Using Teleneurology to Deliver Chronic Neurologic Care to Rural Veterans: Analysis of the First 1,100 Patient Visits

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Larry E DavisMolly K King

Abstract

A challenge confronting the United States is delivery of quality specialty healthcare to citizens living in rural areas. The Veterans Administration (VA) developed a large national telehealth network to address 5.2 million rural veterans. New Mexico's Albuquerque VA Neurology Service developed a teleneurology program for their rural veterans. This article analyzes our first 1,100 teleneurology patient visits. Veterans living in remote areas of New Mexico, southern Colorado, eastern Arizona, and western Texas were offered follow-up teleneurology care at 16 rural VA community-based outpatient clinics (CBOCs) following an initial evaluation at the Albuquerque VA neurology outpatient clinic. Surveys were sent after all teleneurology visits focused on quality of care, ease of communication, satisfaction, and staff's ability to deliver same quality care as in person. Problems encountered, differences between face-to-face clinics and teleneurology, and cost savings were examined. Regarding the 701 (64%) returned surveys, we found 90% perceived they received good care, 91% felt there was good communication, 88% liked the convenience, and 87% reported they desired to continue teleneurology care. Ninety-six percent reported saving time, ...Continue Reading

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Citations

Oct 5, 2019·Neurology. Clinical Practice·Parul DayalJames P Marcin
Apr 25, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Sami Al KasabChristine A Holmstedt
Jun 5, 2020·Journal of the American Medical Informatics Association : JAMIA·Stacie VilendrerChristopher Sharp
Jun 26, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Lindsay RossMarisa McGinley
Sep 24, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Susel Góngora AlonsoManuel Franco
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Jun 3, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Thomas F TropeaLawrence Wechsler
May 31, 2021·Epilepsy & Behavior : E&B·Yosefa A ModianoZulfi Haneef
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Jan 1, 2022·Postgraduate Medical Journal·Tagore NakornchaiJ William L Brown
Jan 12, 2022·Seminars in Neurology·Michael J Young

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