• Ruth B Schneider and Kevin M Biglan.
• University of Rochester School of Medicine and Dentistry, Rochester, NY, USA. Electronic address: ruth_schneider@urmc.rochester.edu.
• Lancet Neurol. 2017 Jul 1; 16 (7): 541-551.

AbstractDisparities in access to health care, particularly specialist care, exist worldwide. As the prevalence of chronic neurological disorders increases with ageing populations, access to neurologist care is likely to worsen in many regions if there are no changes to models of care. Telemedicine-defined here as the use of real-time, synchronous videoconferencing to deliver medical care-could be used to improve access to neurologist care for patients with a range of chronic neurological disorders. In Parkinson's disease, several studies have shown the feasibility and potential benefits of telemedicine-delivered care. Further research is needed to establish whether telemedicine can deliver on the promise of improved access to neurologist care and whether telemedicine-delivered care is comparable to in-person care in terms of clinical outcomes. Many barriers to widespread implementation of telemedicine services remain to be addressed, including reimbursement, legal considerations, and technological issues.Copyright © 2017 Elsevier Ltd. All rights reserved.

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