Abstract Details

Title Patient Satisfaction with Teleneurology across Neurologic Conditions

Topic General Neurology

Presentation(s) P1 - Poster Session 1 (8:00 AM-9:00 AM)

Poster/Presentation
Number 12-003

Objective The purpose of this study was to compare satisfaction with teleneurology between patients with different neurological conditions and to determine if other factors also influence satisfaction.

Background The practice of Teleneurology has grown immensely in the past decade. Although satisfaction with outpatient teleneurology has been reported within specific conditions, little is known about satisfaction across general neurologic conditions or what other factors might influence satisfaction with Teleneurology care.

Design/Methods This is a prospective cohort study of Veterans who completed a new patient teleneurology outpatient visit as part of the Department of Veteran Affairs National Teleneurology Program. Virtual visits were conducted via video to home or video to outpatient clinic. Patient satisfaction with telehealth was assessed in a telephone interview two weeks after the visit. Satisfaction was a summed score (3-21) of three 7-point Likert questions (higher = more satisfied). Clinical diagnosis groups were determined based on neurologists’ diagnosis. Satisfaction score was modeled using a censored Tobit model controlling for demographics, type of tele-visit, medical comorbidity, and diagnosis groups.

Results In FY 2021, 299 of 637 (46.9%) patients contacted agreed to participate in the survey and 277 completed it (43.5%). Of these 277 consults, 70 (25.3%) were for headache, 46 (16.6%) for movement disorders, 45 (16.2%) for symptoms, and 116 (41.9%) for other conditions. Mean patient satisfaction was 18.3 (SD 3.17) and there was no statistically significant difference in satisfaction score between diagnosis groups. The only factor independently related to satisfaction score was medical comorbidity, with higher comorbidity associated with higher satisfaction scores.

Conclusions Patients with a variety of neurologic conditions are highly satisfied with their teleneurology experience, and those with more comorbidity report higher satisfaction. This suggests that use of teleneurology may be useful and acceptable across many outpatient neurologic conditions including for medically complex patients.

Authors/Disclosures
Courtney Seigel, MD PRESENTER	Miss Seigel has nothing to disclose.
Holly Martin	Holly Martin has nothing to disclose.
	No disclosure on file
Laura Myers	The institution of Laura Myers has received research support from VA.
Stanley Taylor (Veterans Health Administration)	Stanley Taylor has nothing to disclose.
	No disclosure on file
Jayne R. Wilkinson, MD, MSCE (Philadelphia PADRECC / University of Pennsylvania)	Dr. Wilkinson has nothing to disclose.
Linda S. Williams, MD, FAAN (Roudebush VAMC)	The institution of Dr. Williams has received research support from VA HSR&D.

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