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Systematic review of Saudi neurologists' telehealth intentions and attitudes reveals regional and institutional adoption gapsNeurologists in Saudi Arabia Want to Go Digital

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Key Takeaway
Note regional and institutional variations in Saudi neurologists' telehealth adoption intentions reported in this systematic review.

This systematic review synthesizes evidence from a cross-sectional survey involving 300 neurologists recruited in Saudi Arabia to assess intentions and attitudes toward telehealth. The study aimed to understand factors associated with the intention to use telehealth in routine practice within this specific population. The authors note that evidence on neurologists' telehealth use, attitudes, and intentions to adopt telehealth in routine practice remains limited, which constrains the generalizability of these findings.

Key results indicate that 78.7% of the 300 neurologists intended to use telehealth. Significant variations were observed by region, with the Central region showing a higher intention rate of 39.8% compared to 20.3% in other regions (p = 0.017). Governmental institutions demonstrated an intention rate of 89.8%, which was higher than the 73.4% observed in other institutions (p = 0.001). Additionally, tertiary care centers reported an intention rate of 51.3% versus 32.8% in other centers (p = 0.030). Consultants showed a higher intention rate of 36.0% compared to 21.9% among specialists (p = 0.006).

Confidence in telehealth varied by patient type, with 82.7% expressing confidence for follow-up care versus 24.0% for new patients (p = 0.017). The authors caution that evidence on neurologists' telehealth use, attitudes, and intentions to adopt telehealth in routine practice remains limited. Consequently, practice relevance is restricted to the context of Saudi Arabia, and broader conclusions about efficacy or safety cannot be drawn from this observational data.

Practice implications suggest that targeted strategies to enhance adoption should focus on increasing familiarity, promoting positive attitudes, and ensuring institutional support. However, because this is a cross-sectional survey, causal inferences regarding the drivers of telehealth adoption cannot be made. The study does not report adverse events, tolerability, or discontinuations, nor does it provide data on clinical outcomes or specific telehealth interventions beyond usage intentions.

The Big Shift

Imagine a patient living in a remote village who needs to see a brain specialist. Today, they often face long drives and crowded waiting rooms. But a new survey shows doctors in Saudi Arabia are ready to change that. Most neurologists now want to use video calls for patient care.

Neurological conditions like epilepsy, stroke, and Parkinson's disease need careful, ongoing attention. Many patients struggle to get timely appointments. This is frustrating for families who travel far just for a check-in. Current systems often leave gaps in care.

The Surprising Shift

We used to think doctors would resist new technology. They worried about privacy and losing the personal touch. But here's the twist: most neurologists are eager to try. Seventy-nine percent of them say they intend to use telehealth tools soon.

What Scientists Didn't Expect

The study looked at doctors across the whole country. They found that location matters. Doctors in the Central region are more likely to use video visits than those elsewhere. Government hospitals and top-tier clinics also lead the way. Senior consultants are more open to it than junior specialists.

The Lock and Key

Think of telehealth like a lock and key. The lock is the patient's need for care. The key is the doctor's comfort with technology. If the key fits well, the door opens. Right now, familiarity is the missing key for many. When doctors understand the tools, they feel confident using them.

The Study Snapshot

Researchers asked 300 neurologists to answer questions about their habits. They used a special survey to get honest answers. The group included doctors from different cities and hospital types. This mix gives a clear picture of the whole field.

Most doctors feel good about using video for follow-ups. They are confident it works well for checking on known patients. However, they are less sure about starting care with new patients online. This makes sense. Building trust takes time, and a screen can feel cold at first.

But there's a catch.

Not every doctor is ready yet. Some feel nervous about the technology. Others worry their patients might not have good internet. These fears slow down adoption. The study shows that training and support can help fix this.

The Bigger Picture

Experts say this fits into a larger trend. The world is moving online, and medicine is no exception. Saudi Arabia is trying to expand digital health services. This study shows that doctors are ready if the right tools are provided. It is not just about the software; it is about the mindset.

If you are a patient, this is good news. It means more options for getting care. You might soon be able to see a specialist from home. If you are a doctor, talk to your team about these tools. Ask if your hospital offers the right audio and video equipment.

The Limitations

This study has some limits. It only looked at Saudi Arabia. Results might differ in other countries. Also, the survey asked about intentions, not actual use. Just because a doctor wants to use telehealth doesn't mean they will. Real-world tests are needed next.

The future looks promising. Hospitals will likely invest in better training. They will also improve internet access in rural areas. These steps will help more patients get care. It will take time, but the direction is clear. Digital tools will become standard in neurology soon.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
Telehealth has increasingly been integrated into neurological practice worldwide, particularly following the COVID-19 pandemic. Despite national efforts to expand telehealth services in Saudi Arabia, evidence on neurologists’ telehealth use, attitudes, and intentions to adopt telehealth in routine practice remains limited. A national cross-sectional survey was conducted among neurologists practicing in Saudi Arabia to assess attitudes and intentions toward telehealth use. Participants were recruited via snowball sampling to complete a structured, self-administered questionnaire. The required sample size was calculated for a finite population and estimated at 281; a total of 300 neurologists were recruited to account for non-responses. Survey validity was established through expert content review and face validity testing, while reliability was confirmed using Cronbach’s alpha (0.73) and test–retest correlation (r = 0.82). Descriptive statistics summarized responses, and inferential analyses—including chi-square tests, Mann–Whitney U tests, and multivariate logistic regression, were performed to identify factors associated with intention to use telehealth, with p  Overall, 78.7% (n = 236) intended to use telehealth. Intention was significantly higher among neurologists working in the Central region (39.8% vs. 20.3%, p = 0.017), governmental institutions (89.8% vs. 73.4%, p = 0.001), and tertiary care centers (51.3% vs. 32.8%, p = 0.030), and among consultants compared with specialists (36.0% vs. 21.9%, p = 0.006). Confidence in telehealth was higher for follow-up care than for new patients (82.7% vs. 24.0%, p  Most surveyed neurologists reported a high intention to use telehealth. Confidence in telehealth was higher for follow-up care than for new-patient consultations. Overall attitudes toward telehealth were moderately positive and were significantly associated with the intention to use the service. Familiarity with telehealth, positive attitudes toward follow-up care, and institutional provision of audio services were identified as significant independent factors associated with telehealth adoption. These findings underscore the importance of individual and organizational factors in shaping neurologists’ willingness to adopt telehealth, suggesting that targeted strategies to enhance adoption should focus on increasing familiarity, promoting positive attitudes, and ensuring institutional support.
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