Tele-Neuro-Ophthalmology Utilization, Availability, and Attitudes: Update 1 Year into the COVID-19 Public Health Emergency
Journal of Neuro-Ophthalmology, ISSN: 1536-5166, Vol: 43, Issue: 1, Page: 40-47
2023
- 8Citations
- 18Captures
- 1Mentions
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Metrics Details
- Citations8
- Citation Indexes8
- CrossRef8
- Captures18
- Readers18
- 18
- Mentions1
- News Mentions1
- 1
Most Recent News
Investigators from Richard L. Roudebush Veterans Administration Medical Center Zero in on Telemedicine (Tele-neuro-ophthalmology Utilization, Availability, and Attitudes: Update 1 Year Into the Covid-19 Public Health Emergency)
2023 APR 13 (NewsRx) -- By a News Reporter-Staff News Editor at NewsRx COVID-19 Daily -- Investigators publish new report on Telemedicine. According to news
Article Description
Background:Telehealth was rapidly adopted early in the COVID-19 pandemic as a way to provide medical care while reducing risk of SARS-CoV2 transmission. Since then, telehealth utilization has evolved differentially according to subspecialty. This study assessed changes in neuro-ophthalmology during the first year of the COVID-19 pandemic.Methods:Telehealth utilization and opinions pre-COVID-19, early pandemic (spring 2020), and 1 year later (spring 2021) were surveyed among practicing neuro-ophthalmologists in and outside the United States using an online platform. Demographics, self-reported utilization, perceived benefits, barriers, and examination suitability were collected over a 2-week period in May 2021.Results:A total of 135 practicing neuro-ophthalmologists (81.5% United States, 47.4% females, median age 45-54 years) completed the survey. The proportion of participants using video visits remained elevated during COVID + 1 year (50.8%) compared with pre-COVID (6%, P < 0.0005, McNemar), although decreased compared with early COVID (67%, P < 0.0005). Video visits were the most commonly used methodology. The proportion of participants using remote testing (42.2% vs 46.2%), virtual second opinions (14.5% vs 11.9%, P = 0.45), and eConsults (13.5% vs 16.2%, P = 0.38) remained similar between early and COVID + 1 year (P = 0.25). The majority selected increased access to care, better continuity of care, and enhanced patient appointment efficiency as benefits, whereas reimbursement, liability, disruption of in-person clinic flow, limitations of video examinations, and patient technology use were barriers. Many participants deemed many neuro-ophthalmic examination elements unsuitable when collected during a live video session, although participants believed some examination components could be evaluated adequately through a review of ancillary testing or outside records.Conclusions:One year into the COVID-19 pandemic, neuro-ophthalmologists maintained telemedicine utilization at rates higher than prepandemic levels. Tele-neuro-ophthalmology remains a valuable tool in augmenting patient care.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85148113644&origin=inward; http://dx.doi.org/10.1097/wno.0000000000001663; http://www.ncbi.nlm.nih.gov/pubmed/36166781; https://journals.lww.com/10.1097/WNO.0000000000001663; https://dx.doi.org/10.1097/wno.0000000000001663; https://journals.lww.com/jneuro-ophthalmology/abstract/2023/03000/tele_neuro_ophthalmology_utilization,.6.aspx
Ovid Technologies (Wolters Kluwer Health)
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