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Abstract Details

Differences in Ambulatory Neurology Patient Experiences According to Distance Traveled: How do telephone and video visits compare to in-person?
General Neurology
P4 - Poster Session 4 (8:00 AM-9:00 AM)
2-004
To compare patient satisfaction and preference for future telemedicine visit following in-person and virtual visits (telephone and video) based on distance from a neurology ambulatory clinic. 
Due to the COVID-19 pandemic, ambulatory neurology shifted to both in-person and telemedicine visits. Understanding how patient satisfaction and visit preferences differ by distance traveled can inform care post-pandemic.
Patients who completed a virtual visit in March 2020 (early pandemic) and virtual or in-person visit in March 2021 (late pandemic) were contacted by telephone within 3 months. Assenting patients completed quantitative assessment of satisfaction and desire for future telemedicine visit. Distance was measured “as-the-crow-flies” between patients’ home and clinic zip-codes. Patients were stratified into groups: >60mi, 60-30mi, 30-15mi, and <15mi away. 
3,610 ambulatory visits were performed (1,101 early, 2,509 late); 1,235 patients (34%) assented to feedback. Of these, 57% were in-person, 18% video, and 23% telephone. In general, >70% of patients reported “all needs met” regardless of visit type. Patient satisfaction was significantly greater with in-person visits for intermediate distances (60-15mi) and with telemedicine visits for the closest (<15mi) and farthest distances (>60mi, p<0.048). Satisfaction with in-person visits exceeded video and telephone visits only for patients at 30-15mi (89%, 76%, and 69% respectively; p<0.011). In the late pandemic, patients desired future virtual visits significantly less following in-person visits compared to video and telephone at all distances (p<0.037). Satisfaction did not change from early to late pandemic; however, desire for future virtual visits significantly increased for telephone visits (29-39% early to 58-71% late, p<0.05) and remained high for video (50-67% early and 54-67% late, P>0.05).
Patients have become more receptive to telemedicine and in particular to telephone visits. Satisfaction with virtual visits is comparable to in-person visits at all distances and is particularly high for patients traveling the longest and shortest distances. 
Authors/Disclosures
Alexander P. Ambrosini
PRESENTER 		Mr. Ambrosini has nothing to disclose.
Carly J. Olszewski Ms. Olszewski has nothing to disclose.
No disclosure on file
Kelly A. Pring, MD Ms. Pring has nothing to disclose.
No disclosure on file
Rebecca Merrill, MD Ms. Merrill has nothing to disclose.
No disclosure on file
Kevin A. Soltany Mr. Soltany has received personal compensation for serving as an employee of Alliance for Health Policy. Mr. Soltany has received personal compensation in the range of $0-$499 for serving as a Consultant for Health Affairs.
Gabriella M. Bognet, Other Ms. Bognet has nothing to disclose.
Lauren D. Strauss, DO (Wake Forest Univrsity Baptist Medical Center) Dr. Strauss has a non-compensated relationship as a Secretary with Southern Headache Society that is relevant to AAN interests or activities.
No disclosure on file
Amy K. Guzik, MD, FAAN (Wake Forest University Baptist Medical Center) Dr. Guzik has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Local law firms, available by request.
Roy E. Strowd III, MD, FAAN (Wake Forest School Of Medicine) Dr. Strowd has received personal compensation for serving as an employee of Kaplan. Dr. Strowd has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Monteris Medical, Inc. Dr. Strowd has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Novocure. The institution of Dr. Strowd has received personal compensation in the range of $500-$4,999 for serving as a Consultant for SpringWorks . Dr. Strowd has received personal compensation in the range of $5,000-$9,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for 好色先生. The institution of Dr. Strowd has received research support from Southeastern Brain Tumor Foundation. The institution of Dr. Strowd has received research support from Jazz Pharmaceuticals. The institution of Dr. Strowd has received research support from National Institutes of Health. The institution of Dr. Strowd has received research support from Alpha Omega Alpha. The institution of Dr. Strowd has received research support from American Board of Psychiatry and Neurology. Dr. Strowd has received publishing royalties from a publication relating to health care. Dr. Strowd has received publishing royalties from a publication relating to health care.