Neurologic disorders are a growing burden on public health and are significant contributors to mortality and disability worldwide. Unequal access to and utilization of neurologic care has been shown for multiple neurologic diseases. Neurology referrals can be unreliable with high degree of loss-to-follow-up, leading to worse neurologic health outcomes. Neurologic disorders have also been shown to disproportionately affect. 

Our cohort had a significantly higher proportion of Black patients, whereas a similar proportion of female patients when compared to city census data. Different insurance types were well represented in our cohort. Most common referral diagnoses included: seizures, headache, neuropathy, and stroke. There was a high proportion of patients with poor outcomes (lost to follow-up or never followed-up). In univariate and multivariate logistic regression models, Black and uninsured patients were less likely to follow-up. 

Disparities in neurological care exist. Identifying groups with higher risk of non-adherence can help clinicians identify at-risk individuals/groups. Our goal is to work with the healthcare systems to implement structural changes, including more efficient and equitable resource allocation, to assure equal access to neurological care.