Loading…
SARS-CoV-2-related rapid reorganization of an epilepsy outpatient clinic from personal appointments to telemedicine services: A German single-center experience
When the SARS-CoV-2 pandemic reached Europe in 2020, a German governmental order forced clinics to immediately suspend elective care, causing a problem for patients with chronic illnesses such as epilepsy. Here, we report the experience of one clinic that converted its outpatient care from personal...
Saved in:
| Published in: | Epilepsy & behavior 2020-11, Vol.112, p.107483-107483, Article 107483 |
|---|---|
| Main Authors: | , , , , , , , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c525t-7e32df5181499995144581a33424decbe14db79ec5f64f922d272fd65b6378ca3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c525t-7e32df5181499995144581a33424decbe14db79ec5f64f922d272fd65b6378ca3 |
| container_end_page | 107483 |
| container_issue | |
| container_start_page | 107483 |
| container_title | Epilepsy & behavior |
| container_volume | 112 |
| creator | Willems, Laurent M. Balcik, Yunus Noda, Anna H. Siebenbrodt, Kai Leimeister, Sina McCoy, Jeannie Kienitz, Ricardo Kiyose, Makoto Reinecke, Raphael Schäfer, Jan-Hendrik Zöllner, Johann Philipp Bauer, Sebastian Rosenow, Felix Strzelczyk, Adam |
| description | When the SARS-CoV-2 pandemic reached Europe in 2020, a German governmental order forced clinics to immediately suspend elective care, causing a problem for patients with chronic illnesses such as epilepsy. Here, we report the experience of one clinic that converted its outpatient care from personal appointments to telemedicine services.
Documentations of telephone contacts and telemedicine consultations at the Epilepsy Center Frankfurt Rhine-Main were recorded in detail between March and May 2020 and analyzed for acceptance, feasibility, and satisfaction of the conversion from personal to telemedicine appointments from both patients' and medical professionals' perspectives.
Telephone contacts for 272 patients (mean age: 38.7 years, range: 17–79 years, 55.5% female) were analyzed. Patient-rated medical needs were either very urgent (6.6%, n = 18), urgent (23.5%, n = 64), less urgent (29.8%, n = 81), or nonurgent (39.3%, n = 107). Outpatient service cancelations resulted in a lack of understanding (9.6%, n = 26) or anger and aggression (2.9%, n = 8) in a minority of patients, while 88.6% (n = 241) reacted with understanding, or relief (3.3%, n = 9). Telemedicine consultations rather than a postponed face-to-face visit were requested by 109 patients (40.1%), and these requests were significantly associated with subjective threat by SARS-CoV-2 (p = 0.004), urgent or very urgent medical needs (p = 0.004), and female gender (p = 0.024). Telemedicine satisfaction by patients and physicians was high. Overall, 9.2% (n = 10) of patients reported general supply problems due to SARS-CoV-2, and 28.4% (n = 31) reported epilepsy-specific problems, most frequently related to prescriptions, or supply problems for antiseizure drugs (ASDs; 22.9%, n = 25).
Understanding and acceptance of elective ambulatory visit cancelations and the conversion to telemedicine consultations was high during the coronavirus disease 2019 (COVID-19) lockdown. Patients who engaged in telemedicine consultations were highly satisfied, supporting the feasibility and potential of telemedicine during the COVID-19 pandemic and beyond.
•Health care systems worldwide had to face reorganization during SARS-CoV-2 pandemic•Acceptance of the SARS-CoV-2-related conversion to telemedicine services was high•Urgent concerns, perception of SARS-CoV-2-associated threats, and female gender were associated with use of telemedicine•Patient and physician satisfaction with telemedicine services was high•Supply problems |
| doi_str_mv | 10.1016/j.yebeh.2020.107483 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7537633</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1525505020306636</els_id><sourcerecordid>2460763138</sourcerecordid><originalsourceid>FETCH-LOGICAL-c525t-7e32df5181499995144581a33424decbe14db79ec5f64f922d272fd65b6378ca3</originalsourceid><addsrcrecordid>eNp9kduKFDEQhoMo7rr6BILk0pseO6c-CArDoLvCguCqtyGdVM9mSCdtkhkcX8ZX3czOOuiNuUhC6qu_KvUj9JLUC1KT5s1msYcBbhe0poeXlnfsETongopK1E3_-HQX9Rl6ltKmrgkRjDxFZ4yRjnR9d45-3yy_3FSr8L2iVQSnMhgc1WzLDiGulbe_VLbB4zBi5THM1sGc9jhs81wC4DPWznqr8RjDhGeIKXjlsJrnYH2eCpBwDjiDgwmM1dYDThB3VkN6i5f4EuJUhJP1aweVLjxEDD-LUBHX8Bw9GZVL8OLhvEDfPn74urqqrj9fflotrytd_pirFhg1oyi_4n1ZgnAuOqIY45Qb0AMQboa2By3Gho89pYa2dDSNGBrWdlqxC_T-qDtvh9LnoY-onJyjnVTcy6Cs_Dfi7a1ch51sBWsbxorA6weBGH5sIWU52aTBOeUhbJOkvKkLSFhXUHZEdQwpRRhPZUgtD9bKjby3Vh6slUdrS9arvzs85fzxsgDvjgCUOe0sRJn0_QyNjaCzNMH-t8AdTl-6Hg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2460763138</pqid></control><display><type>article</type><title>SARS-CoV-2-related rapid reorganization of an epilepsy outpatient clinic from personal appointments to telemedicine services: A German single-center experience</title><source>Elsevier</source><creator>Willems, Laurent M. ; Balcik, Yunus ; Noda, Anna H. ; Siebenbrodt, Kai ; Leimeister, Sina ; McCoy, Jeannie ; Kienitz, Ricardo ; Kiyose, Makoto ; Reinecke, Raphael ; Schäfer, Jan-Hendrik ; Zöllner, Johann Philipp ; Bauer, Sebastian ; Rosenow, Felix ; Strzelczyk, Adam</creator><creatorcontrib>Willems, Laurent M. ; Balcik, Yunus ; Noda, Anna H. ; Siebenbrodt, Kai ; Leimeister, Sina ; McCoy, Jeannie ; Kienitz, Ricardo ; Kiyose, Makoto ; Reinecke, Raphael ; Schäfer, Jan-Hendrik ; Zöllner, Johann Philipp ; Bauer, Sebastian ; Rosenow, Felix ; Strzelczyk, Adam</creatorcontrib><description>When the SARS-CoV-2 pandemic reached Europe in 2020, a German governmental order forced clinics to immediately suspend elective care, causing a problem for patients with chronic illnesses such as epilepsy. Here, we report the experience of one clinic that converted its outpatient care from personal appointments to telemedicine services.
Documentations of telephone contacts and telemedicine consultations at the Epilepsy Center Frankfurt Rhine-Main were recorded in detail between March and May 2020 and analyzed for acceptance, feasibility, and satisfaction of the conversion from personal to telemedicine appointments from both patients' and medical professionals' perspectives.
Telephone contacts for 272 patients (mean age: 38.7 years, range: 17–79 years, 55.5% female) were analyzed. Patient-rated medical needs were either very urgent (6.6%, n = 18), urgent (23.5%, n = 64), less urgent (29.8%, n = 81), or nonurgent (39.3%, n = 107). Outpatient service cancelations resulted in a lack of understanding (9.6%, n = 26) or anger and aggression (2.9%, n = 8) in a minority of patients, while 88.6% (n = 241) reacted with understanding, or relief (3.3%, n = 9). Telemedicine consultations rather than a postponed face-to-face visit were requested by 109 patients (40.1%), and these requests were significantly associated with subjective threat by SARS-CoV-2 (p = 0.004), urgent or very urgent medical needs (p = 0.004), and female gender (p = 0.024). Telemedicine satisfaction by patients and physicians was high. Overall, 9.2% (n = 10) of patients reported general supply problems due to SARS-CoV-2, and 28.4% (n = 31) reported epilepsy-specific problems, most frequently related to prescriptions, or supply problems for antiseizure drugs (ASDs; 22.9%, n = 25).
Understanding and acceptance of elective ambulatory visit cancelations and the conversion to telemedicine consultations was high during the coronavirus disease 2019 (COVID-19) lockdown. Patients who engaged in telemedicine consultations were highly satisfied, supporting the feasibility and potential of telemedicine during the COVID-19 pandemic and beyond.
•Health care systems worldwide had to face reorganization during SARS-CoV-2 pandemic•Acceptance of the SARS-CoV-2-related conversion to telemedicine services was high•Urgent concerns, perception of SARS-CoV-2-associated threats, and female gender were associated with use of telemedicine•Patient and physician satisfaction with telemedicine services was high•Supply problems severely affected epilepsy patients during the SARS-CoV-2 pandemic</description><identifier>ISSN: 1525-5050</identifier><identifier>EISSN: 1525-5069</identifier><identifier>DOI: 10.1016/j.yebeh.2020.107483</identifier><identifier>PMID: 33181898</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject><![CDATA[Adolescent ; Adult ; Aged ; Ambulatory Care - methods ; Ambulatory Care - organization & administration ; Ambulatory Care Facilities - organization & administration ; Anticonvulsant ; Appointments and Schedules ; Betacoronavirus ; Corona ; Coronavirus Infections - epidemiology ; Coronavirus Infections - prevention & control ; COVID ; COVID-19 ; Epilepsy - therapy ; Female ; Germany ; Humans ; Infection Control - organization & administration ; Male ; Middle Aged ; Pandemic ; Pandemics - prevention & control ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - prevention & control ; Referral and Consultation ; SARS-CoV-2 ; Seizure ; Telemedicine - organization & administration ; Telephone ; Young Adult]]></subject><ispartof>Epilepsy & behavior, 2020-11, Vol.112, p.107483-107483, Article 107483</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>2020 Elsevier Inc. All rights reserved. 2020 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-7e32df5181499995144581a33424decbe14db79ec5f64f922d272fd65b6378ca3</citedby><cites>FETCH-LOGICAL-c525t-7e32df5181499995144581a33424decbe14db79ec5f64f922d272fd65b6378ca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33181898$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Willems, Laurent M.</creatorcontrib><creatorcontrib>Balcik, Yunus</creatorcontrib><creatorcontrib>Noda, Anna H.</creatorcontrib><creatorcontrib>Siebenbrodt, Kai</creatorcontrib><creatorcontrib>Leimeister, Sina</creatorcontrib><creatorcontrib>McCoy, Jeannie</creatorcontrib><creatorcontrib>Kienitz, Ricardo</creatorcontrib><creatorcontrib>Kiyose, Makoto</creatorcontrib><creatorcontrib>Reinecke, Raphael</creatorcontrib><creatorcontrib>Schäfer, Jan-Hendrik</creatorcontrib><creatorcontrib>Zöllner, Johann Philipp</creatorcontrib><creatorcontrib>Bauer, Sebastian</creatorcontrib><creatorcontrib>Rosenow, Felix</creatorcontrib><creatorcontrib>Strzelczyk, Adam</creatorcontrib><title>SARS-CoV-2-related rapid reorganization of an epilepsy outpatient clinic from personal appointments to telemedicine services: A German single-center experience</title><title>Epilepsy & behavior</title><addtitle>Epilepsy Behav</addtitle><description>When the SARS-CoV-2 pandemic reached Europe in 2020, a German governmental order forced clinics to immediately suspend elective care, causing a problem for patients with chronic illnesses such as epilepsy. Here, we report the experience of one clinic that converted its outpatient care from personal appointments to telemedicine services.
Documentations of telephone contacts and telemedicine consultations at the Epilepsy Center Frankfurt Rhine-Main were recorded in detail between March and May 2020 and analyzed for acceptance, feasibility, and satisfaction of the conversion from personal to telemedicine appointments from both patients' and medical professionals' perspectives.
Telephone contacts for 272 patients (mean age: 38.7 years, range: 17–79 years, 55.5% female) were analyzed. Patient-rated medical needs were either very urgent (6.6%, n = 18), urgent (23.5%, n = 64), less urgent (29.8%, n = 81), or nonurgent (39.3%, n = 107). Outpatient service cancelations resulted in a lack of understanding (9.6%, n = 26) or anger and aggression (2.9%, n = 8) in a minority of patients, while 88.6% (n = 241) reacted with understanding, or relief (3.3%, n = 9). Telemedicine consultations rather than a postponed face-to-face visit were requested by 109 patients (40.1%), and these requests were significantly associated with subjective threat by SARS-CoV-2 (p = 0.004), urgent or very urgent medical needs (p = 0.004), and female gender (p = 0.024). Telemedicine satisfaction by patients and physicians was high. Overall, 9.2% (n = 10) of patients reported general supply problems due to SARS-CoV-2, and 28.4% (n = 31) reported epilepsy-specific problems, most frequently related to prescriptions, or supply problems for antiseizure drugs (ASDs; 22.9%, n = 25).
Understanding and acceptance of elective ambulatory visit cancelations and the conversion to telemedicine consultations was high during the coronavirus disease 2019 (COVID-19) lockdown. Patients who engaged in telemedicine consultations were highly satisfied, supporting the feasibility and potential of telemedicine during the COVID-19 pandemic and beyond.
•Health care systems worldwide had to face reorganization during SARS-CoV-2 pandemic•Acceptance of the SARS-CoV-2-related conversion to telemedicine services was high•Urgent concerns, perception of SARS-CoV-2-associated threats, and female gender were associated with use of telemedicine•Patient and physician satisfaction with telemedicine services was high•Supply problems severely affected epilepsy patients during the SARS-CoV-2 pandemic</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory Care - methods</subject><subject>Ambulatory Care - organization & administration</subject><subject>Ambulatory Care Facilities - organization & administration</subject><subject>Anticonvulsant</subject><subject>Appointments and Schedules</subject><subject>Betacoronavirus</subject><subject>Corona</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronavirus Infections - prevention & control</subject><subject>COVID</subject><subject>COVID-19</subject><subject>Epilepsy - therapy</subject><subject>Female</subject><subject>Germany</subject><subject>Humans</subject><subject>Infection Control - organization & administration</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pandemic</subject><subject>Pandemics - prevention & control</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Pneumonia, Viral - prevention & control</subject><subject>Referral and Consultation</subject><subject>SARS-CoV-2</subject><subject>Seizure</subject><subject>Telemedicine - organization & administration</subject><subject>Telephone</subject><subject>Young Adult</subject><issn>1525-5050</issn><issn>1525-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kduKFDEQhoMo7rr6BILk0pseO6c-CArDoLvCguCqtyGdVM9mSCdtkhkcX8ZX3czOOuiNuUhC6qu_KvUj9JLUC1KT5s1msYcBbhe0poeXlnfsETongopK1E3_-HQX9Rl6ltKmrgkRjDxFZ4yRjnR9d45-3yy_3FSr8L2iVQSnMhgc1WzLDiGulbe_VLbB4zBi5THM1sGc9jhs81wC4DPWznqr8RjDhGeIKXjlsJrnYH2eCpBwDjiDgwmM1dYDThB3VkN6i5f4EuJUhJP1aweVLjxEDD-LUBHX8Bw9GZVL8OLhvEDfPn74urqqrj9fflotrytd_pirFhg1oyi_4n1ZgnAuOqIY45Qb0AMQboa2By3Gho89pYa2dDSNGBrWdlqxC_T-qDtvh9LnoY-onJyjnVTcy6Cs_Dfi7a1ch51sBWsbxorA6weBGH5sIWU52aTBOeUhbJOkvKkLSFhXUHZEdQwpRRhPZUgtD9bKjby3Vh6slUdrS9arvzs85fzxsgDvjgCUOe0sRJn0_QyNjaCzNMH-t8AdTl-6Hg</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Willems, Laurent M.</creator><creator>Balcik, Yunus</creator><creator>Noda, Anna H.</creator><creator>Siebenbrodt, Kai</creator><creator>Leimeister, Sina</creator><creator>McCoy, Jeannie</creator><creator>Kienitz, Ricardo</creator><creator>Kiyose, Makoto</creator><creator>Reinecke, Raphael</creator><creator>Schäfer, Jan-Hendrik</creator><creator>Zöllner, Johann Philipp</creator><creator>Bauer, Sebastian</creator><creator>Rosenow, Felix</creator><creator>Strzelczyk, Adam</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201101</creationdate><title>SARS-CoV-2-related rapid reorganization of an epilepsy outpatient clinic from personal appointments to telemedicine services: A German single-center experience</title><author>Willems, Laurent M. ; Balcik, Yunus ; Noda, Anna H. ; Siebenbrodt, Kai ; Leimeister, Sina ; McCoy, Jeannie ; Kienitz, Ricardo ; Kiyose, Makoto ; Reinecke, Raphael ; Schäfer, Jan-Hendrik ; Zöllner, Johann Philipp ; Bauer, Sebastian ; Rosenow, Felix ; Strzelczyk, Adam</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-7e32df5181499995144581a33424decbe14db79ec5f64f922d272fd65b6378ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory Care - methods</topic><topic>Ambulatory Care - organization & administration</topic><topic>Ambulatory Care Facilities - organization & administration</topic><topic>Anticonvulsant</topic><topic>Appointments and Schedules</topic><topic>Betacoronavirus</topic><topic>Corona</topic><topic>Coronavirus Infections - epidemiology</topic><topic>Coronavirus Infections - prevention & control</topic><topic>COVID</topic><topic>COVID-19</topic><topic>Epilepsy - therapy</topic><topic>Female</topic><topic>Germany</topic><topic>Humans</topic><topic>Infection Control - organization & administration</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pandemic</topic><topic>Pandemics - prevention & control</topic><topic>Pneumonia, Viral - epidemiology</topic><topic>Pneumonia, Viral - prevention & control</topic><topic>Referral and Consultation</topic><topic>SARS-CoV-2</topic><topic>Seizure</topic><topic>Telemedicine - organization & administration</topic><topic>Telephone</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Willems, Laurent M.</creatorcontrib><creatorcontrib>Balcik, Yunus</creatorcontrib><creatorcontrib>Noda, Anna H.</creatorcontrib><creatorcontrib>Siebenbrodt, Kai</creatorcontrib><creatorcontrib>Leimeister, Sina</creatorcontrib><creatorcontrib>McCoy, Jeannie</creatorcontrib><creatorcontrib>Kienitz, Ricardo</creatorcontrib><creatorcontrib>Kiyose, Makoto</creatorcontrib><creatorcontrib>Reinecke, Raphael</creatorcontrib><creatorcontrib>Schäfer, Jan-Hendrik</creatorcontrib><creatorcontrib>Zöllner, Johann Philipp</creatorcontrib><creatorcontrib>Bauer, Sebastian</creatorcontrib><creatorcontrib>Rosenow, Felix</creatorcontrib><creatorcontrib>Strzelczyk, Adam</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Epilepsy & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Willems, Laurent M.</au><au>Balcik, Yunus</au><au>Noda, Anna H.</au><au>Siebenbrodt, Kai</au><au>Leimeister, Sina</au><au>McCoy, Jeannie</au><au>Kienitz, Ricardo</au><au>Kiyose, Makoto</au><au>Reinecke, Raphael</au><au>Schäfer, Jan-Hendrik</au><au>Zöllner, Johann Philipp</au><au>Bauer, Sebastian</au><au>Rosenow, Felix</au><au>Strzelczyk, Adam</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SARS-CoV-2-related rapid reorganization of an epilepsy outpatient clinic from personal appointments to telemedicine services: A German single-center experience</atitle><jtitle>Epilepsy & behavior</jtitle><addtitle>Epilepsy Behav</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>112</volume><spage>107483</spage><epage>107483</epage><pages>107483-107483</pages><artnum>107483</artnum><issn>1525-5050</issn><eissn>1525-5069</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>Contributed equally.</notes><abstract>When the SARS-CoV-2 pandemic reached Europe in 2020, a German governmental order forced clinics to immediately suspend elective care, causing a problem for patients with chronic illnesses such as epilepsy. Here, we report the experience of one clinic that converted its outpatient care from personal appointments to telemedicine services.
Documentations of telephone contacts and telemedicine consultations at the Epilepsy Center Frankfurt Rhine-Main were recorded in detail between March and May 2020 and analyzed for acceptance, feasibility, and satisfaction of the conversion from personal to telemedicine appointments from both patients' and medical professionals' perspectives.
Telephone contacts for 272 patients (mean age: 38.7 years, range: 17–79 years, 55.5% female) were analyzed. Patient-rated medical needs were either very urgent (6.6%, n = 18), urgent (23.5%, n = 64), less urgent (29.8%, n = 81), or nonurgent (39.3%, n = 107). Outpatient service cancelations resulted in a lack of understanding (9.6%, n = 26) or anger and aggression (2.9%, n = 8) in a minority of patients, while 88.6% (n = 241) reacted with understanding, or relief (3.3%, n = 9). Telemedicine consultations rather than a postponed face-to-face visit were requested by 109 patients (40.1%), and these requests were significantly associated with subjective threat by SARS-CoV-2 (p = 0.004), urgent or very urgent medical needs (p = 0.004), and female gender (p = 0.024). Telemedicine satisfaction by patients and physicians was high. Overall, 9.2% (n = 10) of patients reported general supply problems due to SARS-CoV-2, and 28.4% (n = 31) reported epilepsy-specific problems, most frequently related to prescriptions, or supply problems for antiseizure drugs (ASDs; 22.9%, n = 25).
Understanding and acceptance of elective ambulatory visit cancelations and the conversion to telemedicine consultations was high during the coronavirus disease 2019 (COVID-19) lockdown. Patients who engaged in telemedicine consultations were highly satisfied, supporting the feasibility and potential of telemedicine during the COVID-19 pandemic and beyond.
•Health care systems worldwide had to face reorganization during SARS-CoV-2 pandemic•Acceptance of the SARS-CoV-2-related conversion to telemedicine services was high•Urgent concerns, perception of SARS-CoV-2-associated threats, and female gender were associated with use of telemedicine•Patient and physician satisfaction with telemedicine services was high•Supply problems severely affected epilepsy patients during the SARS-CoV-2 pandemic</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33181898</pmid><doi>10.1016/j.yebeh.2020.107483</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1525-5050 |
| ispartof | Epilepsy & behavior, 2020-11, Vol.112, p.107483-107483, Article 107483 |
| issn | 1525-5050 1525-5069 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7537633 |
| source | Elsevier |
| subjects | Adolescent Adult Aged Ambulatory Care - methods Ambulatory Care - organization & administration Ambulatory Care Facilities - organization & administration Anticonvulsant Appointments and Schedules Betacoronavirus Corona Coronavirus Infections - epidemiology Coronavirus Infections - prevention & control COVID COVID-19 Epilepsy - therapy Female Germany Humans Infection Control - organization & administration Male Middle Aged Pandemic Pandemics - prevention & control Pneumonia, Viral - epidemiology Pneumonia, Viral - prevention & control Referral and Consultation SARS-CoV-2 Seizure Telemedicine - organization & administration Telephone Young Adult |
| title | SARS-CoV-2-related rapid reorganization of an epilepsy outpatient clinic from personal appointments to telemedicine services: A German single-center experience |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-21T13%3A53%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=SARS-CoV-2-related%20rapid%20reorganization%20of%20an%20epilepsy%20outpatient%20clinic%20from%20personal%20appointments%20to%20telemedicine%20services:%20A%20German%20single-center%20experience&rft.jtitle=Epilepsy%20&%20behavior&rft.au=Willems,%20Laurent%20M.&rft.date=2020-11-01&rft.volume=112&rft.spage=107483&rft.epage=107483&rft.pages=107483-107483&rft.artnum=107483&rft.issn=1525-5050&rft.eissn=1525-5069&rft_id=info:doi/10.1016/j.yebeh.2020.107483&rft_dat=%3Cproquest_pubme%3E2460763138%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c525t-7e32df5181499995144581a33424decbe14db79ec5f64f922d272fd65b6378ca3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2460763138&rft_id=info:pmid/33181898&rfr_iscdi=true |