LoVE in a time of CoVID: Clinician and patient experience using telemedicine for chronic epilepsy management.
LoVE in a time of CoVID: Clinician and patient experience using telemedicine for chronic epilepsy management.
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DOI：
10.1016/j.yebeh.2020.107675
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发表时间：
2021-02
影响因子：
2.6
通讯作者：
Doherty, Colin P.
中科院分区：
文献类型：
--
作者：
Banks, Jack;Corrigan, Derek;Grogan, Roger;El-Naggar, Hany;White, Maire;Doran, Elisabeth;Synnott, Cara;Fitzsimons, Mary;Delanty, Norman;Doherty, Colin P.
作为我们对癫痫以患者和家庭为中心的护理的持续关注的一部分，在新冠肺炎大流行爆发之前，我们开始评估那些通过远程医疗提供和接受护理的人的关切和偏好。新冠肺炎的到来，在自然界中充当了一个意想不到的实验，催化了远程医疗在许多医学学科中的广泛实施。新冠肺炎在爱尔兰的到来让我们有机会记录CoVID之前和之后的这些认知。数据摘自国家癫痫电子病历(EEPR)。Power BI Analytics整理了都柏林两个癫痫中心的数据。对使用电话支持线路的原因进行了数据分析。通过一项混合方法调查，参加了这两个时期的虚拟会面的患者和临床医生的子集被问及他们对远程医疗护理的看法。在2019年12月23日至2020年3月23日(前CoVID时代)期间，总共有1180名患者在1653次临床会诊中就诊。作为远程医疗试点研究的一部分，其中50次会面是预定的虚拟电话预约。在此期间，临床医生完成了28项调查，患者完成了18项调查。从2020年3月24日至2020年6月24日，在1693次会诊中接待了1164名患者，其中729名患者(63%)在748次预定的虚拟会诊中就诊。通过在线调查收集了118名临床医生的印象，75名患者或护理人员在后CoVID时代完成了电话调查。没有因大流行而积压的预约或失去护理的连续性。临床医生表达了强烈的满意度，但一些人怀疑新患者是否适合这项服务，或者是否适合通过远程医疗接受手术的候选人。患者报告了围绕电话预约的积极体验，将其与面对面的会面进行了比较。共享EEPR的可用性表明癫痫患者没有失去护理联系。调查显示，远程医疗被视为提供长期门诊护理的一种有效和令人满意的方法。
As part of our ongoing interest in patient- and family-centered care in epilepsy, we began, before the onset of the CoVID-19 pandemic, to evaluate the concerns and preferences of those delivering and receiving care via telemedicine. CoVID-19 arrived and acted as an unexpected experiment in nature, catalyzing telemedicine’s widespread implementation across many disciplines of medicine. The arrival of CoVID-19 in Ireland gave us the opportunity to record these perceptions pre- and post-CoVID. Data were extracted from the National Epilepsy Electronic Patient Record (EEPR). Power BI Analytics collated data from two epilepsy centers in Dublin. Analysis of data on reasons for using the telephone support line was conducted. A subset of patients and clinicians who attended virtual encounters over both periods were asked for their perception of telemedicine care through a mixed methods survey. Between 23rd December 2019 and 23rd March 2020 (pre-CoVID era), a total of 1180 patients were seen in 1653 clinical encounters. As part of a telemedicine pilot study, 50 of these encounters were scheduled virtual telephone appointments. Twenty eight surveys were completed by clinicians and 18 by patients during that period. From 24th March 2020 to 24th June 2020, 1164 patients were seen in 1693 encounters of which 729 (63%) patients were seen in 748 scheduled virtual encounters. 118 clinician impressions were captured through an online survey and 75 patients or carers completed a telephone survey during the post-CoVID era. There was no backlog of appointments or loss of care continuity forced by the pandemic. Clinicians expressed strong levels of satisfaction, but some doubted the suitability of new patients to the service or candidates for surgery receiving care via telemedicine. Patients reported positive experiences surrounding telephone appointments comparing them favorably to face-to-face encounters. The availability of a shared EEPR demonstrated no loss of care contact for patients with epilepsy. The survey showed that telemedicine is seen as an effective and satisfactory method of delivering chronic outpatient care.
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