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Review
. 2024 May 30;24(4):232-241.
doi: 10.1177/15357597241255274. eCollection 2024 Jul-Aug.

The Tell on Telehealth

Anup D Patel  1   2   3   4 , Charuta Joshi  5 , Rohit Das  6 , John M Stern  7 , Susan T Herman  8 , Barry E Gidal  9
Affiliations
Review

The Tell on Telehealth

Anup D Patel et al. Epilepsy Curr. .

Abstract

Objective: Telehealth in epilepsy care is not new. During the COVID-19 public health emergency, telehealth became more readily used to deliver epilepsy care. However, a summarized guidance of use in caring for people with epilepsy utilizing telehealth is needed.

Methods: Existing literature was reviewed to provide guidance on various aspects of telehealth. Billing aspects are reviewed. Recommendations and considerations along with benefits and barriers to telehealth are provided.

Results: Telehealth can be a preferred delivery route of care for people with epilepsy in specific situations. Examples include psychiatric complaints, medication management, and follow-up visits for noncomplicated epilepsy care. In addition, telehealth is useful for patients who need postoperative visits, are not able to travel, or live in residential facilities. In-person care may be more suitable for patients who are medically complex, have language barriers or difficulty with resource access, hearing impaired, or have neurostimulation devices where remote monitoring or programming options are infeasible.

Discussion: Telehealth care for people with epilepsy can be a useful and important method of care delivery. It should remain an option for providers to use in epilepsy clinical care. It is important for the neurology provider to understand the benefits, billing, and barriers to providing telehealth.

Keywords: epilepsy; health care delivery; telehealth; telemedicine; teleneurology.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Samia P, Sahu JK, Ali A, et al. Telemedicine for individuals with epilepsy: recommendations from the International League Against Epilepsy Telemedicine Task Force. Seizure. 2023;106:85–91. doi:10.1016/j.seizure.2023.02.005 - PubMed
    1. Chua R, Craig J, Wootton R, Patterson V. Randomized controlled trial of telemedicine for new neurological outpatient referrals. J Neurol Neurosurg Psychiatry. 2001;71(1):63–66. doi:10.1136/jnnp.71.1.63 - PMC - PubMed
    1. Rasmusson KA, Hartshorn JC. A comparison of epilepsy patients in a traditional ambulatory clinic and a telemedicine clinic. Epilepsia. 2005;46(5):767–70. doi:10.1111/j.1528-1167.2005.44804.x - PubMed
    1. Haddad N, Grant I, Eswaran H. Telemedicine for patients with epilepsy: a pilot experience. Epilepsy Behav. 2015;44:1–4. doi:10.1016/j.yebeh.2014.11.033 - PubMed
    1. Ahmed SN, Wiebe S, Mann C, Ohinmaa A. Telemedicine and epilepsy care—a Canada wide survey. Can J Neurol Sci. 2010;37(6):814–818. doi:10.1017/S0317167100051490 - PubMed

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