Department of Epileptology, University of Bonn Medical Center, Germany.
Department of Epileptology, University of Bonn Medical Center, Germany.
Epilepsy Behav. 2020 Nov;112:107298. doi: 10.1016/j.yebeh.2020.107298. Epub 2020 Aug 12.
Driven by the challenges of alternative healthcare supply during the COVID-19 pandemic, acceptance and appreciation of telemedicine were assessed in a German tertiary epilepsy center.
Two hundred thirty-nine patients with epilepsy (53% female, 35% seizure-free, 97% on antiseizure medication) answered a structured audit on telemedical counseling as part of individual outpatients' care.
Overall 82% of the participants were satisfied with the telemedical appointment. The telemedical appointment was rated equal to onsite appointments in means of time (91%), comprehensibility (94%), and opportunity to get answers to current questions (92%). It was evaluated as good as onsite appointments regarding comprehension of the disease (88%) and impact on following the physician's advice (82%). The participants considered immediate convenience and shortfall of travel expenses as advantages of telemedicine, whereas lack of personal contact and diagnostics (electroencephalogram [EEG] recordings, blood analysis) were seen as disadvantages. About 73% of the participants would appreciate the opportunity of future telemedical counseling, but the majority (75%) wished to have further appointments onsite.
Overall, people with epilepsy appear to be satisfied with telemedical counseling. However, patients greatly appreciate the medical services onsite and consider telemedicine as an add-on service rather than a substitute to visits onsite.
在 COVID-19 大流行期间，替代医疗供应面临挑战，德国一家三级癫痫中心评估了人们对远程医疗的接受程度和认可程度。
239 名癫痫患者（53%为女性，35%无发作，97%服用抗癫痫药物）作为个体门诊护理的一部分，回答了关于远程医疗咨询的结构化审核。
总体而言，82%的参与者对远程医疗预约感到满意。远程医疗预约在时间（91%）、可理解性（94%）和获得当前问题答案的机会（92%）方面与现场预约相同。在疾病理解（88%）和对医生建议的遵循（82%）方面，它被评估为与现场预约一样好。参与者认为远程医疗的即时便利性和节省旅行费用是其优势，而缺乏个人接触和诊断（脑电图[EEG]记录、血液分析）则被视为劣势。约 73%的参与者希望有机会进行未来的远程医疗咨询，但大多数（75%）希望进行现场预约。
总体而言，癫痫患者似乎对远程医疗咨询感到满意。然而，患者非常重视现场的医疗服务，并将远程医疗视为附加服务，而不是现场就诊的替代服务。
