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Neurol Clin Pract. 2014 Apr;4(2):146-152.

Virtual visits for Parkinson disease: A case series.

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Department of Neurology (VV, ERD), Johns Hopkins Medicine, Baltimore; Johns Hopkins University (SJD), Baltimore, MD; Department of Neurology (KMB), University of Rochester Medical Center, NY; and PatientsLikeMe (PW), Cambridge, MA.


We sought to characterize recommendations and feedback of patients with Parkinson disease, each offered a free telemedicine consultation with a specialist. Visits consisted of history, neurologic examination, and recommendations. Midway through the program, patients were asked to complete an online satisfaction survey. From August 2012 to May 2013, 55 patients in 5 states (mean age 67.8 years) participated, with 80% of visits conducted from their home. Patients with Parkinson disease were recommended to exercise (86%), change current medication (63%), and add new medication (53%). Thirty-three of 35 consecutive patients completed a survey. Patient satisfaction exceeded 90% for virtually all aspects of the visit measured. Providing care to patients in their homes via telemedicine is feasible, results in changes to care, and is well-received.

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