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April 06, 2018Article

Telemedicine in a pediatric headache clinic

A prospective survey

William Qubty, Irene Patniyot and Amy Gelfand
First published April 6, 2018, DOI: https://doi.org/10.1212/WNL.0000000000005482
William Qubty
From the Pediatric Headache Center (W.Q., A.G.), University of California San Francisco; and Department of Pediatrics and Neurology (I.P.), Baylor College of Medicine, Houston, TX.
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Irene Patniyot
From the Pediatric Headache Center (W.Q., A.G.), University of California San Francisco; and Department of Pediatrics and Neurology (I.P.), Baylor College of Medicine, Houston, TX.
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Amy Gelfand
From the Pediatric Headache Center (W.Q., A.G.), University of California San Francisco; and Department of Pediatrics and Neurology (I.P.), Baylor College of Medicine, Houston, TX.
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Telemedicine in a pediatric headache clinic
William Qubty, Irene Patniyot, Amy Gelfand
Neurology Apr 2018, 10.1212/WNL.0000000000005482; DOI: 10.1212/WNL.0000000000005482

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Abstract

Objective The aim of this prospective study was to survey our patients about their experience with our clinic's telemedicine program to better understand telemedicine's utility for families, and to improve patient satisfaction and ultimately patient care.

Methods This was a prospective survey study of patients and their families who had a routine telemedicine follow-up visit with the University of California San Francisco Pediatric Headache Program. The survey was administered to patients and a parent(s) following their telemedicine visit.

Results Fifty-one of 69 surveys (74%) were completed. All (51/51) patients and families thought that (1) telemedicine was more convenient compared to a clinic visit, (2) telemedicine caused less disruption of their daily routine, and (3) they would choose to do telemedicine again. The mean round-trip travel time from home to clinic was 6.8 hours (SD ± 8.6 hours). All participants thought telemedicine was more cost-effective than a clinic visit. Parents estimated that participating in a telemedicine visit instead of a clinic appointment saved them on average $486.

Conclusion This prospective, pediatric headache telemedicine study shows that telemedicine is convenient, perceived to be cost-effective, and patient-centered. Providing the option of telemedicine for routine pediatric headache follow-up visits results in high patient and family satisfaction.

  • Received November 22, 2017.
  • Accepted in final form February 12, 2018.
  • © 2018 American Academy of Neurology

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Topics Discussed

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  • Cost effectiveness/economic
  • Pediatric headache

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