Global Survey on Telemedicine Utilization for Movement Disorders During theCOVID-19 Pandemic
Global Survey on Telemedicine Utilization for Movement Disorders During theCOVID-19 Pandemic
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DOI：
10.1002/mds.28284
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发表时间：
2020-10-01
影响因子：
8.6
通讯作者：
Cubo, Esther
中科院分区：
文献类型：
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作者：
Hassan, Anhar;Mari, Zoltan;Cubo, Esther
COVID-19大流行限制了对运动障碍患者的常规医疗管理，因此远程医疗的兴起弥补了这一差距。目的评估大流行背景下全球远程医疗的使用情况。方法运动障碍学会（MDS）远程医疗研究组于2020年3 - 4月对来自各大洲40个国家的远程医疗专家进行了调查。评估了远程医疗的四个领域：法律法规、报销、临床使用和障碍；比较新出现的大流行应对措施与基线情景。结果：作为对疫情的直接反应，全球范围内针对运动障碍的所有形式的远程医疗都有所增加，无论国家收入类别如何。这得益于技术的广泛普及和政府法规的更新。然而，隐私问题、缺乏报销、访问受限以及缺乏远程医疗培训是全世界突出的障碍。在大流行之后，远程医疗法规和报销方面的变化的持续时间和程度仍然存在问题。(c) 2020年国际帕金森和运动障碍学会
Background The COVID-19 pandemic restricted usual healthcare management for movement-disorders patients, with a consequent upsurge in telemedicine to bridge the gap. Objective To assess global telemedicine usage in the context of the pandemic. Methods The Movement Disorder Society (MDS) Telemedicine Study Group surveyed telemedicine experts from 40 countries across all continents in March-April 2020. Four domains of telemedicine were assessed: legal regulations, reimbursement, clinical use, and barriers; comparing emerging responses to the pandemic versus the baseline scenario. Results All forms of telemedicine for movement disorders increased globally, irrespective of country income categorization, as an immediate response to the pandemic. This was aided by widespread availability of technology and updated government regulations. However, privacy concerns, lack of reimbursement, limited access, and lack of telemedicine training were barriers highlighted worldwide. Conclusions Questions remain about the longevity and extent of changes in regulations and reimbursement regarding telemedicine in the aftermath of the pandemic. (c) 2020 International Parkinson and Movement Disorder Society