Improving liaison neurology services

Fuller, Geraint

doi:10.1136/practneurol-2020-002655

Cited by 5 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Virtual diagnostic and management support is similar to, or higher than, previous studies of in-person Neurology consults, which lead to a change in diagnosis in 21-63% of evaluations, and management recommendations in 21-88% of consults. 12 In this population, nearly half of ordering providers were concerned about missed diagnosis without telemedicine, and a portion noted the potential for patient harm without the service. This is interesting in comparison to the perception of the consulting neurologists, half of whom felt phone advice would have been sufficient with very few concerned about missed diagnosis or harm without telemedicine.…”

Section: Discussionmentioning

confidence: 99%

Inpatient Telemedicine for Neurology Consultation at Satellite Hospitals: Patient and Provider Perspectives

Juneja

Strowd

et al. 2022

The Neurohospitalist

View full text Add to dashboard Cite

Background and Purpose: Describe an inpatient teleneurology consultation service novel to our hospital system, and capture feedback from patients, ordering providers, and consulting neurologists. Methods : A single cohort of teleneurology consult patients was surveyed via telephone. Ordering and consulting providers completed online surveys. Quantitative survey data was reported using descriptive statistics and free-response survey data was summarized. Patient demographics and consult data were gathered via retrospective chart review. Results : Telephone survey was obtained from 25 of 53 patients receiving teleneurology consults from June 1–September 30, 2020. Patient-reported benefits included better understanding of condition (72%) and ability to remain close to home. Online surveys were completed by 11 ordering providers and by consulting neurologists on 20 telemedicine encounters. Ordering providers reported they were likely to use the service again (98.7%), agreed it added value to patient care (91%) and was valued by patients (82%), with concern for missed diagnosis (46%) and potential patient transfer (36%) without the service. In contrast, fewer consulting neurologists predicted need for transfer (5%) or missed diagnosis (10%) in the absence of teleneurology, though 20% indicated that length of stay may increase without the service. Conclusion: We confirm feasibility of an inpatient teleneurology service run by an academic medical center. Satisfaction was high among all key stakeholders, with few transfers to a tertiary care center. This service is valuable to patients, ordering providers, and potentially the hospital network, as a community based care model of neurological care, centered on the needs of the patient and hospitalist.

show abstract

Section: Discussionmentioning

confidence: 99%

Inpatient Telemedicine for Neurology Consultation at Satellite Hospitals: Patient and Provider Perspectives

Juneja

Strowd

et al. 2022

The Neurohospitalist

View full text Add to dashboard Cite

show abstract

“…(i) Training in history taking and clinical examination (“the art of neurology”) are the core skills of GN (and neurology) and will remain crucial to future generations of students, physicians, and specialists [32]. (ii) Additional competencies should include emergency neurology (where there is a broad spectrum of ND [20]) and liaison neurology (caring for patients with unclear or complex disorders, and multimorbidity [33]). (iii) Further important areas for GNs include (primary and, currently, mainly secondary [34]) prevention and the care of patients with chronic ND.…”

Section: Methodsmentioning

confidence: 99%

“…(ii) Additional competencies should include emergency neurology (where there a broad spectrum of ND [20]) and liaison neurology (caring for patients with unclear or complex disorders, and multimorbidity [33]). (iii) Further important areas for GNs include (primary and, currently, mainly secondary [34]) prevention and the care of patients The following specific initiatives could be considered: (vi) The national, regional, and world societies of neurology should consider the development of joint activities and initiatives to promote GN.…”

Section: Recommendationsmentioning

confidence: 99%

General neurology: Current challenges and future implications

Bassetti,

Accorroni,

Arnesen

et al. 2024

Euro J of Neurology

View full text Add to dashboard Cite

Background and purposeIn the coming decades, the world will face an increasing burden of neurological disorders (ND) and an urgent need to promote brain health. These challenges contrast with an insufficient neurological workforce in most countries, as well as decreasing numbers of general neurologists and neurologists attracted to work in general neurology (GN). This white paper aims to review the current situation of GN and reflect on its future.MethodsThe European Academy of Neurology (EAN) task force (TF) met nine times between November 2021 and June 2023. During the 2023 EAN annual meeting, attendees were asked to answer five questions concerning the future of GN. The document was sent for suggestions and eventually approval to the board and the presidents of the 47 national societies of the EAN.ResultsThe TF first identified four relevant current and future challenges related to GN: (i) definition, (ii) practice, (iii) education, and (iv) research. The TF then identified seven initiatives to further develop GN at both the academic and community level. Finally, the TF formulated 16 recommendations to promote GN in the future.ConclusionsGN will remain essential in the coming decades to provide rapid, accessible, and comprehensive management of patients with ND that is affordable and cost‐effective. There is also a need for research, education, and other initiatives aiming to facilitate improved working conditions, recognition, and prestige for those pursuing a career in GN.

show abstract

“…24 A recent study reviewed rapid remote specialty consults by liaison neurology as a means of improving speed and reach of services. 25 The COVID-19 pandemic has driven the rapid evolution and uptake of telemedicine, and studies of effectiveness and impact should be a priority. 26…”

Section: Telecommunication Technologymentioning

confidence: 99%

Acute medical units during the first wave of the COVID-19 pandemic: a cross-national exploratory study of impact and responses

et al. 2021

View full text Add to dashboard Cite

BackgroundThe COVID-19 pandemic represents one of the greatest ever challenges for healthcare. In the UK and beyond, acute medical units (AMUs) are the first point of assessment and care for the majority of medical inpatients. By their design and systems, they inevitably played an important role in the COVID-19 response but to date little has been published on how the COVID-19 pandemic has affected how AMUs have reorganised their resources, processes and structure. Methods This retrospective study in August 2020 of 10 AMUs acrossEurope and Australasia used a standardised questionnaire to investigate existing practice and structure of AMUs, the national context of local hospital experience, changes to practice during the COVID-19 pandemic and views regarding future practice. ResultsChanges to AMU structure, process and organisation are described in two contexts: preventing and controlling the spread of COVID-19 and adding value to the patient's acute care journey in the local context. We describe novel practices that have arisen and highlight areas of concern. ConclusionsThe AMUs were able to adapt to meet the demands of acute care delivery during the first wave of the COVID-19 pandemic. Operational planning and prioritisation of resources must be optimised to ensure sustainability of these services for future waves.

show abstract

Improving liaison neurology services

Cited by 5 publications

References 16 publications

Inpatient Telemedicine for Neurology Consultation at Satellite Hospitals: Patient and Provider Perspectives

Inpatient Telemedicine for Neurology Consultation at Satellite Hospitals: Patient and Provider Perspectives

General neurology: Current challenges and future implications

Acute medical units during the first wave of the COVID-19 pandemic: a cross-national exploratory study of impact and responses

Contact Info

Product

Resources

About