Neurologist and patients satisfaction with epilepsy diagnosis in the epilepsy follow-up clinic through synchronous telemedicine. Hospital San José (Arjona - Bolívar), 2014-2015
PDF (Español)
HTML (Español)

Keywords

Epilepsy
Satisfaction
Telemedicine (MeSH)

Abstract

Introduction: the high demand for specialist neurology services and the short supply of trained specialists, mainly in remote areas for geographical or political circumstances, force us to look for new resources such as telemedicine to improve the offer of this services.

Objective: to explore the degree of neurologist and patients satisfation with epilepsy telemedicine clinic at the Hospital of Arjona in Bolivar with connection to San José Hospital in Bogotá.

Materials and Methods: a prospective observational study in patients older than 15 years diagnosed with epilepsy. The assessment tool neurologist and satisfaction of patients, containing a scale used in Canada, which consists of nineteen questions, validated to spanish through the pilot test in 2012 by our group of Neurology and Telemedicine, implemented to evaluate the satisfaction of patients with epilepsy in a neurology clinic through telemedicine. In addition, this questionnaire is designed according to Thurstone scale consisting of five possible answers, which in order are: "Strongly disagree", "Disagree", "Neutral", "Agree", "Strongly agree". The recruitment of patients was done through posters alluding to study one to two months before the survey.

Results: 39 patients, of whom 51.3% were women, were assessed with an average age 35 years ± 16. The pzatient satisfaction with telemedicine clinic was rated "strongly agree" in 83.8%, 91.9% see telemedicine as an acceptable way to receive health care and 94.6% consider it saves more money compared to conventional clinic. Both neurologists satisfaction with telemedicine is distributed evenly between "strongly agree" and "agree".

Conclusion: with the results of this study, we can conclude that patients and neurologist are satisfied with the use of this resource, this method being an alternative for health care.

https://doi.org/10.22379/2422402238
PDF (Español)
HTML (Español)

References

GIULIANO JMB, BOER H DE, ENGEL J, SANDER JW, WOLF P. Public Health principles and neurological disorders. Neurological Disorders: Public Health Challenges, 2006. World Health Organization; 2006. p. 70-84.

PRADILLA G, VESGA BE, LEÓN-SARMIENTO FE. Estudio neuroepidemiológico nacional colombiano (Epineuro). Pan Am J Public Health 2003;14(2).

VÉLEZ A, ESLAVA-COBOS J. Epilepsy in Colombia: epidemiologic profile and classification of epileptic seizures and syndromes. Epilepsia 2006;47(1):193-201.

MINISTERIO DE PROTECCIÓN SOCIAL. Resolución 1448 del 8 de mayo de 2006. [Internet]. Disponible en http://www.minsalud.gov.co/Paginas/Norm_Resoluciones.aspx.

ENGEL J. ILAE. A proposed diagnostic scheme for people with epileptic seizures and with epilepsy: report of the ILAE Task Force on Classification and Terminology. Epilepsia 2001;42(6):796-803.

AHMED SN, MANN C, SINCLAIR DB, HEINO A, ISKIW B, QUIGLEY D, ET AL. Feasibility of epilepsy follow-up care through telemedicine: a pilot study on the patient's perspective. Epilepsia 2008;49(4):573-85.

NEGUILLO TA, SERRANO P. Investigación en servicios de salud basados en telemedicina. Herramientas para la evaluación de nuevos servicios de salud basados en telemedicina; 2013. p. 1-75.

CURRELL R, URQUHART C, WAINWRIGHT P, LEWIS R. Telemedicine versus face to face patient care: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2000(2):CD002098.

NESBITT TS, HILTY DM, KUENNETH CA, SIEFKIN A. Development of a telemedicine program: a review of 1,000 videoconferencing consultations. West J Med. 2000;173(3):169-74.

KOPEK SA. Aplicación de telecomunicaciones en salud en la subregión andina. Organización Panamericana de la Salud; 2011.

CHUA R, CRAIG J, WOOTTON R, PATTERSON V. Cost implications of outpatient teleneurology. J Telemed Telecare 2001;7(Suppl 1):62-4.

CRAIG J, CHUA R, RUSSELL C, PATTERSON V, WOOTTON R. The cost-effectiveness of teleneurology consultations for patients admitted to hospitals without neurologists on site. 1: A retrospective comparison of the case-mix and management at two rural hospitals. J Telemed Telecare 2000;6(Suppl 1):S46-9.

HJELM NM. Benefits and drawbacks of telemedicine. J Telemed Telecare 2005;11(2):60-70.

NESBITT TS, DHARMAR M, KATZ-BELL J, HARTVIGSEN G, MARCIN JP. Telehealth at UC Davis-a 20-year experience. Telemed J E Health 2013;19(5):357-62.

HERTZ BT. Telemedicine: patient demand, cost containment drive growth. Joining the trend may not be as expensive or time-consuming as you think, experts say. Med Econ. 2013;90(3):37,9-42.

NHOR L. Telemedicine and patients' rights. Journal of telemedicine and Telecare 2000;6(1):S1:173.

PATTERSON V, BINGHAM E. Telemedicine for epilepsy: a useful contribution. Epilepsia 2005;46(5):614-5.

LARNER AJ. Teleneurology: an overview of current status. Pract Neurol. 2011;11(5):283-8.

CRAIG J, PATTERSON V, RUSSELL C, WOOTTON R. Interactive videoconsultation is a feasible method for neurological in-patient assessment. Eur J Neurol. 2000;7(6):699-702.

CHUA R, CRAIG J, ESMONDE T, WOOTTON R, PATTERSON V. Telemedicine for new neurological outpatients: putting a randomized controlled trial in the context of everyday practice. J Telemed Telecare 2002;8(5):270-3.

GANAPATHY K, RAVINDRA A. Telemedicine in neurosciences. Stud Health Technol Inform. 2008;131:149-69.

MISRA UK, KALITA J, MISHRA SK, YADAV RK. Telemedicine in neurology: underutilized potential. Neurol India 2005;53(1):27-31.

AHMED SN, MANN C, SIDDIQUI F, SHEERANI M, SYED NA, SNYDER T, ET AL. Experiences from an international tele-epilepsy collaboration. Can J Neurol Sci. 2009;36(5):582-6.

LUA PL, NENI WS. Health-related quality of life improvement via telemedicine for epilepsy: printed versus SMS-based education intervention. Qual Life Res.; 2013.

SCHOEDER GI, RODRÍGUEZ N, VERGARA J. Teleneurología para el seguimiento de pacientes epilépticos. Prueba piloto en Hospital de San José, Bogotá - Colombia. Repertorio de Medicina y Cirugía 2012;21(4):70-5.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Downloads

Download data is not yet available.