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Telemed J E Health. 2018 Sep;24(9):722-724. doi: 10.1089/tmj.2017.0210. Epub 2018 Jan 3.

Telemedicine for Parkinson's Disease: Limited Engagement Between Local Clinicians and Remote Specialists.

Author information

1
1 Center for Health + Technology, University of Rochester Medical Center , Rochester, New York.
2
2 Department of Biostatistics and Computational Biology, University of Rochester , Rochester, New York.
3
3 Parkinson's Foundation , Miami, Florida.
4
4 Department of Neurology, University of Rochester Medical Center , Rochester, New York.
5
5 Eli Lilly and Company , Indianapolis, Indiana.
6
6 Simone Consulting , Sunnyvale, California.
7
7 Departments of Neurology and of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine , Philadelphia, Pennsylvania.
8
8 Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland.

Abstract

INTRODUCTION:

The integration of remote specialists into local care teams has not been widely evaluated.

METHODS:

Therefore, we surveyed clinicians whose patients with Parkinson's disease had participated in a national randomized controlled trial of video visits to determine (1) whether clinicians received recommendations from remote specialists; (2) whether those recommendations were implemented; (3) what barriers to specialty care local clinicians perceived; and (4) whether they would recommend video visits.

RESULTS:

Of 183 clinicians surveyed, 89 (49%) responded. Less than half received the recommendations of remote specialists, but they implemented most of the recommendations they received and found them to be beneficial.

CONCLUSION:

The greatest perceived barrier among respondents was distance from patient to specialist, and 40% of local clinicians would recommend video visits. As telemedicine grows, improved communication between remote specialists and local clinicians is likely needed.

KEYWORDS:

Parkinson disease; telecommunications; telehealth; telemedicine; teleneurology

PMID:
29297769
DOI:
10.1089/tmj.2017.0210

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