Spina Stefania, Facciorusso Salvatore, Cinone Nicoletta, Santoro Luigi, Castagna Anna, Ramella Marina, Molteni Franco, Santamato Andrea
Spasticity and Movement Disorders "ReSTaRt", Physical Medicine and Rehabilitation Section, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy.
IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.
Toxins (Basel). 2024 Dec 7;16(12):529. doi: 10.3390/toxins16120529.
(1) Background: Telemedicine is a vital tool for enhancing healthcare accessibility and outcomes at reduced costs. This study aimed to assess the usability of the Maia Connected Care telemedicine platform for managing spasticity in patients receiving botulinum toxin type-A, focusing on the perspectives of Italian physiatrists with expertise in this treatment. (2) Methods: Conducted from March 2023 to June 2023, this multicenter survey involved 15 Italian physicians who used the platform for teleconsultations. Data collected included demographic details, responses to the Telemedicine Usability Questionnaire, and physician insights on patient satisfaction, treatment effectiveness, and implementation challenges in telehealth. (3) Results: The platform demonstrated high usability, with strong physician satisfaction due to its user-friendly interface and quality of interactions. A majority expressed willingness to continue telehealth for spasticity management, noting its effectiveness in improving patient satisfaction and outcomes. Challenges included replicating the depth of in-person consultations and addressing issues like reimbursement and telehealth standardization. (4) Conclusions: This study highlights telemedicine's potential for spasticity management and clinician satisfaction, while underscoring the need for improvements in simulating in-person experiences and addressing systemic issues. The absence of patient perspectives represents a limitation, advocating for future research to optimize telemedicine practices and evaluate long-term clinical impacts.
(1)背景:远程医疗是一种重要工具,可在降低成本的同时提高医疗服务的可及性并改善治疗效果。本研究旨在评估Maia Connected Care远程医疗平台在管理接受A型肉毒毒素治疗的患者痉挛方面的可用性,重点关注在该治疗领域具有专业知识的意大利物理治疗师的观点。(2)方法:这项多中心调查于2023年3月至2023年6月进行,涉及15名使用该平台进行远程会诊的意大利医生。收集的数据包括人口统计学细节、对远程医疗可用性问卷的回答,以及医生对患者满意度、治疗效果和远程医疗实施挑战的见解。(3)结果:该平台显示出高可用性,因其用户友好的界面和互动质量而获得医生的高度满意度。大多数人表示愿意继续通过远程医疗管理痉挛,指出其在提高患者满意度和治疗效果方面的有效性。挑战包括难以复制面对面会诊的深度,以及解决报销和远程医疗标准化等问题。(4)结论:本研究突出了远程医疗在痉挛管理和临床医生满意度方面的潜力,同时强调需要改进以模拟面对面体验并解决系统性问题。缺乏患者观点是一个局限性,提倡未来进行研究以优化远程医疗实践并评估长期临床影响。