Martina Chirra1,2, Luca Marsili3, Linsdey Wattley4, Leonard L Sokol3,4, Elizabeth Keeling3, Simona Maule5, Gabriele Sobrero5, Carlo Alberto Artusi6, Alberto Romagnolo6, Maurizio Zibetti6, Leonardo Lopiano6, Alberto J Espay3, Ahmed Z Obeidat7, Aristide Merola3. 1. 1 Division of Hematology-Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio. 2. 2 Department of Oncology, Medical Oncology Unit, University of Siena, Siena, Italy. 3. 3 Department of Neurology and Rehabilitation Medicine, Gardner Family Center for Parkinson's Disease and Movement Disorders, University of Cincinnati, Cincinnati, Ohio. 4. 4 College of Medicine, University of Cincinnati, Cincinnati, Ohio. 5. 5 Autonomic Unit, Department of Medical Sciences, Città della Salute e della Scienza Hospital, Torino, Italy. 6. 6 Department of Neuroscience Rita Levi Montalcini, University of Turin, Torin, Italy. 7. 7 Department of Neurology and Rehabilitation Medicine, The Waddell Center for Multiple Sclerosis, University of Cincinnati, Cincinnati, Ohio.
Abstract
Introduction: Telemedicine represents an emerging model for the assessment and management of various neurological disorders. Methods: We sought to discuss opportunities and challenges for the integration of telemedicine in the management of common and uncommon neurological disorders by reviewing and appraising studies that evaluate telemedicine as a means to facilitate the access to care, deliver highly specialized visits, diagnostic consultations, rehabilitation, and remote monitoring of neurological disorders. Results: Opportunities for telemedicine in neurological disorders include the replacement of or complement to in-office evaluations, decreased time between follow-up visits, reduction in disparities in access to healthcare, and promotion of education and training through interactions between primary care physicians and tertiary referral centers. Critical challenges include the integration of the systems for data monitoring with an easy-to-use, secure, and cost-effective platform that is both widely adopted by patients and healthcare systems and embraced by international scientific societies. Conclusions: Multiple applications may spawn from a model based on digitalized healthcare services. Integrated efforts from multiple stakeholders will be required to develop an interoperable software platform capable of providing not only a holistic approach to care but also one that reduces disparities in the access to care.
Introduction: Telemedicine represents an emerging model for the assessment and management of various neurological disorders. Methods: We sought to discuss opportunities and challenges for the integration of telemedicine in the management of common and uncommon neurological disorders by reviewing and appraising studies that evaluate telemedicine as a means to facilitate the access to care, deliver highly specialized visits, diagnostic consultations, rehabilitation, and remote monitoring of neurological disorders. Results: Opportunities for telemedicine in neurological disorders include the replacement of or complement to in-office evaluations, decreased time between follow-up visits, reduction in disparities in access to healthcare, and promotion of education and training through interactions between primary care physicians and tertiary referral centers. Critical challenges include the integration of the systems for data monitoring with an easy-to-use, secure, and cost-effective platform that is both widely adopted by patients and healthcare systems and embraced by international scientific societies. Conclusions: Multiple applications may spawn from a model based on digitalized healthcare services. Integrated efforts from multiple stakeholders will be required to develop an interoperable software platform capable of providing not only a holistic approach to care but also one that reduces disparities in the access to care.
Authors: Florien W Boele; Cornelia F van Uden-Kraan; Karen Hilverda; Jason Weimer; Heidi S Donovan; Jan Drappatz; Frank S Lieberman; Irma Verdonck-de Leeuw; Paula R Sherwood Journal: J Neurooncol Date: 2017-05-26 Impact factor: 4.130
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Authors: Patrick Altmann; Fritz Leutmezer; Markus Ponleitner; Dominik Ivkic; Nik Krajnc; Paulus Stefan Rommer; Thomas Berger; Gabriel Bsteh Journal: Digit Health Date: 2022-07-11
Authors: Marta Matamala-Gomez; Sara Bottiroli; Olivia Realdon; Giuseppe Riva; Lucia Galvagni; Thomas Platz; Giorgio Sandrini; Roberto De Icco; Cristina Tassorelli Journal: Front Neurol Date: 2021-03-25 Impact factor: 4.003
Authors: Alfonso Fasano; Angelo Antonini; Regina Katzenschlager; Paul Krack; Per Odin; Andrew H Evans; Thomas Foltynie; Jens Volkmann; Marcelo Merello Journal: Mov Disord Clin Pract Date: 2020-05-04