Telehealth for patients with Parkinson's disease: delivering efficient and sustainable long-term care.

Publication/Presentation Date

4-1-2016

Abstract

OBJECTIVES: We set out to demonstrate the benefits of providing long-term care via telehealth for patients with Parkinson's disease living in continuous care facilities.

METHODS: A cohort of 16 patients with Parkinson's disease residing at one of 2 locations of a multi-facility continuous care retirement organization were seen virtually in follow-up over a 3-year period by Telehealth Services at a large, academic, tertiary care hospital in southeastern Pennsylvania. The data collected during that period, studied retrospectively, included demographic information, number of telehealth visits, and UPDRS scores obtained at each visit. Satisfaction and potential cost savings were also reviewed.

RESULTS: UPDRS scores declined over the period of observation, from a range of 18-60 at study start to 28-72 at study end. Actual cost savings are difficult to define; however, the cost per telehealth visit at $117.30 was often lower than the facility's average cost for transporting patients to a visit in the neurologist's office. Patients, families, subspecialists, and the nursing staff expressed uniformly high satisfaction with telehealth.

CONCLUSION: This model for providing care proved to be sustainable and efficient, and promoted collaboration among the providers at the long-term care facility and those at the remote site. These benefits may be applicable to patients with degenerative disorders in similar settings.

Volume

44

Issue

2

First Page

92

Last Page

97

ISSN

2154-8331

Disciplines

Medical Sciences | Medical Specialties | Medicine and Health Sciences | Neurology

PubMedID

26982525

Department(s)

Department of Medicine, Department of Medicine Faculty

Document Type

Article

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