A Collaborative Tele-Neurology Outpatient Consulation Service in Karnataka: Seven Years of Experience From a Tele-Medicine Center

Gowda, Guru S; Manjunatha, Narayana; Kulkarni, Karishma; Bagewadi, Virupakshappa Irappa; Shyam, Reena; Basavaraju, Vinay; Ramesh, Manjunatha B; Nagabhushana, Shashidhara Harihara; Kumar, Channaveerachari Naveen; Kulkarni, Girish Baburao; Math, Suresh Bada

doi:10.4103/0028-3886.280644

Cited by 10 publications

(5 citation statements)

References 28 publications

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“…They are popularly known as tele-neurorehabilitation (TNR) services ( 11 ). TNR is gaining considerable momentum globally in recent times ( 12 ). Though TNR services are well-organized and guided by good quality evidence in high-income countries (HICs), these services are yet to be systematically developed and tested for feasibility, acceptability, and effectiveness in LMICs ( 11 , 13 ).…”

Section: Introductionmentioning

confidence: 99%

Tele-Neurorehabilitation During the COVID-19 Pandemic: Implications for Practice in Low- and Middle-Income Countries

et al. 2021

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The importance of neurorehabilitation services for people with disabilities is getting well-recognized in low- and middle-income countries (LMICs) recently. However, accessibility to the same has remained the most significant challenge, in these contexts. This is especially because of the non-availability of trained specialists and the availability of neurorehabilitation centers only in urban cities owned predominantly by private healthcare organizations. In the current COVID-19 pandemic, the members of the Task Force for research at the Indian Federation of Neurorehabilitation (IFNR) reviewed the context for tele-neurorehabilitation (TNR) and have provided the contemporary implications for practicing TNR during COVID-19 for people with neurological disabilities (PWNDs) in LMICs. Neurorehabilitation is a science that is driven by rigorous research-based evidence. The current pandemic implies the need for systematically developed TNR interventions that is evaluated for its feasibility and acceptability and that is informed by available evidence from LMICs. Given the lack of organized systems in place for the provision of neurorehabilitation services in general, there needs to be sufficient budgetary allocations and a sector-wide approach to developing policies and systems for the provision of TNR services for PWNDs. The pandemic situation provides an opportunity to optimize the technological innovations in health and scale up these innovations to meet the growing burden of neurological disability in LMICs. Thus, this immense opportunity must be tapped to build capacity for safe and effective TNR services provision for PWNDs in these settings.

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Section: Introductionmentioning

confidence: 99%

Tele-Neurorehabilitation During the COVID-19 Pandemic: Implications for Practice in Low- and Middle-Income Countries

et al. 2021

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“…From a neurologist perspective, however, a complete assessment and evaluation are nearly always possible through the virtual patient interaction and the virtual neurological examination (21). In the least, it provides a triaging opportunity with a specialist who would otherwise be inaccessible in a face-to-face format of interaction in the 'old norm' (22).…”

Section: Discussionmentioning

confidence: 99%

Neurology and Telemedicine: The Way Forward

Ray

Surya

2021

TMT

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Objective: During the coronavirus-2019 (COVID-19) times, we have all learned to appreciate the advantages of communicating with each other on the digital or virtual format. This included both social, commercial and professional settings. This was necessitated through the restrictions on direct physical contact mandated by the pandemic. Through innovations and adaptations, the practice of medicine has also changed with telemedicine, triggered by ‘necessity is the mother of invention’ concept being embraced by both patients and physicians. Neurology, traditionally seen as a complex speciality and the preserve of a couple of thousand practising neurologists in the country, has opened itself up to the telemedicine or tele-neurology format very easily in the anecdotal and a few pilot studies conducted globally and in India. Design: Despite the initial misgivings and anticipation of patient reluctance to adopt this technology, the real-world experience has been, to the contrary, where both young and old patients have readily embraced the new medium and cooperated with the neurologists to improve their care, which would otherwise have been severely restricted in the COVID-19 times. The neurologists have also adapted to the new way of working to deliver optimum diagnosis and care plans. Outcome measures: There have been technical glitches (in form of internet connectivity, smartphone hardware and software problems and lighting and camera angle and image stabilization issues to name a few), which have been reduced with practice and innovation. Feedback from neurologists, patients, and their carers via regular audits and questionnaires are being circulated, and practice parameters are being improved (IFNR survey- Ref 5). The contribution of national regulatory agencies, such as the Ministry of Health and Family Welfare (MoHFW), and stakeholders, such as the Telemedicine Society of India (TSI), has been phenomenal to facilitate the tele-neurology practice and make it safe for all stakeholders. Results: In a country of 1.37 billion population and only 2,500 accredited neurologists, there is a need for tele-neurology to be able to serve patients living in remote areas in mountains and coastal areas, and also in poorly connected areas on the plains. This becomes paramount for patients requiring specialised acute neurological care and to improve access, which now becomes a practical feasibility on the digital format to bring neurology to the doorsteps of the people. Follow-up care of patients, epidemiological studies of various neurological chronic illnesses and their audit will become realities cutting down on costs and time to access quality neurological care using the digital format for 21st-century India. Conclusions: Tele-neurology is no longer a vision, but a reality precipitated by the pandemic, the needs and aspirations of the Indian population, and the technological infrastructure India has achieved in the last 20 years.

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“…Many studies have long indicated that Telemedicine has considerably impacted on health care services quality, particularly in rural areas where medical services tend to be inaccessible (28,29). The major key to successful adoption of the telemedicine is to understand its barriers.…”

Section: Access and Barriersmentioning

confidence: 99%

Using Telemedicine in Saudi Arabia's Healthcare System During COVID-19 Pandemic

2023

jjoas-n

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The World Health Organization declared the coronavirus disease 2019 (COVID-19) outbreak to be a pandemic On March 11, 2020, citing more than 720,000 cases that had been reported in more than 203 countries by March 31, 2020. The response plan included early diagnosis, patient isolation, symptomatic monitoring of contacts, suspected and confirmed cases, and public health quarantine. The Ministry of Health (MOH) in Saudi Arabia is under pressure to create and enhance healthcare services to meet the requirements and expectations of the country's population, especially those who live in rural areas, as a result of the severe problems facing the country's healthcare system. To limit the risk of transmission, telemedicine, particularly video consultations, has been pushed and ramped up. Telemedicine can enhance healthcare delivery in the absence of in-person visits under the present pandemic scenario. In the present study, we assess the use of telemedicine during the COVID-19 pandemic in Saudi Arabia's Healthcare System.

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A Collaborative Tele-Neurology Outpatient Consulation Service in Karnataka: Seven Years of Experience From a Tele-Medicine Center

Cited by 10 publications

References 28 publications

Tele-Neurorehabilitation During the COVID-19 Pandemic: Implications for Practice in Low- and Middle-Income Countries

Tele-Neurorehabilitation During the COVID-19 Pandemic: Implications for Practice in Low- and Middle-Income Countries

Neurology and Telemedicine: The Way Forward

Using Telemedicine in Saudi Arabia's Healthcare System During COVID-19 Pandemic

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