Neurology Department, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal.
Clinical Neuroscience and Mental Health Department, Faculty of Medicine, University of Porto, Porto, Portugal.
Eur J Neurol. 2021 Nov;28(11):3798-3804. doi: 10.1111/ene.14915. Epub 2021 Jun 9.
Literature regarding headache teleconsultation and patient satisfaction is scarce. The SARS-CoV-2 pandemic led to the restructuring of traditional clinical activity by adopting telemedicine. Our objectives were to evaluate patients' satisfaction with headache teleconsultation by telephone during the SARS-CoV-2 pandemic and assess patients' preferred model of appointment (face-to-face, teleconsultation by telephone, or both).
Patients with a previous diagnosis of primary headache or neuropathies and facial pain disorders, and at least one telephone headache visit during the first wave of COVID-19, filled out an online questionnaire regarding sociodemographic parameters, satisfaction with teleconsultation, and preferred model of appointment.
We included 83 patients (valid response rate of 64.3%); most had migraine (83.1%). Regarding teleconsultation, 81.9% considered this model adequate for follow-up, 88.0% were satisfied with the information provided about the disease/treatment, and 73.5% were satisfied with the medication modification. Ninety percent would agree with a new tele-evaluation if stable after the pandemic. The mixed model was the preferred medical consultation type for the postpandemic period (43.4%), followed by face-to-face visits (33.7%).
Patients were satisfied with the headache teleconsultation during the COVID-19 era. However, an exclusive model of telemedicine does not seem suitable for monitoring all patients. A mixed approach could be integrated into clinical practice after the pandemic to optimize health care.
头痛远程问诊和患者满意度方面的文献较为匮乏。SARS-CoV-2 大流行促使传统临床活动通过采用远程医疗进行了重组。我们的目的是评估 SARS-CoV-2 大流行期间通过电话进行头痛远程问诊的患者满意度，并评估患者对预约模式的偏好（面对面、电话远程问诊或两者兼有）。
患有原发性头痛或神经病变和面部疼痛障碍的既往诊断患者，且在 COVID-19 第一波期间至少有一次电话头痛就诊，填写了一份关于社会人口统计学参数、远程问诊满意度和预约模式偏好的在线问卷。
我们共纳入 83 例患者（有效应答率为 64.3%）；大多数患者患有偏头痛（83.1%）。关于远程问诊，81.9%的患者认为该模式适合随访，88.0%对疾病/治疗相关信息的提供感到满意，73.5%对药物调整感到满意。如果大流行后病情稳定，90%的患者会同意进行新的远程评估。混合模式是大流行后患者首选的医疗咨询类型（43.4%），其次是面对面就诊（33.7%）。
患者对 COVID-19 期间的头痛远程问诊感到满意。然而，远程医疗的单一模式似乎并不适合监测所有患者。在大流行后，混合方法可以整合到临床实践中，以优化医疗保健。
