Center (D.S.E.) and Reed Neurological Research Center (B.S.G.), University of California, Los Angeles; Department of Neurology (D.E.-L.), Oregon Health and Science University, Portland; Department of Neurology (L.R.M.), Massachusetts General Hospital, Boston; Department of Neurology (P.N.), Beth Israel Deaconess Medical Center, Boston, MA; Rush Epilepsy Center (M.A.R.) and Department of Neurological Sciences (M.S.), Rush University Medical Center, Chicago, IL; Department of Neurology (N.T.), Johns Hopkins School of Medicine, Baltimore, MD; Department of Neurology (J.W.T.), University of Tennessee Health Science Center, Memphis; Department of Neurology and Neurotherapeutics (B.B.V.), University of Texas Southwestern Medical Center, Dallas; Department of Neurology (S.A.V.), Virginia Commonwealth University, Richmond; American Heart Association/American College of Cardiology (H.P.), National Center, Dallas, TX; and Department of Neurology (R.G.), University of Missouri, Columbia.
出版信息
Neurology. 2020 Jan 7;94(1):30-38. doi: 10.1212/WNL.0000000000008708. Epub 2019 Dec 4.
PURPOSE
While there is strong evidence supporting the importance of telemedicine in stroke, its role in other areas of neurology is not as clear. The goal of this review is to provide an overview of evidence-based data on the role of teleneurology in the care of patients with neurologic disorders other than stroke.
RECENT FINDINGS
Studies across multiple specialties report noninferiority of evaluations by telemedicine compared with traditional, in-person evaluations in terms of patient and caregiver satisfaction. Evidence reports benefits in expediting care, increasing access, reducing cost, and improving diagnostic accuracy and health outcomes. However, many studies are limited, and gaps in knowledge remain.
SUMMARY
Telemedicine use is expanding across the vast array of neurologic disorders. More studies are needed to validate and support its use.
目的
虽然有强有力的证据支持远程医疗在中风中的重要性，但它在神经病学其他领域的作用尚不清楚。本综述的目的是提供基于证据的数据概述，介绍远程神经病学在除中风以外的神经疾病患者护理中的作用。
最近的发现
多项专业研究报告称，在患者和护理人员满意度方面，远程医疗评估与传统的面对面评估相比，非劣效性。证据报告称远程医疗在加快护理、增加就诊机会、降低成本以及提高诊断准确性和健康结果方面具有优势。然而，许多研究受到限制，知识仍然存在空白。
总结
远程医疗的使用正在扩展到广泛的神经疾病领域。需要更多的研究来验证和支持其使用。
Zotero 插件