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Implementation and Patient Experience of Outpatient Teleneurology
Lindsay Ross1, James Bena1, Robert Bermel1
1The Cleveland Clinic, Cleveland, Ohio, USA.
Summary
Virtual neurology visits significantly improved patient access to care and prevented over 1.3 million travel miles. Patients reported high satisfaction with these convenient outpatient teleneurology services.
Area of Science:
- Neurology
- Health Services Research
- Digital Health
Background:
- Teleneurology is established for acute stroke but underutilized in outpatient settings.
- Virtual visits offer potential to enhance access to neurological care for patients at home.
Purpose of the Study:
- To evaluate the implementation and patient experience of outpatient teleneurology using personal devices.
- To assess the impact of virtual visits on patient access and satisfaction.
Main Methods:
- A cross-sectional study analyzed 5,581 virtual neurologic follow-up visits over 4 years.
- Visits were conducted via personal device videoconferencing for patients aged 18+.
- Patient satisfaction and travel distance were assessed.
Main Results:
- Nearly 4,000 patients completed over 5,500 virtual visits, with a significant increase year-over-year.
- Patients traveled from various distances, with 22.2% considered remote (>270 miles).
- Over 1.3 million travel miles were prevented, and patient satisfaction was high (4.7/5 overall, 4.9/5 for providers).
Conclusions:
- Outpatient teleneurology is feasible and highly satisfactory for patients.
- Virtual visits enhance access to neurological care, even for non-remote patients.
- This study supports the broader implementation of teleneurology services.
