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52 Chapter 2 Telemedicine with E-diaries can improve access to headache care and make it more convenient for patients to receive the care they need, when and where they need it. Its implementation in clinical practice is still limited due to various barriers that physicians face that may include unfamiliarity, costs, and technical issues.27 Academic centers should lead the way by setting an example and establishing the foundation for the rest of the field. Future research should establish whether telemedicine improves outcomes in routine clinical care, and further underpin its merits both as intervention and outcome in research settings. Conflicts of Interest I.E. Verhagen, B.W.H. van der Arend and G.M. Terwindt report independent support from the Dutch Research Council (849200007) and the Dutch Brain Foundation (HA2017.01.05). G.M. Terwindt reports consultancy or industry support from Abbvie/ Allergan, Lilly, Lundbeck, Novartis, Teva, and Interactive Studios BV, and independent support from the European Community, Dutch Heart and Brain Foundations, Dutch Research Council, and Dioraphte. L.J. Holwerda, D.S. van Casteren and T. Timmers report no disclosures. Data Availability Statement The data that support the findings of this study are available from the corresponding author, G.M. Terwindt, upon reasonable request. Funding This project was not funded by any of the grants indicated in the COI section.

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