Table 1.

Achievements and challenges of telemedicine.

		Advantages	Disadvantages
	Outcomes -Feasibility -Satisfaction -Efficacy -Reliability -Patient perception	-Necessary for clinical comparison -Easy to analyze	Lack of information on other outcomes, such as cost-effectiveness
	Clinical Care -Tele-expertise -Teleconsultation	-Improve patient’s access to movement disorders specialists -Improve the distribution of qualified health providers -Decrease travel burden	-Limited neurological exam -Limited information on the accuracy of first movement disorder consultation -Reduced quality of doctor–patient contact -Concerns for sensitive information -Limited access to technology in specific settings -Computer literacy -Limited clinician confidence
	Tele-education -For health professionals -Patients and caregivers	-Prevent academic isolation -Facilitate distance learning -Indirectly improved access to healthcare	-Lack of specific outcomes for tele-education -Limited access to technology in specific settings -Internet connectivity issues -Computer literacy
	Teletreatment	-Particularly indicated for homebound patients with comorbid diseases -Available for advanced therapies in PD	-Still little safety information -Internet connectivity issues -Computer literacy
	Teleresearch (clinical trials)	-Improve access to research for minorities and underserved areas -Facilitate the collection of biological and safety data	-Limited information -Internet connectivity issues
	Cybersecurity	-A legal framework has been developed in certain regions of the world.	-Detailed information about technical capabilities and data security of videoconferencing tools are not easily and openly retrievable