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Abstract Details

A Longitudinal Comparison of Ambulatory Neurology Patient Experiences with Telehealth during the COVID-19 Pandemic: How have telehealth interest and satisfaction changed over time?
General Neurology
P4 - Poster Session 4 (8:00 AM-9:00 AM)
2-003
To compare patient satisfaction and preference for future telemedicine following in-person and virtual visits (telephone and video) in an ambulatory neurology practice.
During the COVID-19 pandemic, care shifted from exclusively telemedicine to hybrid models with in-person, video, and telephone visits. We sought to understand how patient satisfaction and visit preferences have changed.
Patients who completed a virtual visit in March 2020 (early pandemic, exclusive telemedicine), May 2020 (mid pandemic, in-person optional), and March 2021 (late pandemic, hybrid model) were contacted by telephone. Assenting patients were assessed for visit satisfaction (% reporting “all needs met”) and desire for future telemedicine (% reporting “definitely interested”).
3,991 ambulatory visits were performed (1,004 early; 478 mid; 2,509 late); 1,725 patients (43%) assented to post-visit feedback; mean age 45.8±24.4 years, 42% male, 79% white, and 56% with Medicare/Medicaid insurance. Patient satisfaction significantly increased (73% early, 79% mid, 81% late pandemic, p=0.008). Interest in telemedicine also increased for patients completing telephone visits (40% early, 50% mid, 59% late, p=0.027) and video visits (52% early, 59% mid, 62% late, p=0.035). Patients reporting “all needs met” were younger (44 years vs 51, p<0.001). There was no difference in satisfaction by race (p=0.09), sex (p=0.82), or insurance (p=0.82). However, white patients were more interested in future telemedicine (p=0.037). Multivariable analysis showed that older, male, black patients, with Medicare/Medicaid insurance were less likely to complete a video visit early pandemic. Male sex was no longer a predictor late pandemic whereas older patients were 2% less likely (for each 1 year older), black patients 45% less likely, and patients with Medicare/Medicaid 54% less likely to complete a video visit.
Patients, especially younger ones, have become more satisfied and more interested in hybrid care models. Barriers to conducting video visits persist including for older, black patients with Medicare or Medicaid insurance.
Authors/Disclosures
Kevin A. Soltany
PRESENTER 		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.
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
Alexander P. Ambrosini Mr. Ambrosini has nothing to disclose.
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.