Rheumatologist Utilization Survey of Telemedicine for Use with Lupus Patients

Question Title

* 1. Where is your practice located?

Metro Atlanta

Metro Macon or Central Georgia

Savannah or Southeast Georgia

Albany or Southwest Georgia

Gainesville or Northeast Georgia

Rome or Northwest Georgia

Columbus or West Georgia

Augusta or East Georgia

Other (please specify)

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* 2. What percentage of your patients travel more than an hour to visit your office?

less than 10%

10%

25%

50%

75%

greater than 75%

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* 3. On average, how many lupus patients do you encounter in one year in your practice?

less than 10

11-20

21-30

31-40

41-50

greater than 50

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* 4. Do you think telemedicine provides effective coordination of care without compromising quality or patient outcomes?

Yes

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* 5. In your opinion, what are the main advantages to using telemedicine to treat lupus patients? (Check all that apply.)

Better coordination of care

Faster time to diagnose

Reduction in emergency room visits

Increased access to physicians referral network

Cost savings

Not familiar with these policies and programs

Other (please specify)

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* 6. In your opinion, what are the main barriers to using telemedicine to treat lupus patients? (Check all that apply.)

Paperwork

Reimbursement Issues

Coordination of Care

Quality of Care

Other (please specify)

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* 7. What is your most significant concern regarding reimbursement of telemedicine services?

Managed care companies paying lower rates for telemedicine than in-person care.

Medicare covers to few telemedicine services.

We receive no reimbursement for a telemedicine visit.

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* 8. Three years from now, what percentage of your patients will use telemedicine to manage some or all of their health?

less than 25%

25%

50%

75%

greater than 75%

Other (please specify)

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* 9. If available, how likely would you use telemedicine to treat lupus patients?

Very likely

Somewhat likely

Somewhat unlikely

Not likely

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* 10. What percentage of your lupus patients use government funded insurance such as Medicaid or Medicare?

less than 10%

10%

25%

40%

50%

65%

80%

greater than 80%

N/A

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* 11. Do you have any other comments, questions, or concerns?

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* 12. Please enter your contact information.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number