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Olszewski C, Thomson S, Strauss L, et al. Patient Experiences With Ambulatory Telehealth in Neurology: Results of a Mixed-Methods Study. Neurol Clin Pract. 2021;11(6):484-496doi: 10.1212/CPJ.0000000000001072.
Olszewski, C., Thomson, S., Strauss, L., Graham, R., Ezzeddine, M., Dodenhoff, K., Ambrosini, A., Smith, L. D., Silla, L., Schreiber, A., Caraci, C., Guzik, A., & Strowd, R. E. (2021). Patient Experiences With Ambulatory Telehealth in Neurology: Results of a Mixed-Methods Study. Neurology. Clinical practice, 11(6), 484-496. https://doi.org/10.1212/CPJ.0000000000001072
Olszewski, Carly, et al. "Patient Experiences With Ambulatory Telehealth in Neurology: Results of a Mixed-Methods Study." Neurology. Clinical practice vol. 11,6 (2021): 484-496. doi: https://doi.org/10.1212/CPJ.0000000000001072
Olszewski C, Thomson S, Strauss L, Graham R, Ezzeddine M, Dodenhoff K, Ambrosini A, Smith LD, Silla L, Schreiber A, Caraci C, Guzik A, Strowd RE. Patient Experiences With Ambulatory Telehealth in Neurology: Results of a Mixed-Methods Study. Neurol Clin Pract. 2021 Dec;11(6):484-496. doi: 10.1212/CPJ.0000000000001072. PMID: 34992956; PMCID: PMC8723923.
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Neurol Clin Pract. 2021 Dec;11(6):484-496. doi: 10.1212/CPJ.0000000000001072.

Patient Experiences With Ambulatory Telehealth in Neurology: Results of a Mixed-Methods Study.

Neurology. Clinical practice

Carly Olszewski, Sharon Thomson, Lauren Strauss, Rachel Graham, Mustapha Ezzeddine, Kristen Dodenhoff, Alexander Ambrosini, Laura Daniela Smith, Laura Silla, Allysen Schreiber, Caroline Caraci, Amy Guzik, Roy E Strowd

Affiliations

  1. Wake Forest School of Medicine (CO, ST, KD, AA, LDS, L. Silla, AS), Wake Forest Baptist Health, Winston Salem, NC; and Department of Neurology (L. Strauss, RG, ME, CC, AG, RES), Wake Forest Baptist Health, Winston Salem, NC.

PMID: 34992956 PMCID: PMC8723923 DOI: 10.1212/CPJ.0000000000001072

Abstract

OBJECTIVE: To assess patient experiences with rapid implementation of ambulatory telehealth during the coronavirus disease 2019 (COVID-19) pandemic.

METHODS: A mixed-methods study was performed to characterize the patients' experience with neurology telehealth visits during the first 8 weeks of the COVID-19 response. Consecutive patients who completed a telehealth visit were contacted by telephone. Assenting patients completed a survey quantifying satisfaction with the visit followed by a semistructured telephone interview. Qualitative data were analyzed using the principles of thematic analysis.

RESULTS: A total of 2,280 telehealth visits were performed, and 753 patients (33%) were reached for postvisit feedback. Of these, 47% of visits were by video and 53% by telephone. Satisfaction was high, with 77% of patients reporting that all needs were met, although only 51% would consider telehealth in the future. Qualitative themes were constructed, suggesting that positive patient experiences were associated not only with the elimination of commute time and associated costs but also with a positive physician interaction. Negative patient experiences were associated with the inability to complete the neurologic examination. Overall, patients tended to view telehealth as a tool that should augment, and not replace, in-person visits.

CONCLUSION: In ambulatory telehealth, patients valued convenience, safety, and physician relationship. Barriers were observed but can be addressed.

© 2021 American Academy of Neurology.

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