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OBJECTIVES The COVID-19 pandemic enforced an almost complete switch from face-to-face clinical work to tele-neurology. This study explores neurologists\' perceptions of telephone and videophone remote consultations. METHODS Semi-structured interviews were conducted with neurologists and a GP with a specialist interest (n = 22). Interviews were conducted remotely via Zoom®, audio-recorded, transcribed verbatim and analysed using the principles of thematic analysis. RESULTS Four main themes emerged: \'unknown unknowns (risks/uncertainties)\', \'better service\', \'challenges\', and \'beyond the pandemic\'. Thematic saturation was achieved by interview 19. Participants highlighted a number of benefits of remote consultations but over 80% also complained of a reduction in work satisfaction. CONCLUSION The sudden introduction of tele-neurology is unlikely to be fully reversed when pandemic-related restrictions have been lifted. However, this study confirms tele-neurology cannot completely replace face-to-face consultations. Some patient groups and consultation types require direct contact. Moreover, significant administrative and infrastructural investment will be required to develop the full potential of tele-neurology. PRACTICE IMPLICATIONS Tele-medicine is capable of improving access and efficiency of specialist neurology services, but limited by lack of non-verbal communication and technical problems. It could enhance service provision with sufficient infrastructural and administrative investment, but may reduce neurologists\' job statisfaction.
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10.1016/j.pec.2020.12.027
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Patient_education_and_counseling
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?:title
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Neurologists\' perceptions of utilising tele-neurology to practice remotely during the COVID-19 pandemic.
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