Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.
Department of Neurology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.
Neurol India. 2020 Mar-Apr;68(2):358-363. doi: 10.4103/0028-3886.280644.
Neurology services in rural and semi-urban part of India are very limited, due to poor infrastructure, resources, and manpower. Tele-neurology consultations at a non-urban setup can be considered as an alternative and innovative approach and have been quite successful in developed countries. Therefore, an initiative to bridge this health gap through Tele-Medicine has been taken by the Government of India.
To study the sociodemographic and clinical profiles of patients who have received collaborative Tele-Neurology consultations from the Tele-Medicine Centre, National Institute of Mental Health and Neurosciences, Bengaluru.
We reviewed case files of such patients between December 2010 and March 2017. A total 189 collaborative tele-neurology outpatient consultations were provided through the Tele-Medicine Centre, located at a tertiary hospital-based research centre in southern India.
The mean age of the patients was 39.6 (±19) years and 65.6% were aged between 19 to 60 years; 50.8% were male. The most common diagnosis was a seizure disorder in 17.5%, followed by cerebrovascular accident/stroke in 14.8%. Interestingly, 87.3% were found to benefit from tele-neurology consultations using interventions such as a change of medications in 30.1%, referral to a specialist for review in 15.8%, and further evaluation of illness and inpatient care for 7.93%.
This study has demonstrated the successful implementation of outpatient-based collaborative tele neurology consultation in Karnataka.
由于基础设施、资源和人力匮乏，印度农村和半城市地区的神经科服务非常有限。在非城市环境下进行远程神经学咨询可以被视为一种替代和创新的方法，在发达国家已经取得了相当的成功。因此，印度政府已经采取了一项通过远程医疗来弥合这一健康差距的举措。
研究通过班加罗尔国家心理健康与神经科学研究所远程医疗中心接受协作远程神经学咨询的患者的社会人口学和临床特征。
我们回顾了 2010 年 12 月至 2017 年 3 月期间的此类患者的病历。总共提供了 189 次通过位于印度南部一所三级医院研究中心的远程医疗中心进行的协作远程神经病学门诊咨询。
患者的平均年龄为 39.6（±19）岁，65.6%的年龄在 19 至 60 岁之间；男性占 50.8%。最常见的诊断是癫痫发作障碍，占 17.5%，其次是脑血管意外/中风，占 14.8%。有趣的是，87.3%的患者通过远程神经学咨询受益，干预措施包括 30.1%的药物更换、15.8%的转介给专家复查以及 7.93%的进一步评估疾病和住院治疗。
这项研究表明，在卡纳塔克邦成功实施了基于门诊的协作远程神经病学咨询。
