performance can be optimised. In the context of a formative evaluation referring clinician and patient satisfaction\r\nwith a teleneurophysiology service was examined during a 20 week pilot period.\r\nMethods: Questionnaire surveys of referring clinicians and patients were conducted.\r\nResults: Fifteen (58%) clinicians responded to the first part of a postal survey which examined their satisfaction\r\nwith traditional clinical neurophysiology services. Nine (35%) responded to a second part which assessed their\r\nexperience with the teleneurophysiology service. Teleneurophysiology improved satisfaction with waiting times,\r\navailability of results and impact on patient management. There was unanimous support from the clinicians for the\r\npermanent development of a teleneurophysiology service, although 2 cautioned this could delay establishing a\r\nneurology service in their region.\r\nEighty-two percent (116/142) of patients responded to a survey of their satisfaction with teleneurophysiology. This\r\nwas compared to a previous report of 322 patients� experience with traditional CN services in Ireland. Waiting\r\ntimes for appointment were shorter for the former group who supported the telemedicine model recognising that\r\nit reduced the travel burden and need for overnight journeys. The two groups were equally anxious about the\r\ninvestigation although the teleneurophysiology patients received more prior information.\r\nConclusion: This study illustrates that teleneurophysiology is an acceptable model of service delivery for its\r\nprimary customers. Their feedback is important in informing appropriate design and governance of such innovative\r\nmodels of health service provisio.
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