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Provider Experience with Teleneurology in an Academic Neurology Department
- Source :
- Telemed J E Health
- Publication Year :
- 2022
- Publisher :
- Mary Ann Liebert Inc, 2022.
-
Abstract
- INTRODUCTION: Teleneurology has become widely adopted during severe acute respiratory syndrome coronavirus 2 pandemic. However, provider impressions about the teleneurology experience are not well described. METHODS: A novel questionnaire was developed to collect provider impressions about video teleneurology encounters. All providers in the University of Pennsylvania Health System (UPHS) Neurology Department (N = 162) were asked to complete a questionnaire after each video teleneurology patient encounter between April and August 2020. Individual patient and encounter-level data were extracted from the electronic medical record. RESULTS: One thousand six hundred three surveys were completed by 55 providers (response rate of 10.12%). The history obtained and the ability to connect with the patient were considered the same or better than an in-person visit in almost all encounters. The quality of the physician–patient relationship was good or excellent in 93%, while the overall experience was the same as an in-person visit in 73% of visits and better in 12%. Sixty-eight percent of respondents reported that none of the elements of the neurological examination if performed in person would have changed the assessment and plan. Assessment of the visit as the same or better increased from 83% in April to 89% in July and 95% in August. Headache (91%), multiple sclerosis and neuroimmunology (96%), and movement disorder (89%) providers had the highest proportion of ratings of same or better overall experience and neuromuscular providers the lowest (60%). CONCLUSIONS: Provider impressions about the teleneurology history, examination, and provider–patient relationship are favorable in the majority of responses. Important differences emerge between provider specialty and visit characteristics groups.
- Subjects :
- medicine.medical_specialty
Telemedicine
020205 medical informatics
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Specialty
Neurology department
Health Informatics
Neurological examination
02 engineering and technology
Health Information Management
0202 electrical engineering, electronic engineering, information engineering
medicine
Humans
Pandemics
Assessment and plan
Original Research
Response rate (survey)
medicine.diagnostic_test
SARS-CoV-2
business.industry
Electronic medical record
COVID-19
General Medicine
Neurology
Family medicine
business
Subjects
Details
- ISSN :
- 15563669 and 15305627
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Telemedicine and e-Health
- Accession number :
- edsair.doi.dedup.....d96fe5d1282cae9180746ce677b1549e