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Abstract Details

Patient Satisfaction with Teleneurology across Neurologic Conditions
General Neurology
P1 - Poster Session 1 (8:00 AM-9:00 AM)
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.
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.
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.
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.
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.  
Courtney Seigel
Miss Seigel has nothing to disclose.
Holly Martin Holly Martin has nothing to disclose.
Grace Kathryn Bastin (Richard L Roudebush) Miss Bastin has nothing to disclose.
Laura Myers Laura Myers has nothing to disclose.
Stanley Taylor, Other (Veterans Health Administration) Mr. Taylor has nothing to disclose.
Francis Pike, PhD (Department of Biostatistics and Health Data Science) Dr. Pike has nothing to disclose.
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.