Psychoemotional aspects of doctor-patient interaction in remote consultation in otoneurology

OBJECTIVE: To analyze the relationship between doctors and patients regarding the use of remote technologies in providing medical care to patients with vestibular disorders, and to assess changes in patients' psychological and emotional state during remote interaction. MATERIALS AND METHODS: A prospective, non-randomized observational study was conducted involving 100 patients presenting with vertigo and dizziness. The study included remote consultations, formulation of a diagnostic concept, an in-person comprehensive otoneurological examination with questionnaires (hospital anxiety and depression scale, dizziness handicap inventory), clinical diagnosis, treatment strategy, and subsequent remote monitoring of patients for 6 months. Additionally, a survey was conducted among 57 physicians with experience in treating patients with vestibular disorders. RESULTS: During the six-month remote monitoring period, a positive trend in psychological and emotional indicators was observed: a decrease in the severity of anxiety and depression - most pronounced in patients with BPPV and vestibular migraine - as well as a reduction in the degree of functional limitations associated with dizziness. More than half of the physicians (59.6%) reported using remote interaction in otoneurology and perceive it as a promising supplement to traditional practice (66.6%), particularly in cases requiring remote follow-up, psychoemotional support, and counseling in preparation for an in-person appointment. The advantages and disadvantages of this format have been identified.