Providing patient-centered care in the digital era

Several articles in this issue of Neurology® Clinical Practice (NCP) highlight the changing face of medicine in the 21st century.

Bradi et al. (p. 186) and an accompanying editorial by Nuwer and Corboy (p. 177) examine the eConsult, the marriage of the curbside consult and the use of electronic health records, as a method to provide primary care providers with timely access to neurologists. Parashos et al. (p. 214) used the National Parkinson Foundation Quality Improvement Initiative database to identify factors predicting which patients with Parkinson disease with no or rare falls at the baseline visit would report at least monthly falls at the annual follow-up visit.

Benjaminy et al. (p. 232) conducted a researcher-administered survey of patients with multiple sclerosis who participated in Canada's chronic cerebrospinal venous insufficiency clinical trial and report on their motivations for participating, their understanding of the trial process, and their perspectives on the social value of the trial. Gomes-Osman et al. (p. 257) performed a systematic review of 98 randomized controlled trials that evaluate the relationship between physical exercise and cognitive performance in older adults.

Our Practice Current series takes on a universally controversial topic: “When do you order ancillary tests to determine brain death?” Given the broad range of approaches to determining brain death in diverse settings with varying resources, this survey promises to provide interesting insights. A commentary by Robbins and Bernat (p. 266) discusses available evidence and provides opinions from 3 internationally recognized experts. Please consider completing the survey to add your own perspective at NPub.org/NCP/pc7.

We welcome your feedback on this issue and invite suggestions for improving NCP.

• © 2018 American Academy of Neurology