Research Article
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Published Online: 6 May 2014

Teleneurology: Successful Delivery of Chronic Neurologic Care to 354 Patients Living Remotely in a Rural State

Publication: Telemedicine and e-Health
Volume 20, Issue Number 5


Background: Delivery of specialty healthcare to rural citizens in the United States remains largely unmet. The Veterans Health Administration is in a unique position to deliver specialty care to rural Veterans because it is mandated to deliver medical care to all eligible Veterans regardless of residence. To accomplish this, the VHA developed large national telehealth networks that provided over 1 million episodes of care in 2012. We investigated whether clinical video telehealth technologies can provide quality efficient neurologic follow-up care to Veterans living in the rural southwest United States. Patients and Methods: Veterans with chronic neurologic conditions living remotely in New Mexico, southern Colorado, eastern Arizona, and western Texas were offered follow-up teleneurology care at 11 rural community-based outpatient clinics following initial evaluation at the Albuquerque, NM, neurology outpatient clinic. Results: Over a 2-year period, 87% of 354 consecutive patients returned a performance improvement satisfaction questionnaire. Ninety percent of the patients were fully satisfied with their visit, and 92% felt teleneurology saved them time and money. We calculated an average time savings of 5 h and 325 miles driven, plus at least $48,000 total cost savings. Ninety-five percent reported they wanted to continue their neurologic care by teleneurology. Conclusions: Our study confirms earlier pilot studies of successful follow-up care through telemedicine. Our patients were highly satisfied with the convenience and quality of their teleneurology visit, and the neurology providers were convinced that neurologic care to both teleneurology and clinic follow-up patients was equivalent. Teleneurology to rural Veterans can provide quality neurologic care and overwhelming patient satisfaction and save considerable time and money.

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Published In

cover image Telemedicine and e-Health
Telemedicine and e-Health
Volume 20Issue Number 5May 2014
Pages: 473 - 477
PubMed: 24617919


Published online: 6 May 2014
Published in print: May 2014
Published ahead of print: 11 March 2014
Accepted: 4 September 2013
Revision received: 30 August 2013
Received: 25 June 2013


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Larry E. Davis
Neurology Service, New Mexico Veterans Affairs Healthcare System, Albuquerque, New Mexico.
Department of Neurology, University of New Mexico School of Medicine, Albuquerque, New Mexico.
Julia Coleman
Neurology Service, New Mexico Veterans Affairs Healthcare System, Albuquerque, New Mexico.
JoAnn Harnar
Neurology Service, New Mexico Veterans Affairs Healthcare System, Albuquerque, New Mexico.
Department of Neurology, University of New Mexico School of Medicine, Albuquerque, New Mexico.
Molly K. King
Neurology Service, New Mexico Veterans Affairs Healthcare System, Albuquerque, New Mexico.
Department of Neurology, University of New Mexico School of Medicine, Albuquerque, New Mexico.


Address correspondence to:Larry E. Davis, MDNeurology ServiceNew Mexico Veterans Affairs Healthcare System1501 San Pedro Drive SEAlbuquerque, NM 87108E-mail: [email protected]
[email protected]

Disclosure Statement

No competing financial interests exist.

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