Telemedicine in Parkinson's disease: A patient perspective at a tertiary care centre

Qiang, Judy; Marras, Connie

doi:10.1016/j.parkreldis.2015.02.018

Cited by 58 publications

(56 citation statements)

References 8 publications

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“…Individuals who are older and have more chronic conditions are less likely to use the internet, 46,47 and the digital divide has hampered efforts to use technology to deliver PD care at home. 48 The divide can be overcome by delivering in-person home care to individuals with PD, 49 providing remote care via satellite clinics close to one’s home as is done in Canada, 22,37 engaging children in the care of their parents, and increasing access to telecommunication technologies. The digital divide is narrowing and the increasing ubiquity of smartphones, which are projected to be in the hands of 90% of individuals over age 6 by 2020, 50 provides a promising avenue to increase access to care, especially in resource limited countries like China and India.…”

Section: Overcoming Barriersmentioning

confidence: 99%

“…The combination of in-person consultations in the home (eg, to develop personal relationships or to conduct detailed examinations) and remote consultations in the home (eg, to provide ongoing care) could meet the needs of patients. 37 Such a combination of in-person and virtual house calls can reveal information that is not easily observed in the clinic, where patients often perform very differently when compared with their usual behavior at home. These house calls can also provide valuable insights into a patient's domestic circumstances (eg, safety of physical environment, level of social support).…”

Section: Emerging Home-based Care Modelsmentioning

confidence: 99%

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Moving Parkinson care to the home

Vlaanderen²,

et al. 2016

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In many ways, the care of individuals with Parkinson disease does not meet their needs. Despite the documented benefits of receiving care from clinicians with Parkinson disease expertise, many patients (if not most) do not. Moreover, current care models frequently require older individuals with impaired mobility, cognition, and driving ability to be driven by overburdened caregivers to large, complex urban medical centers. Moving care to the patient's home would make Parkinson disease care more patient‐centered. Demographic factors, including aging populations, and social factors, such as the splintering of the extended family, will increase the need for home‐based care. Technological advances, especially the ability to assess and deliver care remotely, will enable the transition of care back to the home. However, despite its promise, this next generation of home‐based care will have to overcome barriers, including outdated insurance models and a technological divide. Once these barriers are addressed, home‐based care will increase access to high quality care for the growing number of individuals with Parkinson disease. © 2016 International Parkinson and Movement Disorder Society

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Section: Overcoming Barriersmentioning

confidence: 99%

Section: Emerging Home-based Care Modelsmentioning

confidence: 99%

Moving Parkinson care to the home

Vlaanderen²,

et al. 2016

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“…It may not be appropriate to make an initial diagnosis using remote evaluation, but it has been suggested that the use of telemedicine could be more cost effective and convenient than in-person follow-up visits for PD and other neurologic conditions. 5,[8][9][10][11][12][13] Other technologies that have proven useful for the management of PD include wearable monitors, accelerometers, and sensors, often adapted from a patient's smartphone and providing treatment teams with a clearer understanding of symptoms over time. Smart phone technologies hold great promise for the future management of PD, but current telemedicine for the management of PD is limited to the delivery of healthcare through synchronous, real-time video conferencing between patient and provider.…”

Section: Introductionmentioning

confidence: 99%

Current perspectives on the role of telemedicine in the management of Parkinson’s disease

Eisenberg¹,

Hou²,

Barbour³

2018

SHTT

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Parkinson's disease (PD) is a progressive neurological disorder that primarily affects older adults. The number of patients who receive specialty care continues to be limited, even though the benefits of seeing a movement disorder specialist for management of PD have been well established. Telemedicine has been suggested as a useful tool in addressing the problem of access to specialty care. As evidenced by the literature, it has been suggested that using telemedicine to treat PD is feasible and economically advantageous for both patients and providers. A high level of interest exists on both sides, and a high level of patient and provider satisfaction has been reported. The quality of care provided to patients with PD via telemedicine is comparable to inperson care based on objective measures. Additionally, telemedicine can increase access to care for certain patient populations. The current shortcomings of telemedicine that limit widespread use of the technology include technological barriers, limitations of the virtual exam, limited patient access to technology, weaknesses of current research, ongoing difficulties negotiating reimbursement for virtual visits, and licensing difficulties. We propose an ideal telemedicine system for PD set up as a remote clinic to ensure consistency across patient encounters. This clinic would have adequate support staff to conduct the physical exam, organize patient scheduling and discharge instructions, and coordinate ancillary services for patients including physical therapy, occupational therapy, psychological services, speech and language therapy, and social services. The future of telemedicine for the treatment of PD is promising, but broader research is needed to understand the challenges of patients living with PD. New portable technologies for monitoring symptoms and delivering treatment will continue to change the landscape, but it will still be some time before these technologies can be streamlined into virtual care without the need for in-person assessments and adjustments.

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“…PD patients' self-reporting revealed that the average costs related to the travel to the doctor could be reduced by $200, and commute time by 209 min [93]. This supports that telemedicine is a cost-and time-effective approach.…”

Section: Medical Aspects Of Smart Shoes For Digital Healthmentioning

confidence: 57%

An Overview of Smart Shoes in the Internet of Health Things: Gait and Mobility Assessment in Health Promotion and Disease Monitoring

et al. 2017

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New smart technologies and the internet of things increasingly play a key role in healthcare and wellness, contributing to the development of novel healthcare concepts. These technologies enable a comprehensive view of an individual's movement and mobility, potentially supporting healthy living as well as complementing medical diagnostics and the monitoring of therapeutic outcomes. This overview article specifically addresses smart shoes, which are becoming one such smart technology within the future internet of health things, since the ability to walk defines large aspects of quality of life in a wide range of health and disease conditions. Smart shoes offer the possibility to support prevention, diagnostic work-up, therapeutic decisions, and individual disease monitoring with a continuous assessment of gait and mobility. This overview article provides the technological as well as medical aspects of smart shoes within this rising area of digital health applications, and is designed especially for the novel reader in this specific field. It also stresses the need for closer interdisciplinary interactions between technological and medical experts to bridge the gap between research and practice. Smart shoes can be envisioned to serve as pervasive wearable computing systems that enable innovative solutions and services for the promotion of healthy living and the transformation of health care.

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Telemedicine in Parkinson's disease: A patient perspective at a tertiary care centre

Cited by 58 publications

References 8 publications

Moving Parkinson care to the home

Moving Parkinson care to the home

Current perspectives on the role of telemedicine in the management of Parkinson’s disease

An Overview of Smart Shoes in the Internet of Health Things: Gait and Mobility Assessment in Health Promotion and Disease Monitoring

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Telemedicine in Parkinson's disease: A patient perspective at a tertiary care centre

Cited by 58 publications

References 8 publications

Moving Parkinson care to the home

Moving Parkinson care to the home

Current perspectives on the role of telemedicine in the management of Parkinson&rsquo;s disease

An Overview of Smart Shoes in the Internet of Health Things: Gait and Mobility Assessment in Health Promotion and Disease Monitoring

Contact Info

Product

Resources

About

Current perspectives on the role of telemedicine in the management of Parkinson’s disease