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

Parkinsonism & Related Disorders
Judy K Qiang, Connie Marras

Abstract

To overcome travel distance and lack of local expertise, telemedicine programs have been implemented and are still pilot programs in many jurisdictions. Patient perspectives remain poorly understood. In the largest study to date, we examined user satisfaction and predictors of patient choice to use telemedicine among Parkinson's Disease (PD) patients in the context of a well-developed telemedicine system. These data can help to optimize healthcare delivery by telemedicine. A patient satisfaction questionnaire was administered to current or previous users via telephone. Patients' cost savings were determined. The proportion of non-users interested in using telemedicine was quantified. Demographic and clinical characteristics of those who expressed interest in the program vs. those who did not were compared. A total of 34 users and 103 non-users were recruited. Users reported an average cost reduction of $200 and 209 minutes of reduction in commute time (p < 0.01). While a majority (29/34 users) reported interest in continuing with telemedicine, inexperience of some telehealth nurses was a major source of patient dissatisfaction. Patients preferred a combination of telehealth and in-person visits. A majority of non-users (55/103,...Continue Reading

References

Mar 13, 2013·JAMA Neurology·E Ray DorseyKevin M Biglan
May 3, 2014·Neurology. Clinical Practice·Vinayak VenkataramanE Ray Dorsey
May 20, 2014·Movement Disorders : Official Journal of the Movement Disorder Society·Meredith AcheyUNKNOWN International Parkinson and Movement Disorder Society Telemedicine Task Force

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Citations

Sep 13, 2015·Parkinsonism & Related Disorders·Merel S EkkerNienke M de Vries
Aug 9, 2016·Movement Disorders : Official Journal of the Movement Disorder Society·E Ray DorseyBastiaan R Bloem
Apr 15, 2018·Current Neurology and Neuroscience Reports·H Ben-PaziUNKNOWN International Parkinson and Movement Disorder Society Telemedicine Task Force
Jun 12, 2019·Journal of Clinical Movement Disorders·Andreea L SeritanJill L Ostrem
Aug 26, 2017·Neurology. Clinical Practice·Ryan E KornNicholas B Galifianakis
Aug 19, 2017·Family & Community Health·Kristin A SchullerIan Wright
Feb 7, 2019·Parkinson's Disease·Satoko SekimotoNobutaka Hattori
May 28, 2019·Journal of Parkinson's Disease·Kelsey L SpearJessica Francis
Jun 9, 2020·Current Geriatrics Reports·Jamie L AdamsRuth B Schneider
Jun 26, 2020·Frontiers in Neurology·Yin Minn AyeZheyu Xu
Dec 19, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Meredith SpindlerLawrence Wechsler
Apr 13, 2021·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Beatrice Ana-Maria AnghelescuPamela Roach
Jun 9, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Emily HoustonJames Boyd

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