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International Parkinson and Movement Disorder Society
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Europe

Frequently Asked Questions
(Ireland, Spain, Holland)

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  Do you have relevant/specific legal regulations regarding telemedicine practice in your hospital/region/country?

Ireland: No specific regulations.

Holland: no specific regulations

Spain: No specific regulations

  Is there specific reimbursement for telemedicine services (fee for service) or it is included in your clinical care practice without any specific reimbursement? Any rules or recommendations regarding institutional preferences for time split between physical visits versus virtual?

Ireland and Spain: No specific reimbursement.

Patients might have additional private healthcare insurance

Holland: reimbursed completely

  How do you use telemedicine? What actual methods - mainly telephone calls?, e mails, text messages, videoconferences? Any specific platform/software?

Ireland, Spain, Holland: Mainly phone calls.

Holland: Zaurus for videoconferencing

Spain: WhatsApp, Skype Professional.

  The main difficulties or barriers to perform telemedicine? Technological limitations, patient rejection, lack of training how to conduct it. Privacy concerns?

Ireland, Spain, Holland: Potential capabilities to use other platforms but it's hindered by lack of experience and knowledge of the patient/carers.

Holland: Privacy concenrs. Only Zaurus is integrated on Epic

  With the COVID-19, are neurologists/movement disorder specialists in your country/region using more telemedicine?, which kind? Has this crisis change anything in #1-4?

Spain, Ireland, Holland: Since Covid, review appointments are performed by telephone.