2026-06-14T05:05:39Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/163852024-09-27T15:35:11Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19612
Repisalud
author
Torres-Castaño, Alezandra
author
Abt-Sacks, Analía
author
Toledo-Chávarri, Ana
author
Suarez-Herrera, José Carlos
author
Delgado-Rodríguez, Janet
author
León-Salas, Beatriz
author
González-Hernández, Yadira
author
Carmona, Montserrat
author
Serrano-Aguilar, Pedro
funder
Ministerio de Sanidad (España)
2023-08-31T16:29:24Z
2023-08-31T16:29:24Z
2023-02-19
Int J Environ Res Public Health. 2023 Feb 19;20(4):3694.
10.3390/ijerph20043694
1660-4601
International journal of environmental research and public health
36834388
http://hdl.handle.net/20.500.12105/16385
Background: Neurological disorders are the leading cause of disability and the second leading cause of death worldwide. Teleneurology (TN) allows neurology to be applied when the doctor and patient are not present in the same place, and sometimes not at the same time. In February 2021, the Spanish Ministry of Health requested a health technology assessment report on the implementation of TN as a complement to face-to-face neurological care. Methods: A scoping review was conducted to answer the question on the ethical, legal, social, organisational, patient (ELSI) and environmental impact of TN. The assessment of these aspects was carried out by adapting the EUnetHTA Core Model 3.0 framework, the criteria established by the Spanish Network of Health Technology Assessment Agencies and the analysis criteria of the European Validate (VALues In Doing Assessments of healthcare TEchnologies) project. Key stakeholders were invited to discuss their concerns about TN in an online meeting. Subsequently, the following electronic databases were consulted from 2016 to 10 June 2021: MEDLINE and EMBASE. Results: 79 studies met the inclusion criteria. This scoping review includes 37 studies related to acceptability and equity, 15 studies developed during COVID and 1 study on environmental aspects. Overall, the reported results reaffirm the necessary complementarity of TN with the usual face-to-face care. Conclusions: This need for complementarity relates to factors such as acceptability, feasibility, risk of dehumanisation and aspects related to privacy and the confidentiality of sensitive data.
eng
Accessibility
Equity
Ethical
Health technology assessment
Legal
Organizational
Social
Teleneurology
Ethical, Legal, Organisational and Social Issues of Teleneurology: A Scoping Review
review article
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