Telemedicine in Neurological Disorders: Opportunities and Challenges

被引：87

作者：

Chirra, Martina ^{[1
,2
]}

Marsili, Luca ^{[3
,4
]}

Wattley, Linsdey ^{[4
]}

Sokol, Leonard L. ^{[3
]}

Keeling, Elizabeth ^{[3
]}

Maule, Simona ^{[5
]}

Sobrero, Gabriele ^{[5
]}

Artusi, Carlo Alberto ^{[6
]}

Romagnolo, Alberto ^{[6
]}

Zibetti, Maurizio ^{[6
]}

Lopiano, Leonardo ^{[6
]}

Espay, Alberto J. ^{[3
]}

Obeidat, Ahmed Z. ^{[7
]}

Merola, Aristide ^{[3
]}

机构：

[1] Univ Cincinnati, Dept Internal Med, Div Hematol Oncol, Cincinnati, OH USA

[2] Univ Siena, Dept Oncol, Med Oncol Unit, Siena, Italy

[3] Univ Cincinnati, Gardner Family Ctr Parkinsons Dis & Movement Diso, Dept Neurol & Rehabil Med, Cincinnati, OH 45219 USA

[4] Univ Cincinnati, Coll Med, Cincinnati, OH USA

[5] Citta Salute & Sci Hosp, Dept Med Sci, Auton Unit, Turin, Italy

[6] Univ Turin, Dept Neurosci Rita Levi Montalcini, Turin, Italy

[7] Univ Cincinnati, Waddell Ctr Multiple Sclerosis, Dept Neurol & Rehabil Med, Cincinnati, OH USA

来源：

TELEMEDICINE AND E-HEALTH | 2019年 / 25卷 / 07期

基金：

美国国家卫生研究院;

关键词：

telemedicine; technology; telegenetics; telepathology; telerehabilitation; RANDOMIZED CONTROLLED-TRIAL; DEEP BRAIN-STIMULATION; HOME BLOOD-PRESSURE; MULTIPLE-SCLEROSIS; PARKINSONS-DISEASE; EMPIRICAL FOUNDATIONS; MANAGEMENT PROGRAM; DIABETES-MELLITUS; IMPROVING FATIGUE; TELEHEALTH SYSTEM;

D O I：

10.1089/tmj.2018.0101

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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.

引用

页码：541 / 550

页数：10

共 106 条

[81] Using Mobile Health (mHealth) Technology in the Management of Diabetes Mellitus, Physical Inactivity, and Smoking [J].