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10.4103/0028-3886.314523

http://scihub22266oqcxt.onion/10.4103/0028-3886.314523
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33904449!ä!33904449

suck abstract from ncbi


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pmid33904449      Neurol+India 2021 ; 69 (2): 344-351
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  • Turning a New Chapter in Neurosurgery Outpatient Services: Telemedicine A "Savior" in this Pandemic #MMPMID33904449
  • Raheja A; Manjunath N; Garg K; Tandon V; Gupta V; Mishra S; Ather S; Suri A; Chandra PS; Singh M; Shariff A; Kale SS
  • Neurol India 2021[Mar]; 69 (2): 344-351 PMID33904449show ga
  • BACKGROUND: Teleconsultation services in India, especially in neurosurgery, are relatively new. Despite its large-scale adoption during the COVID-19 pandemic, comprehensive analyses of patients' perspectives and hurdles are lacking. MATERIALS AND METHODS: We conducted an anonymized telephonic survey of consecutive neurosurgical patients who availed telemedicine services at our institute, using a validated, structured questionnaire. To prevent bias, interviewers were not involved in the study design/analyses. Patients' perception of usefulness and performance of teleconsultation was graded on a 5-point Likert scale. RESULTS: Of the 330 patients who availed teleconsultation services, 231 (70%) completed the survey. Even though 91% of the respondents had access to a smartphone, only 10% received a video-based teleconsult. As per respondents, the challenges included poor network (7%), suboptimal communication/discussion (5.6%), lack of physical examination (6%), and misinterpretation of prescription by pharmacists/patients (6%). The majority of the respondents (58%) either agreed/strongly agreed that teleconsultation helped them tide over the medical exigency during the lockdown; however, the clinical diagnosis did not influence this response (P = 0.21). The vast majority of the respondents felt that teleconsultation is beneficial (97%), as it minimizes their exposure to COVID-19. One-third of the patients preferred this service over physical visits and 60% agreed to its continuation till resumption of routine care. Access to video-teleconsultation was the chief suggestion in 39 of 74 suggestions received. CONCLUSIONS: Telemedicine in neurosurgery offers favorable patient satisfaction during this pandemic and may be a satisfactory alternative to physical outpatient services in the future. Video-based teleconsults should be the preferred modality of communication for neurosurgery patients.
  • |*Ambulatory Care[MESH]
  • |*COVID-19/epidemiology/prevention & control[MESH]
  • |*Neurosurgery[MESH]
  • |*Pandemics[MESH]
  • |*Telemedicine[MESH]
  • |Communicable Disease Control[MESH]
  • |Health Care Surveys[MESH]
  • |Humans[MESH]


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