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Contribution of a synchronic teleneurology program to decrease the patient number waiting for a first consultation

Freddy Constanzo^1,2, Paula Aracena-Sherck³, Juan Pablo Hidalgo⁴

¹Neurology Unit, Hospital Las Higueras, Alto Horno 777, Talcahuano, Chile. teleneurologiahht@gmail.com.

BMC Medical Informatics and Decision Making

|February 7, 2020

Summary

Chile

Keywords:

Adult neurology Telemedicine Teleneurology

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Area of Science:

Neurology
Telemedicine
Healthcare Access

Background:

Significant shortage of neurologists in Chile, with over 56,000 patients awaiting initial appointments.
The Hospital Las Higueras de Talcahuano (HHT) implemented a Teleneurology Program in 2015 to address this.
The program aimed to reduce patient waitlists and consultation times for neurology services.

Purpose of the Study:

To evaluate the impact of the HHT Teleneurology Program on patient wait times and appointment numbers.
To identify factors influencing neurology consultation outcomes in a Chilean healthcare setting.

Main Methods:

Retrospective analysis of 8,269 patients referred to HHT Neurology between 2013-2018.
Comparison of in situ consultations versus synchronic telepresence via the Teleneurology Program.
Cox regression analysis to determine factors affecting wait times and consultation numbers.

Main Results:

The Teleneurology Program reduced the number of patients waiting for appointments from 3,084 to 298 (2015-2018).
Patients using Teleneurology experienced 60% shorter wait times (6.23 months) compared to in situ consultations (10.47 months).
In situ patients faced a 6.74 times higher risk of waiting significantly longer, irrespective of age or gender.

Conclusions:

The HHT Teleneurology Program significantly decreased neurology appointment backlogs and waiting periods.
Telemedicine effectively reduces wait times for patients referred from primary and secondary care centers.
Teleneurology is a viable solution for improving specialist access in underserved regions.