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头痛医学中的远程医疗:一项叙事性综述。

Telemedicine in Headache Medicine: A Narrative Review.

机构信息

Department of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 350 W. Thomas Rd., Phoenix, AZ, 85013, USA.

出版信息

Curr Pain Headache Rep. 2023 Sep;27(9):371-377. doi: 10.1007/s11916-023-01141-2. Epub 2023 Jul 29.

DOI:10.1007/s11916-023-01141-2
PMID:37515743
Abstract

PURPOSE OF REVIEW

The purpose of the study is to review and discuss the use of telemedicine in headache medicine.

RECENT FINDINGS

Before the COVID-19 pandemic, the use of telemedicine for headache was most common in Europe. In recent years, however, telemedicine has been used broadly within headache medicine, including for pediatric patients and behavioral interventions. Several randomized clinical trials have shown that telemedicine is non-inferior to face-to-face visits. Multiple studies have reported substantial benefits associated with telemedicine, including high satisfaction rates, improved access to headache specialists, reduced travel, quicker visits, greater cost-effectiveness, reduced wait times, reduced no-show rates, and the increased comfort of remaining in one's home environment. The main limitation reported is the lack of a physical examination, including fundus assessment. Telemedicine has become a vital tool in headache patient care, with the data supporting its use for patient follow-up in particular.

摘要

目的综述

本研究旨在回顾和讨论头痛医学中远程医疗的应用。

最近的发现

在 COVID-19 大流行之前,头痛的远程医疗在欧洲最为常见。然而,近年来,远程医疗已广泛应用于头痛医学领域,包括儿科患者和行为干预。几项随机临床试验表明,远程医疗与面对面就诊无差异。多项研究报告了与远程医疗相关的实质性益处,包括高满意度、更容易获得头痛专家、减少旅行、更快就诊、更高的成本效益、减少等待时间、减少爽约率,以及在家中环境中增加舒适度。报告的主要限制是缺乏体检,包括眼底评估。远程医疗已成为头痛患者护理的重要工具,尤其有数据支持其用于患者随访。

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本文引用的文献

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Wait times and patient throughput after the implementation of a novel model of virtual care in an outpatient neurology clinic: A retrospective analysis.在神经内科门诊实施新型虚拟护理模式后,患者的等待时间和就诊人次:一项回顾性分析。
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The First Case Series From Japan of Primary Headache Patients Treated by Completely Online Telemedicine.日本首例通过完全在线远程医疗治疗原发性头痛患者的病例系列
Cureus. 2022 Nov 3;14(11):e31068. doi: 10.7759/cureus.31068. eCollection 2022 Nov.
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Telemedicine Rollbacks-Why Providing Care Across State Lines Is No Longer as Simple as It Was Early in the Pandemic.
远程医疗的倒退——为何跨州提供医疗服务不再像疫情早期那样简单。
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Behavioral Health, Telemedicine, and Opportunities for Improving Access.行为健康、远程医疗和改善获取机会。
Curr Pain Headache Rep. 2022 Dec;26(12):919-926. doi: 10.1007/s11916-022-01096-w. Epub 2022 Nov 23.
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Teleconsultations in neurology in a universal health system amid COVID-19: a descriptive study.COVID-19 大流行期间全民健康体系中的神经科远程会诊:一项描述性研究。
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Store-and-forward teleneurology results in a large Brazilian city.巴西一大型城市的远程神经学存储转发结果。
Arq Neuropsiquiatr. 2022 Aug;80(8):802-805. doi: 10.1055/s-0042-1755204. Epub 2022 Oct 17.
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Telemedicine in headache care: A systematic review.头痛护理中的远程医疗:系统评价。
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Calcitonin gene-related peptide in migraine: from pathophysiology to treatment.降钙素基因相关肽与偏头痛:从病理生理学到治疗。
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Headache. 2022 May;62(5):613-623. doi: 10.1111/head.14310. Epub 2022 May 11.