The past, present, and future of telemedicine for Parkinson's disease

ABSTRACT Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide. Telemedicine, the use of telecommunications technology to deliver care at a distance, can help overcome these barriers. In this report, we...

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Published inMovement disorders Vol. 29; no. 7; pp. 871 - 883
Main Authors Achey, Meredith, Aldred, Jason L., Aljehani, Noha, Bloem, Bastiaan R., Biglan, Kevin M., Chan, Piu, Cubo, Esther, Ray Dorsey, E., Goetz, Christopher G., Guttman, Mark, Hassan, Anhar, Khandhar, Suketu M., Mari, Zoltan, Spindler, Meredith, Tanner, Caroline M., van den Haak, Pieter, Walker, Richard, Wilkinson, Jayne R.
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.06.2014
Wiley Subscription Services, Inc
Subjects
Humans
Movement disorders
Nursing Care
Parkinson Disease - diagnosis
Parkinson Disease - therapy
Parkinson's disease
Patient Care
Remote Consultation
telemedicine
Telemedicine - trends
telemedicine
Parkinson's disease
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Abstract ABSTRACT Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide. Telemedicine, the use of telecommunications technology to deliver care at a distance, can help overcome these barriers. In this report, we describe the past, present, and likely future applications of telemedicine to PD. Historically, telemedicine has relied on expensive equipment to connect single patients to a specialist in pilot programs in wealthy nations. As the cost of video conferencing has plummeted, these efforts have expanded in scale and scope, now reaching larger parts of the world and extending the focus from care to training of remote providers. Policy, especially limited reimbursement, currently hinders the growth and adoption of these new care models. As these policies change and technology advances and spreads, the following will likely develop: integrated care networks that connect patients to a wide range of providers; education programs that support patients and health care providers; and new research applications that include remote monitoring and remote visits. Together, these developments will enable more individuals with PD to connect to care, increase access to expertise for patients and providers, and allow more‐extensive, less‐expensive participation in research. © 2014 International Parkinson and Movement Disorder Society
AbstractList Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide. Telemedicine, the use of telecommunications technology to deliver care at a distance, can help overcome these barriers. In this report, we describe the past, present, and likely future applications of telemedicine to PD. Historically, telemedicine has relied on expensive equipment to connect single patients to a specialist in pilot programs in wealthy nations. As the cost of video conferencing has plummeted, these efforts have expanded in scale and scope, now reaching larger parts of the world and extending the focus from care to training of remote providers. Policy, especially limited reimbursement, currently hinders the growth and adoption of these new care models. As these policies change and technology advances and spreads, the following will likely develop: integrated care networks that connect patients to a wide range of providers; education programs that support patients and health care providers; and new research applications that include remote monitoring and remote visits. Together, these developments will enable more individuals with PD to connect to care, increase access to expertise for patients and providers, and allow more-extensive, less-expensive participation in research. © 2014 International Parkinson and Movement Disorder Society [PUBLICATION ABSTRACT]
Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide. Telemedicine, the use of telecommunications technology to deliver care at a distance, can help overcome these barriers. In this report, we describe the past, present, and likely future applications of telemedicine to PD. Historically, telemedicine has relied on expensive equipment to connect single patients to a specialist in pilot programs in wealthy nations. As the cost of video conferencing has plummeted, these efforts have expanded in scale and scope, now reaching larger parts of the world and extending the focus from care to training of remote providers. Policy, especially limited reimbursement, currently hinders the growth and adoption of these new care models. As these policies change and technology advances and spreads, the following will likely develop: integrated care networks that connect patients to a wide range of providers; education programs that support patients and health care providers; and new research applications that include remote monitoring and remote visits. Together, these developments will enable more individuals with PD to connect to care, increase access to expertise for patients and providers, and allow more-extensive, less-expensive participation in research.
Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide. Telemedicine, the use of telecommunications technology to deliver care at a distance, can help overcome these barriers. In this report, we describe the past, present, and likely future applications of telemedicine to PD. Historically, telemedicine has relied on expensive equipment to connect single patients to a specialist in pilot programs in wealthy nations. As the cost of video conferencing has plummeted, these efforts have expanded in scale and scope, now reaching larger parts of the world and extending the focus from care to training of remote providers. Policy, especially limited reimbursement, currently hinders the growth and adoption of these new care models. As these policies change and technology advances and spreads, the following will likely develop: integrated care networks that connect patients to a wide range of providers; education programs that support patients and health care providers; and new research applications that include remote monitoring and remote visits. Together, these developments will enable more individuals with PD to connect to care, increase access to expertise for patients and providers, and allow more‐extensive, less‐expensive participation in research. © 2014 International Parkinson and Movement Disorder Society
ABSTRACT Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide. Telemedicine, the use of telecommunications technology to deliver care at a distance, can help overcome these barriers. In this report, we describe the past, present, and likely future applications of telemedicine to PD. Historically, telemedicine has relied on expensive equipment to connect single patients to a specialist in pilot programs in wealthy nations. As the cost of video conferencing has plummeted, these efforts have expanded in scale and scope, now reaching larger parts of the world and extending the focus from care to training of remote providers. Policy, especially limited reimbursement, currently hinders the growth and adoption of these new care models. As these policies change and technology advances and spreads, the following will likely develop: integrated care networks that connect patients to a wide range of providers; education programs that support patients and health care providers; and new research applications that include remote monitoring and remote visits. Together, these developments will enable more individuals with PD to connect to care, increase access to expertise for patients and providers, and allow more‐extensive, less‐expensive participation in research. © 2014 International Parkinson and Movement Disorder Society
Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide. Telemedicine, the use of telecommunications technology to deliver care at a distance, can help overcome these barriers. In this report, we describe the past, present, and likely future applications of telemedicine to PD. Historically, telemedicine has relied on expensive equipment to connect single patients to a specialist in pilot programs in wealthy nations. As the cost of video conferencing has plummeted, these efforts have expanded in scale and scope, now reaching larger parts of the world and extending the focus from care to training of remote providers. Policy, especially limited reimbursement, currently hinders the growth and adoption of these new care models. As these policies change and technology advances and spreads, the following will likely develop: integrated care networks that connect patients to a wide range of providers; education programs that support patients and health care providers; and new research applications that include remote monitoring and remote visits. Together, these developments will enable more individuals with PD to connect to care, increase access to expertise for patients and providers, and allow more-extensive, less-expensive participation in research.Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide. Telemedicine, the use of telecommunications technology to deliver care at a distance, can help overcome these barriers. In this report, we describe the past, present, and likely future applications of telemedicine to PD. Historically, telemedicine has relied on expensive equipment to connect single patients to a specialist in pilot programs in wealthy nations. As the cost of video conferencing has plummeted, these efforts have expanded in scale and scope, now reaching larger parts of the world and extending the focus from care to training of remote providers. Policy, especially limited reimbursement, currently hinders the growth and adoption of these new care models. As these policies change and technology advances and spreads, the following will likely develop: integrated care networks that connect patients to a wide range of providers; education programs that support patients and health care providers; and new research applications that include remote monitoring and remote visits. Together, these developments will enable more individuals with PD to connect to care, increase access to expertise for patients and providers, and allow more-extensive, less-expensive participation in research.
Author Goetz, Christopher G.
Guttman, Mark
Walker, Richard
Chan, Piu
Ray Dorsey, E.
Biglan, Kevin M.
van den Haak, Pieter
Cubo, Esther
Mari, Zoltan
Hassan, Anhar
Aljehani, Noha
Tanner, Caroline M.
Achey, Meredith
Bloem, Bastiaan R.
Spindler, Meredith
Wilkinson, Jayne R.
Aldred, Jason L.
Khandhar, Suketu M.
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  organization: Center for Human Experimental Therapeutics, University of Rochester Medical Center, Rochester, New York, USA
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  organization: Department of Neurology, Mayo Clinic, Minnesota, Rochester, USA
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  organization: Kaiser Permanente Movement Disorders Program, Northern California, USA
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  givenname: Caroline M.
  surname: Tanner
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  organization: Parkinson's Disease Research, Education and Clinical Center, San Francisco Veterans Affairs Medical Center and Department of Neurology, University of California-San Francisco, California, San Francisco, USA
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  givenname: Pieter
  surname: van den Haak
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  organization: Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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Issue 7
Keywords telemedicine
Parkinson's disease
Language English
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2014 International Parkinson and Movement Disorder Society.
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Full financial disclosures and author roles may be found in the online version of this article.
:
Dr. Biglan has telemedicine research‐related grants with the Davis Phinney Foundation, Great Lakes NeuroTechnologies, Michael J. Fox Foundation, and the Patient‐Centered Outcomes Research Institute and has filed a patent related to telemedicine and neurology. Dr. Dorsey has telemedicine research‐related grants with the Davis Phinney Foundation, Great Lakes NeuroTechnologies, Michael J. Fox Foundation, and the Patient‐Centered Outcomes Research Institute, is a member of the medical advisory board for, and has stock options in, Grand Rounds (an online second opinion service), is an unpaid advisor to SBR Health and Vidyo, and has filed a patent related to telemedicine and neurology. Dr. Goetz is an officer of the International Parkinson and Movement Disorder Society (MDS) that supports this program. Dr. Tanner is a coinvestigator on telemedicine research‐related grants with the Davis Phinney Foundation, the Patient‐Centered Outcomes Research Institute, and the MDS.
Relevant conflicts of interest/financial disclosures
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Snippet ABSTRACT Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide....
Travel distance, growing disability, and uneven distribution of doctors limit access to care for most Parkinson's disease (PD) patients worldwide....
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SubjectTerms Humans
Movement disorders
Nursing Care
Parkinson Disease - diagnosis
Parkinson Disease - therapy
Parkinson's disease
Patient Care
Remote Consultation
telemedicine
Telemedicine - trends
Title The past, present, and future of telemedicine for Parkinson's disease
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https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fmds.25903
https://www.ncbi.nlm.nih.gov/pubmed/24838316
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Volume 29
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