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Open Access

Rapid implementation of telemedicine in Neurology during the COVID-19 pandemic

Challenges in King Abdulaziz Medical City-Jeddah

Hussein A. Algahtani and Bader H. Shirah
Neurosciences Journal January 2022, 27 (1) 4-9; DOI: https://doi.org/10.17712/nsj.2022.1.20210080
Hussein A. Algahtani
From the Neurology Section (Algahtani), Department of Medicine, King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Algahtani), from the College of Medicine (Algahtani), King Saud bin Abdulaziz University for Health Sciences, and from Department of Neuroscience (Shirah), King Faisal Specialist Hospital & Research Centre, Jeddah, Kingdom of Saudi Arabia.
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Bader H. Shirah
From the Neurology Section (Algahtani), Department of Medicine, King Abdulaziz Medical City, from King Abdullah International Medical Research Center (Algahtani), from the College of Medicine (Algahtani), King Saud bin Abdulaziz University for Health Sciences, and from Department of Neuroscience (Shirah), King Faisal Specialist Hospital & Research Centre, Jeddah, Kingdom of Saudi Arabia.
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    Figure 1

    - Schematic representation of how to develop a teleneurology program.1

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    Table 1

    - Major challenges hindering the successful implementation of telemedicine programs and virtual neurology clinics in Saudi Arabia

    Some patients live in rural areas with no or limited access to the internet or mobile devices, which makes communication difficult and almost impossible in some cases
    Due to cultural reasons, some female patients do not accept virtual neurology clinics and prefer face-to-face in-person clinic visits in the presence of their relatives
    Some patients, whether men or women, are not willing to be treated with telemedicine for various personal reasons
    Some patients may have cognitive, visual, or hearing impairments, which may hinder direct-to-patient telehealth encounters
    Other challenges include a lack of regulations, approved strategies, and plans for implementing telemedicine as well as a lack of availability of adequate experts to operate and maintain telemedicine programs
    Some stakeholders may be unwilling to make the required modifications to healthcare processes and bylaws beyond the COVID-19 crisis
    Healthcare personnel cannot access electronic medical records from areas outside the hospital for unconvincing reasons such as patient confidentiality. Thus, patient history, laboratory work, and radiology are inaccessible at night during medical consultations, and the patient cannot be interviewed for emergency conditions
    Telemedicine is not part of any policy, mission, vision, or needs in most Saudi hospitals. Ensuring the conformity of these aspects with telemedicine is mandatory
    Some Saudi hospitals are not equipped with advanced health informatics including electronic medical records, which hinders the application of telemedicine
    There are limitations regarding neurological examination and difficulties in performing specific examination maneuvers that require on-site assistance or special equipment
    Telemedicine is not part of the undergraduate medical college curriculum or postgraduate residency training programs
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Neurosciences Journal: 27 (1)
Neurosciences Journal
Vol. 27, Issue 1
1 Jan 2022
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Rapid implementation of telemedicine in Neurology during the COVID-19 pandemic
Hussein A. Algahtani, Bader H. Shirah
Neurosciences Journal Jan 2022, 27 (1) 4-9; DOI: 10.17712/nsj.2022.1.20210080

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Rapid implementation of telemedicine in Neurology during the COVID-19 pandemic
Hussein A. Algahtani, Bader H. Shirah
Neurosciences Journal Jan 2022, 27 (1) 4-9; DOI: 10.17712/nsj.2022.1.20210080
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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