The Italian technical/administrative recommendations for telemedicine in clinical neurophysiology
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ORIGINAL ARTICLE
The Italian technical/administrative recommendations for telemedicine in clinical neurophysiology G. Stipa 1,2,3 & F. Gabbrielli 3,4 & C. Rabbito 3 & V. Di Lazzaro 2,5 & A. Amantini 2,6 & A. Grippo 2,3,6 & R. Carrai 2,6 & R. Pasqui 3 & D. Barloscio 1 & D. Olivi 1 & S. Lori 2,3,6 & Telemedicine Working Group 2,3 Received: 9 July 2020 / Accepted: 15 September 2020 # Fondazione Società Italiana di Neurologia 2020
Abstract Recent advances in technology, information technology, Internet networks, and, more recently, fiber optics in industrialized countries allow the exchange of a huge amount of data, in real time, across the globe. The acquisition of increasingly sophisticated technologies has made it possible to develop telemedicine, by which the specialist’s evaluation can be carried out on the patient even remotely. In Italy, this very useful tool, although possible from a technological and information technology point of view, has not been developed because of the lack of clear and univocal rules and of major administrative obstacles related to the Italian Public Health System. To promote telemedicine implementation in Italy, the Italian Society of Clinical Neurophysiology and the Italian Society of Telemedicine together with the National Centre for Telemedicine and New Assistive Technologies of the Italian Higher Institute of Health prepared these inter-society recommendations. Because of potential forensic value of these recommendations, they were prepared considering the current regulations and the General Data Protection Regulation and will provide the basis for a Consensus Conference planned to discuss and prepare National Telemedicine Guidelines. Keywords Telemedicine . Public health . Teleneurophysiology . Remote control . Telemedicine recommendations . Telemedicine guidelines
Introduction Telemedicine “in the Internet age” has found increasing use and can be applied in various medical sectors, especially in times of health emergency, such that we are experiencing during COVID-19 pandemia. In a recent paper [1], it reported that the World Health Organization (WHO) and Centers for
* G. Stipa [email protected] 1
Neurophysiology Unit, Neuroscience Department, Terni Hospital – A.O. S. Maria, Terni, Italy
2
Italian Society of Clinical Neurophysiology – SINC, Rome, Italy
3
Italian Society of Telemedicine and Healthcare – SIT, Rome, Italy
4
National Center for Telemedicine, Italian National Institute for Health – ISS, Rome, Italy
5
Neurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Campus Bio-Medico of Rome University, Rome, Italy
6
Neurophysiology Unit, Neuro-Muscular-Skeletal Department, Careggi Hospital, University of Florence, Florence, Italy
Disease Control and Prevention (USA) have recommended use of telemedicine during the current pandemic. With acute shortage of neurologists and neurosurgeons, it becomes more difficult to provide neurological care to those who need it the most, particularly with travel restrictions. Recently, the episodes of lockdown
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