文章基本信息

标题：Telemedicine in neurosurgery during SARS-CoV2 Pandemic
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作者：Maria Golebiowska ; Beata Golebiowska
期刊名称：Journal of Education, Health and Sport
电子版ISSN：2391-8306
出版年度：2020
卷号：10
期号：12
页码：201-213
DOI：10.12775/JEHS.2020.10.12.020
语种：English
出版社：Kazimierz Wielki University
摘要：Introduction and purpose First large scale introduction and research of telecommunication in medicine was conducted in year 1977. However, until current SARS-CoV-2 Pandemic, telemedicine has been used only in emergency interventions or in cases in which only remote healthcare provision services were available. Healthcare was forced to implement telemedical changes in a scale broader beyond imagination, in order to limit the risk of COVID transmission and preserve the scarce healthcare resources. Especially in surgical fields, such as neurosurgery, which strongly depend on on-site procedures, this time has been extremely demanding. The aim of the study is to present the current views and effectiveness of implementation of telemedicine in neurosurgery during SARS-CoV2 pandemic. Substantial articles on implementation and challenges of telemedicine in neurosurgery from period 02.2020-09.2020 were analyzed. Current state of knowledge Within 581 articles of PubMED database, 15 substantial articles on advancements of telemedicine in neurosurgery during SARS-CoV2 Pandemic were included in the review. 60% of the articles discussed telemedicine implementation and improvements made, 40% of the articles discussed the legislative changes, telemedicine recommendations and good pratices. Most of the articles noted the significant increase in provision of services using telemedicine and high satisfaction of patients and professionals from the remote visits. However, many challenges of the technology has been encountered including difficulties in conducting proper remote examination, lack of standarized protocols, concerns of the ethical and social matters, such as patient's confidentiality and privacy concerns, digital illiteracy in patients, and the need for more advanced hardware and more secure software for the provision of high quality services. Conclusions Reviewed research presents significant improvements in introduction of telemedicine in neurosurgical field in times of COVID Pandemic, however due to many multidisciplinary concerns regarding telemedicine implementation, face-to-face examination and communication still should take priority over the telemedicine interventions in the nonemergency future.
关键词：Telemedicine;telehealth;neurosurgery;SARS-CoV2