Department of Neurology, Headache Center North-East, University Medical Center Rostock, Rostock, Germany.
Department of Institute for Social Medicine and Epidemiology, University Medical Center Lübeck, University of Lübeck, Lübeck, Germany.
BMC Neurol. 2021 Jul 24;21(1):291. doi: 10.1186/s12883-021-02329-y.
The use of new concepts in patient care, such as video-consultations, reminder systems, and online evaluation portals, is becoming increasingly important in the physician-patient relationship and outpatient care. This study examines the acceptance of these approaches in a neurological setting and determines the patients' preferences.
We analyzed 16 guideline-based qualitative interviews with neurological patients using qualitative content analysis (inductive category formation).
The patients commented on the benefits and challenges of integrating new concepts of medical care. They identified advantages of telemedical care, including time savings (7 of 16; 43,8%) for both the patient and the physician, the prospect of more intensive (4 of 16; 25%) care, and the possibility for a quick response in case of urgent needs (3 of 16; 18.8%). Several challenges were reported, such as the limitations for patients with psychiatric (2 of 16; 12.5%) or complex diseases (4 of 16; 25%) and limited options for diagnostic procedures (such as physical examination (4 of 16; 25%)). For individual neurological patients' needs, telemedical and telecommunication structures could be discussed, which support the patients' specific requirements, such as answering questions while having a recall (2 of 16; 12.5%) and avoiding the journey (8 of 16; 50%). Also, patients are rejecting evaluation portals and are skeptical of telecare in the treatment of neurological diseases.
The perception of telemedical care and the successful integration of new medical care concepts depend on fulfilling the individual patient's needs. Regardless of the preferred nature of physician-patient interactions, there are specific instruments that can intensify the relationship. These individual needs of the patients must be inquired about and accommodated for.
For the first time, we could characterize the properties of optimal telemedical care for neurological patients. Interviews like the ones we conducted should be repeated during and after the pandemic, referring to our results and compare.
在医患关系和门诊护理中，新的概念，如视频咨询、提醒系统和在线评估门户，在患者护理中的应用变得越来越重要。本研究考察了这些方法在神经科环境中的接受程度，并确定了患者的偏好。
我们对 16 名基于指南的神经科患者进行了定性访谈，使用定性内容分析（归纳类别形成）进行分析。
患者对整合新的医疗保健概念的益处和挑战发表了评论。他们确定了远程医疗的优势，包括对患者和医生双方都节省时间（16 例中有 7 例；43.8%），有望进行更密集的（16 例中有 4 例；25%）护理，以及在紧急情况下快速响应的可能性（16 例中有 3 例；18.8%）。报告了一些挑战，例如精神病（16 例中有 2 例；12.5%）或复杂疾病（16 例中有 4 例；25%）患者的限制，以及诊断程序的选择有限（如体检（16 例中有 4 例；25%））。根据个别神经科患者的需求，可以讨论远程医疗和远程通信结构，这些结构可以支持患者的特定需求，例如在回忆时回答问题（16 例中有 2 例；12.5%）和避免旅行（16 例中有 8 例；50%）。此外，患者拒绝评估门户，并对远程医疗在治疗神经疾病方面持怀疑态度。
远程医疗的感知和新医疗保健概念的成功整合取决于满足患者的个体需求。无论患者与医生互动的首选性质如何，都有特定的工具可以加强这种关系。这些必须询问和满足患者的个体需求。
我们首次对神经科患者最佳远程医疗的特性进行了描述。像我们进行的这种访谈应该在大流行期间和之后重复进行，参考我们的结果并进行比较。
