Telehealth in Neurosurgery: 2021 Council of State Neurosurgical Societies National Survey Results.

Autor: Xu JC; Department of Neurosurgery, University of California, Irvine Medical Center, Orange, California, USA. Electronic address: jcxu@hs.uci.edu., Haider SA; Department of Neurosurgery, Henry Ford Health System, Detroit, Michigan, USA., Sharma A; Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio, USA., Blumenfeld K; Department of Neurosurgery, Sutter Health - Palo Alto Medical Foundation, San Jose, California, USA., Cheng J; Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA., Mazzola CA; Division of Pediatric Neurological Surgery, Goryeb Children's Hospital, Morristown, New Jersey, USA., Orrico KO; Washington Office, American Association of Neurological Surgeons/ Congress of Neurological Surgeons, Washington, District of Columbia, USA., Rosenow J; Departments of Neurosurgery, Neurology and Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA., Stacy J; North Mississippi Neurosurgical Services, North Mississippi Medical Center, Tupelo, Mississippi, USA., Stroink A; Department of Neurosurgery, Central Illinois Neuro Health Science, Bloomington, Illinois, USA., Tomei K; Department of Neurological Surgery, Rainbow Babies & Children's Hospital, Cleveland, Ohio, USA; Department of Neurological Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA; Department of Neurological Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA., Tumialán LM; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona, USA., Veeravagu A; Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA., Linskey ME; Department of Neurosurgery, University of California, Irvine Medical Center, Orange, California, USA., Schwalb J; Department of Neurosurgery, Henry Ford Health System, Detroit, Michigan, USA; Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan, USA.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2022 Dec; Vol. 168, pp. e328-e335. Date of Electronic Publication: 2022 Oct 04.
DOI: 10.1016/j.wneu.2022.09.126
Abstrakt: Objective: Telehealth was rapidly adopted during the COVID-19 pandemic. A survey was distributed to neurosurgeons in the United States (U.S.) to understand its use within neurosurgery, what barriers exist, unique issues related to neurosurgery, and opportunities for improvement.
Methods: A survey was distributed via email and used the SurveyMonkey platform. The survey was sent to 3828 practicing neurosurgeons within the U.S., 404 responses were collected between October 30, 2021 and December 4, 2021.
Results: During the pandemic, telehealth was used multiple times per week by 60.65% and used daily by an additional 12.78% of respondents. A supermajority (89.84%) of respondents felt that evaluating patients across state lines with telemedicine is beneficial. Most respondents (95.81%) believed that telehealth improves patient access to care. The major criticism of telehealth was the inability to perform a neurological exam.
Conclusions: Telehealth has been widely implemented within the field of neurosurgery during the COVID-19 pandemic and has increased access to care. It has allowed patients to be evaluated remotely, including across state lines. While certain aspects of the neurological exam are suited for video evaluation, sensation and reflexes cannot be adequately assessed. Neurosurgeons believe that telehealth adds value to their ability to deliver care.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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