文摘
摘要目的:评估的可行性teleneurology访问代替面对面访问成人参加首页大学教学医院(UTH)神经诊所在卢萨卡,赞比亚。
背景:远程医疗增加COVID19大流行期间安全、可行的替代面对面的服务,但这种扩张主要是限于高收入国家。暂停门诊在UTH COVID19导致迫切需要持续的神经病学门诊护理的替代方法。首页
设计/方法:定于神经病人门诊预约6月和2020年7月,那些首页错过的约会被称为向televisit 3月至5月之间。如果愉快,神经学家teleneurology访问通过电话进行的,WhatsApp视首页频或变焦调用,根据病人的可访问性。神经学家然后完成和形式记录访问的结果。描述性统计基于神经学家的评估。
结果:的300患者中,186(62%)通过电话联系,38%的由于错误或丢失的联系电话或死亡。在可获得的病人中,81%同意televisit。之间没有显著差异在人口或诊断那些接受或拒绝televisits。大多数televisits(81%)完成了电话,12% WhatsApp变焦调用视频通话和7%。神经学家的自我报告的信心评估最高变焦电话,但是电话和WhatsApp视频通话仍然很高。Televisit结果显示46%的患者通过Televisit专门管理,需要面对面的后续访问在几周内,24%的,30%的选手是稳定的,没有后续的需求和解除了诊所。神经学家进一步建议,60%的病人可以看到了televisit下次随访。
结论:Tele首页neurology访问服务提供的是一个可行的方式为成人参加说实话神经诊所。他们是一个有前途的替代面对面访问视频通话时即使在资源缺乏的环境支持是缺席的。
披露:Asukile博士没有披露。Chomba博士没有披露。Chishimba博士没有披露。Zimba博士没有披露。Mataa Mataa没有披露。达Yumbe没有披露。NALUCA MWENDAWELI没有披露。Frighton Mutete没有披露。塞勒博士的机构已经收到了来自美国国立卫生研究院的研究支持。塞勒博士的机构已经得到国家多发性硬化症协会的研究支持。 The institution of Dr. Saylor has received research support from American Academy of Neurology. The institution of Dr. Saylor has received research support from United States Department of State. Dr. Saylor has a non-compensated relationship as a Member of multiple committees and task forces focused on improving access to MS medications to people across the world with Multiple Sclerosis International Federation that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the Neurology and COVID19 committee with World Health Organization that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the International Outreach Committee, Junior and Early Career Membership Committee, and Educational Innovation Commitees with American Neurological Association that is relevant to AAN interests or activities.
