Clinicians’ User Experience of Telemedicine in Neurosurgery During COVID-19

Ryu, Won Hyung A.; Kerolus, Mena G.; Traynelis, Vincent C.

doi:10.1016/j.wneu.2020.10.101

Cited by 24 publications

(37 citation statements)

References 23 publications

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“…The lack of access to health care facilities during lockdown and social distancing became a large obstacle. Furthermore, the delivery of different medical care services was disrupted [ 48 , 84 ] for patients with HIV [ 12 ], neurologic issues [ 18 , 55 ], obstructive sleep apnoea [ 102 ] and urological cancer [ 93 ]; vulnerable children who are obese [ 31 ]; and patients requiring chronic pain treatments [ 66 ], mental health care [ 15 , 16 ], and cancer care and treatment [ [19] , [20] , [21] , 27 ]. In addition, continuing the services via telehealth was challenging because of the requirement of precise schedule coordination [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…The integration of disease tracking measures, such as contact tracing and self-reporting applications, with telehealth monitoring was recommended to increase patient care while meeting social distancing requirements [ 59 ]. Furthermore, increasing the integration of Bluetooth technology could open the opportunity to link external tools with smartphone and telemedicine platforms to improve access to care remotely [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

“…Results showed that patients were generally highly satisfied with telehealth. Authors in [ 55 ] surveyed neurosurgeons and advanced practice providers to characterise their experience in utilizing telehealth services. They found that telemedicine was heavily utilised for new consultations and post-operative follow-up with patients, despite the limitation of performing neurological examination.…”

Section: Taxonomymentioning

confidence: 99%

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Telehealth utilization during the Covid-19 pandemic: A systematic review

Garfan¹,

Alamoodi²,

Zaidan

et al. 2021

Computers in Biology and Medicine

271

147

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During the coronavirus disease (COVID-19) pandemic, different technologies, including telehealth, are maximised to mitigate the risks and consequences of the disease. Telehealth has been widely utilised because of its usability and safety in providing healthcare services during the COVID-19 pandemic. However, a systematic literature review which provides extensive evidence on the impact of COVID-19 through telehealth and which covers multiple directions in a large-scale research remains lacking. This study aims to review telehealth literature comprehensively since the pandemic started. It also aims to map the research landscape into a coherent taxonomy and characterise this emerging field in terms of motivations, open challenges and recommendations. Articles related to telehealth during the COVID-19 pandemic were systematically searched in the WOS, IEEE, Science Direct, Springer and Scopus databases. The final set included (n=86) articles discussing telehealth applications with respect to (i) control (n=25), (ii) technology (n=14) and (iii) medical procedure (n=47). Since the beginning of the pandemic, telehealth has been presented in diverse cases. However, it still warrants further attention. Regardless of category, the articles focused on the challenges which hinder the maximisation of telehealth in such times and how to address them. With the rapid increase in the utilization of telehealth in different specialised hospitals and clinics, a potential framework which reflects the authors’ implications of the future application and opportunities of telehealth has been established. This article improves our understanding and reveals the full potential of telehealth during these difficult times and beyond.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Taxonomymentioning

confidence: 99%

See 1 more Smart Citation

Telehealth utilization during the Covid-19 pandemic: A systematic review

Garfan¹,

Alamoodi²,

Zaidan

et al. 2021

Computers in Biology and Medicine

271

147

View full text Add to dashboard Cite

show abstract

“…As the use of telemedicine has increased massively during the COVID-19 pandemic, so has the research on the use of telemedicine ( Tandon et al, 2021 ; Shafi et al, 2021 ; Swiatek et al, 2021 ; Ryu et al, 2021 ; Zengin et al, 2021 ; Lovecchio et al, 2020 ; Mohanty et al, 2020 ; Riew et al, 2021 ) . Table 5 gives an overview of eight published survey results on the use of telemedicine during the COVID-19 pandemic among neurological and spine surgeons.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine use by neurosurgeons due to the COVID-19 related lockdown

2021

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Introduction Due to COVID-19 related restriction, the use of telemedicine has increased tremendously. With this increase, an evaluation in the neurosurgical field seems appropriate. Research question To what extent has telemedicine made its way in neurosurgical practice during the COVID-19 pandemic? Material and Methods A 29-question survey was distributed among members of the congress of neurological surgeons regarding (Barsom et al., 2020) the respondents demographics, (Zu et al., 2020) the current level of COVID-19 restrictions, (Greven et al., 2020) the current use of telemedicine and (LoPresti et al., 2020) potential difficulties and consequences of telemedicine for patient care. Results The average number of weekly outpatient visits decreased with 31 visits to a mean of 15 visits per week, while the average number of surgeries performed decreased with 5 to a mean of 2 procedures per week. On average 60% of the normal consultations have been converted to telehealth consults. Telemedicine was expected to increase the ability to quickly meet patients for urgent appointments (70%) but was also expected to decrease the quality of the relationship (56%) between practitioners and patients. The biggest difficulties due to use of telemedicine were the inability to perform physical examination (42%) followed by the inability of patients to use technology (24%) and working with elderly patients (20%). Discussion and Conclusion Telemedicine, however, comes with concerns regarding the quality of the relationship between patients and practitioners and regarding accessibility among certain patient groups. With these concerns, areas of improvement and further research are indicated. Due to the COVID-19 pandemic, telemedicine has become an integral part of the neurosurgical healthcare.

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“…Four studies that used telephone and video modalities indicated that most patients felt communication was effective and su cient with teleconsultations [44,45,53,57]. Contrarily, clinicians expressed more negative experiences towards communication in ve of the studies that used both telephone and video modalities, especially regarding concerns about decreased personal connections and risk of misunderstanding [26,42,49,54,55]. Meeting logistical needs (convenience): A contributing factor A systematic review of telehealth services pre-COVID-19 concluded that convenience (travel-saving, time-saving, and cost-saving) is one of the most signi cant factors in uencing patients' satisfaction [71].…”

Section: Clinical Activities: Clinicians' Moral Distress and The Role Of Physical Examinationmentioning

confidence: 99%

Service Process Factors Affecting Patients’ and Clinicians’ Experiences on Rapid Teleconsultation Implementation in Out-patient Neurology Services during COVID-19 Pandemic: A Scoping Review

Meng

McAiney

Perlman

et al. 2021

Preprint

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BackgroundPrior to the COVID-19 outbreak, the adoption of teleconsultation for outpatient neurology services was limited. Since the COVID-19 pandemic, many outpatient neurology services have rapidly switched to teleconsultation worldwide. However, it remains unclear how this change has impacted patients' and clinicians' perceptions of service quality. The purpose of this scoping review is to identify process factors that influence patients' and clinicians' experiences of outpatient teleconsultation services during COVID-19.MethodsArksey and O’Malley scoping review framework was used to search PubMed, Scopus, CINAHL, and PsycInfo for original peer-reviewed research studies that examined the experiences of synchronous teleconsultation between a clinician and patient in a home-setting since the World Health organization announced the COVID-19 global pandemic. The service quality model SERVQUAL was used to conduct a deductive thematic analysis to identify the key factors that impacted the patients’ and clinicians’’ perception of teleconsultation services. Results A total of nineteen studies published between January 1, 2020, and April 17, 2021, were identified. The most common service process factors affecting the patients' and clinicians' experiences of teleconsultation were technical issues, addressing logistical needs, communication, ability to perform clinical activities, appropriate triage, and administrative support. Conclusions Our findings identified six key service process factors affecting the patients' and clinicians' teleconsultation experiences in outpatient neurology services. The need for a new triage system and standardizing administrative virtual care workflow are identified as important steps to improve patients and clinicians’ teleconsultation experiences compared to pre-COVID. More research is needed to assess outpatient neurology teleconsultation service quality from patients' and clinicians' perspectives.

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Clinicians’ User Experience of Telemedicine in Neurosurgery During COVID-19

Cited by 24 publications

References 23 publications

Telehealth utilization during the Covid-19 pandemic: A systematic review

Telehealth utilization during the Covid-19 pandemic: A systematic review

Telemedicine use by neurosurgeons due to the COVID-19 related lockdown

Service Process Factors Affecting Patients’ and Clinicians’ Experiences on Rapid Teleconsultation Implementation in Out-patient Neurology Services during COVID-19 Pandemic: A Scoping Review

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