Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems
Yıl: 2021 Cilt: 27 Sayı: Özel Sayı 1 Sayfa Aralığı: 9 - 14 Metin Dili: İngilizce DOI: 10.4274/tnd.2021.69851 İndeks Tarihi: 19-01-2022
Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems
Öz: Objective: Access to health centers was restricted during the coronavirus disease-2019 pandemic, which hit our country in March 2020. Ensuring the medical control of patients who were followed up in the neurology outpatient clinic with the tele-medicine method was an important step to decrease the viral load of patients and physicians. This study aimed to share our tele-medicine experience with patients with movement disorders. Materials and Methods: The data of 71 patients with movement disorder who communicated with our unit between March 11, 2020 and June 20, 2020 were retrospectively analyzed. Results: A total of 117 verbal and written interviews with 71 patients were mostly conducted via WhatsApp®. The evaluation of reasons for physician consultation revealed that patients most frequently communicated for worsening rigidity and prescription-drug requests. Of these interviews, 25 (21.4%) resulted in setting patient appointments for a physical examination. The tele-medicine service in 92 (78.6%) interviews solved the problem without physical contact with patients. Conclusion: Movement disorder evaluations are suitable through teleconference. Therefore, our teleneurology application, which we actively use, is effective in reducing the risk of viral transmission to both patients and healthcare workers during the pandemic. Developing telemedical applications is necessary in terms of their legal aspects and implementation in the world, especially in our country
Anahtar Kelime: COVID-19 Pandemisinde Hareket Bozuklukları Hastalarında Tele-tıp ile Hasta İletişimi ve Danışmanlık Deneyimi: Kullanılabilirliği, Kazandırdıkları ve Sorunları
Öz: Amaç: Mart 2020 itibari ile ülkemizi de etkisi altına almış olan koronavirüs hastalığı-2019 pandemisi sırasında, sağlık merkezlerine erişim kısıtlanmışken, nöroloji polikliniğinde hareket bozuklukları nedeniyle takipli olan hastaların tele-tıp yöntemi ile tıbbi kontrollerinin sağlanabilmesi, hastalar ve hekimlerin viral yükünü azaltmak adına önemli bir adımdır. Makalemizde, hareket bozuklukları hastalarımızla olan tele-tıp aracılı danışmanlık deneyimimizi paylaşmayı amaçladık. Gereç ve Yöntem: Çalışmada, 11 Mart-20 Haziran 2020 tarihleri arasında ünitemiz ile iletişim kuran 71 hareket bozukluğu hastasının verileri retrospektif olarak incelenmiştir. Bulgular: Yetmiş bir hasta ile yapılan, çoğunluğu WhatsApp® üzerinden gerçekleştirilen toplam 117 yazılı ve sözlü görüşmede, hastaların hekime danışma nedenleri ayrıntılı incelendiğinde; hastaların en sık kötüleşme-katılık ve reçete-rapor istemi ile iletişim kurdukları görüldü. Bu görüşmelerin 25’i (%21,4) hastalara fiziki muayene için randevu verilmesi ile sonuçlanmıştır. Tele-tıp hizmeti ile 92 (%78,6) görüşmede hasta ile fiziki temas kurmadan sorun çözülebilmiştir. Sonuç: Hareket bozuklukları telekonferans aracılığı ile değerlendirmeye oldukça uygundur. Bunu da göz önünde bulundurarak aktif olarak kullandığımız telenöroloji uygulamamızın, pandemi sürecinde hem hastalar hem de sağlık çalışanlarının bulaş riskinin azaltılması açısından yararlı olduğunu düşünmekteyiz. Teletıp uygulamaların dünyada ve ülkemizde yasal yönleri ve kullanımının yaygınlaştırılması açısından geliştirilmesine ihtiyaç vardır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Sağlık Bakanlığı TCSl. Covıd-19-Sars-Cov-2 Enfeksiyonu Rehberi (Bilim Kurulu Çalışması) 2020. Access date: 3 Eylül 2020. Available from: https:// covid19.saglik.gov.tr/TR-66301/covid-19-rehberi.html
- 2. Acar T, Acıman Demirel E, Afşar N, et al. The COVID-19 from neurological overview. Turk J Neurol 2020;26:58-108.
- 3. Craig J, Patterson V. Introduction to the practice of telemedicine. J Telemed Telecare 2005;11:3-9.
- 4. Portnoy J, Waller M, Elliott T. Telemedicine in the Era of COVID-19. J Allergy Clin Immunol Pract 2020;8:1489-1491.
- 5. Angaran DM. Telemedicine and telepharmacy: current status and future implications. Am J Health Syst Pharm 1999;56:1405-1426.
- 6. Organization WH. Global diffusion of eHealth: Making universal health coverage achievable. Report of the third global survey on eHealth. 2016.
- 7. Ly BA, Bourgeault IL, Labonté R, Niang MN. Physicians' perceptions on the impact of telemedicine on recruitment and retention in underserved areas: a descriptive study in Senegal. Hum Resour Health 2017;15:67.
- 8. Klein BC, Busis NA. COVID-19 is catalyzing the adoption of teleneurology. Neurology 2020;94:903-904.
- 9. American Academy of Neurology (AAN). Access date: 10 Eylül 2020. https:// www.aan.com/tools-and-resources/practicing-neurologists-administrators/ telemedicine-and-remote-care//
- 10. Ben-Pazi H, Browne P, Chan P, et al. The Promise of Telemedicine for Movement Disorders: an Interdisciplinary Approach. Curr Neurol Neurosci Rep 2018;18:26.
- 11. Hubble JP. Interactive video conferencing and Parkinson's disease. Kans Med 1992;93:351-352.
- 12. Abdolahi A, Scoglio N, Killoran A, Dorsey ER, Biglan KM. Potential reliability and validity of a modified version of the Unified Parkinson's Disease Rating Scale that could be administered remotely. Parkinsonism Relat Disord 2013;19:218-221.
- 13. Dorsey ER, Deuel LM, Voss TS, et al. Increasing access to specialty care: a pilot, randomized controlled trial of telemedicine for Parkinson's disease. Mov Disord 2010;25:1652-1659.
- 14. Dorsey ER, Venkataraman V, Grana MJ, et al. Randomized controlled clinical trial of "virtual house calls" for Parkinson disease. JAMA Neurol 2013;70:565-570.
- 15. Cubo E, Mariscal N, Solano B, et al. Prospective study on cost-effectiveness of home-based motor assessment in Parkinson's disease. J Telemed Telecare 2017;23:328-338.
- 16. GBD 2015 Neurological Disorders Collaborator Group. Global, regional, and national burden of neurological disorders during 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet Neurol 2017;16:877-897.
- 17. Fraint A, Stebbins GT, Pal G, Comella CL. Reliability, feasibility and satisfaction of telemedicine evaluations for cervical dystonia. J Telemed Telecare 2020;26:560-567.
- 18. Yoshida K. Multilingual website and cyberconsultations for oromandibular dystonia. Neurol Int 2018;10:7536.
- 19. Sağlık Bakanlığı Teletıp Sistemi. Access date: 10 Haziran 2020. Available from: https://teletip.saglik.gov.tr/
- 20. Ege Üniversitesi Haber Ajansı. Access date: 23 Mart 2020. Available from: https://egeajans.ege. edu.tr/?p=13708
- 21. Li D, Zhang C, Gault J, et al. Remotely Programmed Deep Brain Stimulation of the Bilateral Subthalamic Nucleus for the Treatment of Primary Parkinson Disease: A Randomized Controlled Trial Investigating the Safety and Efficacy of a Novel Deep Brain Stimulation System. Stereotact Funct Neurosurg 2017;95:174-182.
- 22. Witek N, Heath SL, Ouyang B, Tanner CM, Galifianakis NB. Remote telemedicine evaluation of deep brain stimulation candidacy: Retrospective cohort analysis. Neurol Clin Pract 2020;10:199-205.
- 23. Hassan A, Mari Z, Gatto EM, et al. Global Survey on Telemedicine Utilization for Movement Disorders During the COVID-19 Pandemic. Mov Disord 2020;35:1701-1711.
| APA | Durmaz Çelik F, KUZU KUMCU M, Tezcan Aydemir S, Ozkan S (2021). Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. , 9 - 14. 10.4274/tnd.2021.69851 |
| Chicago | Durmaz Çelik Fatma Nazli,KUZU KUMCU MÜGE,Tezcan Aydemir Sabiha,Ozkan Serhat Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. (2021): 9 - 14. 10.4274/tnd.2021.69851 |
| MLA | Durmaz Çelik Fatma Nazli,KUZU KUMCU MÜGE,Tezcan Aydemir Sabiha,Ozkan Serhat Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. , 2021, ss.9 - 14. 10.4274/tnd.2021.69851 |
| AMA | Durmaz Çelik F,KUZU KUMCU M,Tezcan Aydemir S,Ozkan S Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. . 2021; 9 - 14. 10.4274/tnd.2021.69851 |
| Vancouver | Durmaz Çelik F,KUZU KUMCU M,Tezcan Aydemir S,Ozkan S Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. . 2021; 9 - 14. 10.4274/tnd.2021.69851 |
| IEEE | Durmaz Çelik F,KUZU KUMCU M,Tezcan Aydemir S,Ozkan S "Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems." , ss.9 - 14, 2021. 10.4274/tnd.2021.69851 |
| ISNAD | Durmaz Çelik, Fatma Nazli vd. "Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems". (2021), 9-14. https://doi.org/10.4274/tnd.2021.69851 |
| APA | Durmaz Çelik F, KUZU KUMCU M, Tezcan Aydemir S, Ozkan S (2021). Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. Türk Nöroloji Dergisi, 27(Özel Sayı 1), 9 - 14. 10.4274/tnd.2021.69851 |
| Chicago | Durmaz Çelik Fatma Nazli,KUZU KUMCU MÜGE,Tezcan Aydemir Sabiha,Ozkan Serhat Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. Türk Nöroloji Dergisi 27, no.Özel Sayı 1 (2021): 9 - 14. 10.4274/tnd.2021.69851 |
| MLA | Durmaz Çelik Fatma Nazli,KUZU KUMCU MÜGE,Tezcan Aydemir Sabiha,Ozkan Serhat Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. Türk Nöroloji Dergisi, vol.27, no.Özel Sayı 1, 2021, ss.9 - 14. 10.4274/tnd.2021.69851 |
| AMA | Durmaz Çelik F,KUZU KUMCU M,Tezcan Aydemir S,Ozkan S Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. Türk Nöroloji Dergisi. 2021; 27(Özel Sayı 1): 9 - 14. 10.4274/tnd.2021.69851 |
| Vancouver | Durmaz Çelik F,KUZU KUMCU M,Tezcan Aydemir S,Ozkan S Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems. Türk Nöroloji Dergisi. 2021; 27(Özel Sayı 1): 9 - 14. 10.4274/tnd.2021.69851 |
| IEEE | Durmaz Çelik F,KUZU KUMCU M,Tezcan Aydemir S,Ozkan S "Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems." Türk Nöroloji Dergisi, 27, ss.9 - 14, 2021. 10.4274/tnd.2021.69851 |
| ISNAD | Durmaz Çelik, Fatma Nazli vd. "Patient Communication and Consultation Experience with Telemedicine in Patients with Movement Dısorders in COVID-19 Pandemic: Its Usability, Benefits and Problems". Türk Nöroloji Dergisi 27/Özel Sayı 1 (2021), 9-14. https://doi.org/10.4274/tnd.2021.69851 |
