Virtual epilepsy clinics – A Canadian Comprehensive Epilepsy Center experience pre-COVID and during the COVID-19 pandemic period

Aleboyeh, Sallya; Appireddy, Ramana; Winston, Gavin P.; Lomax, Lysa Boissé; Shukla, Garima

doi:10.1016/j.eplepsyres.2021.106689

Cited by 10 publications

(7 citation statements)

References 35 publications

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“… 9 , 11 , 17 , 18 The specialist virtual care model included provision of care for the Stroke prevention clinic, Epilepsy, Multidisciplinary Amyotropic Lateral Sclerosis Clinic and Medical Obstetrics Clinic. 9 , 11 , 17 , 18 Both the KHSC and PCH are academic teaching hospitals affiliated with Queen's University.…”

Section: Introductionmentioning

confidence: 99%

“…15,16 Since 2019, Kingston Health Sciences Centre (KHSC) and Providence Care Hospital (PCH), the regional hospitals in Southeastern Ontario have adopted virtual care for routine ambulatory specialist care and have pioneered a specialist virtual care model delivered through Ontario Telemedicine Network. 9,11,17,18 The specialist virtual care model included provision of care for the Stroke prevention clinic, Epilepsy, Multidisciplinary Amyotropic Lateral Sclerosis Clinic and Medical Obstetrics Clinic. 9,11,17,18 Both the KHSC and PCH are academic teaching hospitals affiliated with Queen's University.…”

Section: Introductionmentioning

confidence: 99%

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Virtual Care Access and Health Equity during the COVID-19 Pandemic, a qualitative study of patients with chronic diseases from Canada

et al. 2022

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Objectives The COVID-19 pandemic has led to the widespread uptake of virtual care in Canada; however, virtual care may also create new barriers to health care. The purpose of this paper was to explore patient perceptions and concerns around virtual care access. Methods Between February and April 2020, we conducted semi-structured interviews with participants from four chronic disease clinics (stroke, epilepsy, amyotrophic lateral sclerosis, obstetrics medicine) in a mid-sized academic hospital in Southern Ontario, Canada. Consecutive sampling was done by including the patients receiving virtual care in those months. Caregivers were invited to participate in the event that patients were unable to participate in the interview. Thematic analysis was employed to identify overarching themes, and codes were reviewed and refined using a consensus process. Results We interviewed 31 participants (27 patients, four caregivers) that had taken part in virtual care. Our findings suggested that the COVID-19 pandemic served to isolate participants and had negatively impacted their access to health care. However, virtual care did provide a safe avenue for patients to receive care and served as a reassuring option during the pandemic. Low technological literacy and access were identified as barriers to virtual care. Greater awareness and patient engagement is needed in future research to improve access. Conclusion Certain populations can be disproportionately affected by differential access to virtual care. Future studies should examine how social determinants intersect to impact virtual health care access in different patient populations.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Virtual Care Access and Health Equity during the COVID-19 Pandemic, a qualitative study of patients with chronic diseases from Canada

et al. 2022

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“…However, there are accumulating data on telehealth for neurologic conditions with promising findings with regard to feasibility, outreach, and patient satisfaction. [21][22][23][24][25][26] Such models should be explored in future iterations.…”

Section: Discussionmentioning

confidence: 99%

Neurology Access Clinic

et al. 2022

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Background:Delays in access to neurologic care is a major problem. In this pilot program, we aimed to evaluate the effectiveness of a novel staffing model for neurology outpatient clinic within an academic neurology center to increase access to neurological care, while incorporating such a model into a growing academic neurology department.Methods:We created a new model for provision of access to neurological care that could be introduced in an academic neurological department, the “access clinic”. One attending was assigned to staff the access clinic for one week at a time. This was introduced as rotation equal to conventional on-service inpatient rotations. Descriptive analyses were performed to characterize the access clinic’s performance characteristics. Comparisons were made to the previously established traditional faculty clinic model.Results:5,917 access clinic visits were compared to 6,000 traditional clinic visits. Lead time dropped from 142 to 18 days for new patients, and from 64 to 0 days for return visits. While total readmission rates were similar during both clinic periods, readmission through the emergency room was less for access clinic patients. Access clinic resulted in significant improvement in patient satisfaction ratings. The access clinic model was financially profitable.Conclusions:Our findings suggest that introducing an access clinic as service rotation for neurology faculty is both effective in offering enhanced access for patients to neurological care and for patient satisfaction. Future studies may test this model in other centers, and should address effect on provider satisfaction.

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“…48 캐나다에서는 비디오를 이용한 가상 진 료(virtual care)가 뇌전증 환자의 외래 진료에 있어서 유용함을 보고하였다. 49 만성 뇌전증 환자의 진료에서는 신체 검진이 필수 적이지 않기 때문에 원격 진료에 좀더 용이할 수 있다. 50…”

Section: Covid-19 신경친화성의 병태생리 (Pathophysiology)unclassified

Epilepsy and COVID-19: Recent Findings and Considerations

Kim¹

2022

Epilia: Epilepsy Commun

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As the coronavirus disease 2019 (COVID-19) outbreak enters its third year, it continues to impact social life and medical practice. Although respiratory symptoms are the most important clinical manifestations of COVID-19, COVID-19 can also cause various neurologic manifestations and disorders through neurotropism and collateral injuries. The effects of COVID-19 on seizures and epilepsy have been studied. The COVID-19 pandemic has led to changes in epilepsy care. In addition, concerns regarding the effectiveness and safety of the COVID-19 vaccine in patients with epilepsy are increasing. Epileptologists need to keep up with daily updates in the evidence regarding interactions between COVID-19 and epilepsy.

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Virtual epilepsy clinics – A Canadian Comprehensive Epilepsy Center experience pre-COVID and during the COVID-19 pandemic period

Cited by 10 publications

References 35 publications

Virtual Care Access and Health Equity during the COVID-19 Pandemic, a qualitative study of patients with chronic diseases from Canada

Virtual Care Access and Health Equity during the COVID-19 Pandemic, a qualitative study of patients with chronic diseases from Canada

Neurology Access Clinic

Epilepsy and COVID-19: Recent Findings and Considerations

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