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        Telemedicine in an Academic Movement Disorders Center during COVID-19

        Christine Doss Esper,Laura Scorr,Sosi Papazian,Daniel Bartholomew,Gregory Jacob Esper,Stewart Alan Factor 대한파킨슨병및이상운동질환학회 2021 Journal Of Movement Disorders Vol.14 No.2

        ObjectiveaaTelemedicine has rapidly gained momentum in movement disorder neurology during the coronavirus disease (COVID-19) pandemic to preserve clinical care while mitigating the risks of in-person visits. We present data from the rapid implementationof virtual visits in a large, academic, movement disorder practice during the COVID-19 pandemic. MethodsaaWe describe the strategic shift to virtual visits and retrospectively examine elements that impacted the ability toswitch to telemedicine visits using historical prepandemic in-person data as a comparator, including demographics, distancedriven, and diagnosis distribution, with an additional focus on patients with deep brain stimulators. ResultsaaA total of 686 telemedicine visits were performed over a five-week period (60% of those previously scheduled for inofficevisits). The average age of participants was 65 years, 45% were female, and 73% were Caucasian. Men were more likely tomake the transition (p = 0.02). Telemedicine patients lived farther from the clinic than those seen in person (66.47 km vs. 42.16km, p < 0.001), age was not associated with making the switch, and patient satisfaction did not change. There was a significantshift in the distribution of movement disorder diagnoses seen by telemedicine compared to prepandemic in-person visits (p <0.001). Patients with deep brain stimulators were more likely to use telemedicine (11.5% vs. 7%, p < 0.001). ConclusionaaTelemedicine is feasible, viable and relevant in the care of movement disorder patients, although health care disparitiesappear evident for women and minorities. Patients with deep brain stimulators preferred telemedicine in our study. Furtherstudy is warranted to explore these findings.

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