Survey of Telehealth Adoption by Neuro-ophthalmologists During the COVID-19 Pandemic: Benefits, Barriers and Utility
dc.contributor.author | Moss, Heather E. | |
dc.contributor.author | Lai, Kevin E. | |
dc.contributor.author | Ko, Melissa W. | |
dc.contributor.department | Ophthalmology, School of Medicine | en_US |
dc.date.accessioned | 2020-07-13T16:52:50Z | |
dc.date.available | 2020-07-13T16:52:50Z | |
dc.date.issued | 2020-07-07 | |
dc.description.abstract | Background: During the COVID-19 pandemic tele-health modalities have come to prominence as a strategy for providing patient care when in-person care provision opportunities are limited. The degree of adoption by neuro-ophthalmologists has not been quantified. Methods: Telehealth utilization pre- and peri-COVID-19 was surveyed among practicing neuro-ophthalmologists in and outside the US using an on-line platform. Demographics, perceived benefits, barriers, and utility for different neuro-ophthalmic conditions were collected. Data collection occurred over a 2-week period in May, 2020. Results: 208 practicing neuro-ophthalmologists (81.3% US, 50.2% female, age range < 35 to > 65, mode 35-44 years) participated in the survey. Utilization of all telehealth modalities increased from pre-COVID to peri-COVID (video visit 3.9% to 68.3%, p<0.0005, remote interpretation of testing 26.7% to 32.2%, p=0.09, on-line second opinion 7.9% to 15.3%, p=0.001, interprofessional e-consult 4.4% to 18.7%, p<0.0005, McNemar). The majority selected access, continuity, and patient efficiency of care as benefits and data quality as a barrier. Telehealth was felt to be most helpful for conditions relying on history, external exam, and previously collected ancillary testing and not helpful for conditions requiring funduscopic exam. Conclusions: Telehealth modality usage by neuro-ophthalmologists increased during the COVID-19 pandemic. Identified benefits have relevance both during and beyond COVID-19. Further work is needed to address barriers in their current and future states to maintain these modalities as viable care delivery options. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | Moss, H. E., Lai, K. E., & Ko, M. W. (2020). Survey of Telehealth Adoption by Neuro-ophthalmologists During the COVID-19 Pandemic: Benefits, Barriers and Utility. Journal of Neuro-Ophthalmology, Publish Ahead of Print. https://doi.org/10.1097/WNO.0000000000001051 | en_US |
dc.identifier.issn | 1070-8022 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/23230 | |
dc.language.iso | en_US | en_US |
dc.publisher | Wolters Kluwer | en_US |
dc.relation.isversionof | 10.1097/WNO.0000000000001051 | en_US |
dc.relation.journal | Journal of Neuro-Ophthalmology | en_US |
dc.rights | IUPUI Open Access Policy | en_US |
dc.source | Author | en_US |
dc.subject | COVID-19 | en_US |
dc.subject | Telehealth | en_US |
dc.subject | Telemedicine | en_US |
dc.subject | Neuro-Ophthalmology | en_US |
dc.subject | Survey | en_US |
dc.title | Survey of Telehealth Adoption by Neuro-ophthalmologists During the COVID-19 Pandemic: Benefits, Barriers and Utility | en_US |
dc.type | Article | en_US |