Access To Health Care Research Articles

“When in Rome…”: structural determinants impacting healthcare access, health outcomes, and well-being of South Asian older adults in Ontario using a multilingual qualitative approach

With the increase in international migration, the need for an equitable healthcare system in Canada is increasing. The current biomedical model of healthcare is constructed largely in the Eurocentric tradition of medicine, which often disregards the diverse health perspectives of Canada’s racialized immigrant older adults. As a result, current healthcare approaches (adopted in the US and Canada) fall short in addressing the health needs of a considerable segment of the population, impeding their ability to access healthcare services. This study aimed to identify and understand the structural and systemic factors that influence healthcare experiences and well-being among South Asian older adults in Ontario, addressing a significant gap in empirical and theoretical knowledge in the Canadian context. We conducted in-depth individual and dyadic interviews (n = 28) utilizing a descriptive multilingual cross-cultural qualitative approach. Through this research, participants expressed that their understanding of well-being does not align with that of their healthcare providers, resulting in unmet health needs. Our study uses an intersectional lens to demonstrate participants’ perceptions of virtual access to care and systemic factors, such as mandatory assimilation and whiteness as a taken-for-granted norm impacting the health and well-being of South Asian older adults. The findings of this research can offer valuable insights to healthcare providers and policymakers in developing culturally competent practices, guidelines, and training policies that effectively address the healthcare needs of the South Asian population in Canada.

Research Gaps and Priorities in Hispanic/Latine Cognitive Aging and Health

The 2024 International Conference on Aging in the Americas (ICAA) explored cognitive aging, health policy, environmental factors, and migration among Hispanic/Latine populations. The event aimed to identify social disparities, institutional roles in dementia care, and financial support mechanisms for caregivers. A redesigned consensus-building approach using Mentimeter enabled quicker, real-time feedback across four panels: (1) Cognitive Aging, (2) Health Policy Reform, (3) Aging and the Environment, and (4) Aging, Migration, and Health. Key outcomes highlighted gaps in research, such as the need for longitudinal, culturally diverse datasets and policies that mitigate healthcare and environmental disparities. Participants prioritized early detection of age-related conditions, non-pharmacological treatments, and support for caregivers. Findings advocate for integrative research, improved data linkages, and policy reforms to address disparities in healthcare access and quality of life among older adults across the Americas.

Site-based and Digital Cohort Participation Among Transgender Women in the Eastern and Southern USA: Findings from the LITE Study.

Transgender women (TW) are highly burdened by HIV. There is increasing interest in digital (i.e., through internet-based interfaces) HIV research; yet few studies have assessed potential biases of digital compared to site-based data collection. This study examined differences in characteristics between TW participating via site-based versus digital-only modes in an HIV incidence cohort. Between March 2018-Aug 2020, a multisite cohort of 1,312 adult TW in the eastern and southern USA was enrolled in site-based and exclusively digital modes. We evaluated differences in baseline demographics, socio-structural vulnerabilities, healthcare access, gender affirmation, mental health, stigma, social support, and HIV acquisition risk comparing site-based vs digital modes using chi square tests and Poisson regression modeling with robust standard errors. The overall median age was 28 (interquartile range=23-35) years and over half identified as people of color (15% Black, 13% Multiracial, 12% Another Race, 18% Latina/e/x). A higher proportion of site-based (vs. digital mode) participants resided in the Northeast, were younger, identified as people of color, experienced socio-structural vulnerabilities, had a regular healthcare provider, received medical gender affirmation, endorsed mental health symptoms and stigma, reported HIV acquisition risk but also greater experience with biomedical HIV prevention (pre-exposure and post-exposure prophylaxis), and had larger social networks (all p<0.05). Site-based and digital approaches enrolled TW with different demographics, life experiences, and HIV acquisition risks. A hybrid cohort model may achieve a more diverse and potentially representative sample of TW than either site-based or online cohorts alone for HIV research.

Bridging the distance: understanding access to healthcare through stories from Gwich’in medical travellers in Northwest Territories

ABSTRACT In northern Canada, medical travel – the movement of patients to a larger centre to access healthcare services outside their home community – is a dominant feature of the healthcare system. This qualitative study explored the medical travel experiences of Gwich’in living above the Arctic Circle in the Gwich’in Settlement Area in Northwest Territories (NT). Data collection in 2020 comprised storytelling sessions with 10 Gwich’in medical travellers (6 female, 4 male). Using inductive and deductive methods with continual critical reflexivity, and guided by Gwich’in values, concerns about access to healthcare were found to be at the heart of each story. A broad conceptualisation of access was applied to understand and interpret the results according to six dimensions: accessibility, availability, affordability, adequacy, acceptability, and awareness. Situated within a context of colonialism, structural inequities and other factors relevant across the Circumpolar North, the results suggest that the NT medical travel policy framework provides only partial access to care. This article illustrates a need for healthcare and other government systems to think about policy and programmes in a more wholistic, equitable and relationship-centred way, which would help not only to bridge distances across geography, but also between peoples.

The Rural Health Initiative: Bridging Gaps in Healthcare Access and Grant-Funded Research in Central Idaho

The Rural Health Initiative: Bridging Gaps in Healthcare Access and Grant-Funded Research in Central Idaho

HCV Treatment Outcomes in PWID: Impact of Addiction History on SVR12

People who inject drugs (PWIDs) experience high rates of hepatitis C virus (HCV) infection, primarily due to needle sharing and limited healthcare access, resulting in a disproportionate disease burden within this population. This prospective study evaluated treatment outcomes in 432 adult patients with chronic hepatitis C (CHC) treated with direct-acting antivirals (DAAs) at the University Clinical Center of Serbia. Patients were categorized into two groups based on a history of drug addiction: PWIDs (163, 37.7%) and non-PWIDs (269, 62.3%). The PWID group was further categorized into subpopulations of problematic PWIDs (39, 23.9%), ex-PWIDs (124, 76.1%), and PWIDs on OST (96, 58.9%). The PWID group demonstrated significantly lower treatment adherence, with an intention-to-treat (ITT) rate of 82.8%, compared to 96.3% in the control group (p &lt; 0.001). In contrast, no significant differences were observed in per-protocol (PP) outcomes between the two groups. Additionally, PWIDs were significantly younger (p &lt; 0.001) and had higher rates of psychiatric disorders (p &lt; 0.001), alcohol abuse (p &lt; 0.001), and HCV genotype 1a (p &lt; 0.001). Advanced fibrosis was predictor of PP treatment failure among PWIDs, while mood disorders and alcohol use disorder were associated with interruptions before the scheduled completion time. For non-PWIDs, older age and advanced fibrosis emerged as key predictors of PP treatment failure. The loss to follow-up was most commonly observed in the problematic PWID subgroup (p = 0.001). These findings highlight the importance of addressing barriers in PWIDs through integrated care strategies that concurrently manage addiction and HCV.

Drone-based medical delivery in the extreme conditions of Himalayan region: a feasibility study

IntroductionUnmanned aerial vehicles, or drones, have emerged as versatile tools across various sectors, including defence, agriculture, surveillance, mining, infrastructure, emergency response, transportation, geospatial mapping and notably medical supply delivery to...

Informing peer support programs for active duty military spouses of U.S. Army soldiers

LAY SUMMARY With 50% of active duty service members being married, spouses are critical in supporting military readiness. Yet, because of the nature of military service, spouses experience numerous challenges, including education and career progression, parenting and child care, managing family separation during deployment and training, and accessibility of health care. Peer support programs can develop a sense of community, provide support for shared challenges, and offer access to resources. Building on a peer support program with Veteran spouses, this study identified the challenges and needs of active duty spouses to inform adaptation of the program. Five focus groups were conducted on Zoom with 35 active duty military spouses to understand their main concerns and preferences for a peer support program. Major themes identified were challenges of military life, benefits of military life, and recommendations for peer support programming. This study’s findings will be used to adapt and develop a peer support program to be tested with military spouses of U.S. Army soldiers in a study funded by the U.S. Department of Defense.

Incidence rates of soft tissue sarcoma among U.S. military servicemen: Comparison with the rates in the general U.S. population.

Soft tissue sarcoma (STS) is one of the most frequently diagnosed cancers among men younger than age 30 years and a leading cause of cancer death in men younger than age 40 years. The military may be more exposed to STS risk factors and have generally better health and health care access than the general population, which may relate to lower cancer risk and/or early detection. This study compared STS incidence between servicemen and men in the general U.S. Data were from the Department of Defense's Automated Central Tumor Registry (ACTUR) and the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program. Subjects were active-duty servicemen in ACTUR and men in SEER aged 18-59 years diagnosed with STS from 1990 to 2013. Age-adjusted rates, incidence rate ratios (IRR), and 95% CIs were calculated. STS incidence rates were lower in ACTUR than SEER overall (IRR=0.86 [0.78-0.93]), for 18- to 39-year-old men (IRR=0.78 [0.70-0.86]), by race (White: IRR=0.85 [0.77-0.95]; Black: IRR=0.77 [0.63-0.94]), for sites other than skin/connective/soft tissue (IRR=0.49 [0.37-0.63]), other specified histologies (IRR=0.84 [0.71-0.98]), and unspecified histology (IRR=0.57 [0.38-0.82]). Rates were lower in ACTUR for regional (IRR=0.37 [0.28-0.47]) and distant metastases (IRR=0.58 [0.43-0.76]), even when race and age stratified. However, rates were higher in ACTUR for 40- to 59-year-old men (IRR=1.25 [1.04-1.48]) and localized tumors (IRR=1.16 [1.04-1.29]). Lower STS rates among servicemen may relate to better health and early detection and treatment of STS-associated conditions within the military health system, which provides universal care. Higher rates among 40- to 59-year-old servicemen may result from greater cumulative military-related exposures.

Medical Assistance in Dying, Slippery Slopes, and Availability of Care: A Reply to Koch.

In 2021, Canada revised its Medical Assistance in Dying (MAID) law, removing the "reasonably foreseeable death" requirement. Opponents of MAID voiced concerns about a "slippery slope" leading to broader access, with some arguing the line has already been crossed. I examine the arguments against expanded eligibility, particularly those presented by Tom Koch (2023). Koch's reasoning, I submit, is flawed, lacking nuance in its understanding of the slippery slope and relying on a problematic argument about healthcare access.

Sun protection behaviors, healthcare access, and smoking among melanoma survivors.

Based on current clinical practice guidelines, melanoma survivors should be advised on the need for sun protection and regular healthcare, as well as smoking cessation, but differences from adults without cancer history are unclear. We pooled data from the National Health and Nutrition Examination Survey (2003-2006, 2009-2018), matching 249 melanoma survivors with 498 adults without a cancer history. Adjusted prevalence odds ratios (aPOR) and 95% confidence intervals (CI) were calculated. One-third of melanoma survivors used multiple sun protection methods, slightly more than adults without cancer. Both groups had < 50% overall sun protection use with long sleeves being the least used. Melanoma survivors who were male (aPOR = 2.91; CI = 1.05-8.06) or had lower education (aPOR = 4.12; CI = 1.65-10.29) were more likely to be current smokers. Older survivors (aPOR = 1.07; CI = 1.03-1.11) were more likely to have health insurance. Our findings highlight the relatively low use of sun protective practices for melanoma survivors and suggest the need for better counseling on sun protection and smoking cessation, especially for lower education levels and males. These findings underscore the importance of enhancing counseling services for sun protection among melanoma survivors and prioritizing smoking cessation support, especially for males and individuals with lower education levels among this population.

Burden of Cardio-Cerebrovascular and Renal Diseases Attributable to Systolic Hypertension in France in 2021.

Hypertension is the most common chronic disease and a major modifiable risk factor for cardio-cerebrovascular and renal diseases. This study estimated the national burden of hypertension, defined as systolic blood pressure ≥140 mm Hg, on morbidity and mortality in 2021 in France. For all diseases causally associated with hypertension (cardiovascular diseases, chronic kidney diseases, and dementia), the number and proportion of cases attributable to hypertension in adults aged ≥35 years were estimated using population attributable fractions. Age- and sex-specific population attributable fractions were computed using the distribution of hypertension in the French population. These population attributable fractions were applied to nationwide statistics for mortality, hospitalizations, disease prevalence, years of life lost, years of life lived with disability, and disability-adjusted years of life. The largest population attributable fractions were for ischemic heart disease and hemorrhagic stroke, with over 40% of cases attributable to hypertension. Overall, >385 000 patients were hospitalized due to hypertension, with 3.7 million hospitalizations and 6.2 million hospital days (all hospitalizations, including 3.4 million for chronic kidney disease) and including 390 000 overnight hospitalization. In 2021, >1.15 million individuals lived with ischemic heart disease attributable to hypertension, 1.26 million with chronic kidney diseases, and 358 033 with heart failure. Among 184 059 annual deaths from cardiovascular diseases, dementia, and chronic kidney diseases, 30% (55 280 deaths) were attributable to hypertension. Hypertension accounted for 8.5% of all deaths and 498 052 years of life lost. In France, despite near-universal health coverage and free health care access, the burden attributable to hypertension remains high.

Spatial patterns of colorectal cancer survival rates in Malaysia, 2013-2018.

Large geographical variations in colorectal cancer (CRC) survival rates have been reported across regions. Poorer survival rates were mainly found in socioeconomically deprived areas, highly dense areas, and areas lacking healthcare accessibility. The objective of this study was to identify, compare, and contrast the spatial patterns of 5-year CRC-specific survival rates and identify high-priority areas by districts in Malaysia. This retrospective cohort study utilized secondary data from the National Cancer Registry. CRC patients (ICD10 C18-21) diagnosed between 2013 and 2018 were selected. Patient addresses were geocoded into districts and states via geospatial data from the National Geospatial Centre, whereas district population density data were gathered from the Population Census of Malaysia. Kaplan‒Meier survival analysis and log-rank test were conducted to determine and compare the 5-year CRC-specific survival rates, and the spatial distribution of CRC survival by district was determined via ArcGIS software. A total of 18,513 CRC patients were registered from 143 districts, with 10,819 deaths occurring during follow-up. The national 5-year CRC-specific survival rate was 42%, with median survival time of 36months (95% CI: 34.46, 37.54). The eastern region (Kelantan, Terengganu, and Pahang) had the lowest survival (38.0%). Among the 143 districts, eighty-one (56.6%) reported survival rates below the national average while thirty-six (25.2%) were identified as high-priority districts. The differences in CRC survival rates were evident according to geographical location. Area-based targeted interventions to improve CRC detection, management, and access to healthcare are imperative to address cancer survival disparities and help effectively allocate resources.

Bone Marrow Inequality: The Importance of Exchanges in Cancer Education.

This article described an exchange program in Kenya, organized by the International Federation of Medical Students Associations at the University of Nairobi. The author, motivated by parallels between Kenya and Brazil, engaged with hematologic, pain management, and palliative care departments at Kenyatta National Hospital. Despite the global advancements in bone marrow transplant (BMT) procedures, Kenya has only recently begun to offer this treatment, with the first transplant occurring in 2022 at a private facility. The high cost of BMT, ranging from $20,000 to $30,000, limits access for most Kenyans, prompting wealthier patients to seek treatment abroad. The article highlights alarming cancer mortality rates in Kenya, exacerbated by disparities in healthcare access compared to Brazil's universal healthcare system. With a significant proportion of pediatric cancers being hematologic, the need for accessible BMT is urgent. The exchange program provided the author with insights into global oncologic health disparities and emphasized the necessity of improving medical training, increasing hospital resources, and securing support to enhance BMT access in Kenya and West Africa.

Emerging Molecular and Clinical Challenges in Managing Lung Cancer Treatment during the Covid-19 Infection

The COVID-19 pandemic now had a broad impact on the health care system since its start. Cancer patients, specifically lung cancer patients, are undergoing a more vulnerable group due to their complex pathophysiological and immunological characteristics. Therefore, they need more attention and care about health and treatment. It is yet unknown how SARS-CoV-2 (COVID-19) infected lung cancer patient's health and management of treatment impacts them. From a clinical and multidisciplinary perspective, we aimed to explain our main priorities concerning COVID-19 infection in the scenario of lung cancer patients’ group in this chapter. Various types of lung cancer therapeutic strategies, including chemotherapy, radiation therapy, and immunotherapy, can all significantly increase the risk, therefore making a patient's chances of a poor outcome higher. Patients with lung cancer need regular clinical and radiologic examinations and follow-ups, which the COVID-19 pandemic might hamper. COVID-19-related lung cancer patients’ incidental radiologic abnormalities might show up in regular radiology exams, making it challenging to understand disease progression and the effect of therapy. The COVID-19 pandemic has profoundly impacted lung cancer care, highlighting challenges in patient management, treatment outcomes, and ethical dilemmas. Quantitative analysis and exploration of future directions would enhance clinical and research impact. In addition, cancer treatment-induced pneumonitis can exhibit radiologic characteristics that are identical to those seen in acute SARS-CoV-2 pneumonia, possibly due to a wrong diagnosis and misinterpretation. The current COVID-19 health crisis is affecting many healthcare requirements, including the necessity for regular healthcare accessibility, particularly follow-ups, and the clinical trials in which this patient group may be included. The COVID-19 epidemic has placed healthcare practitioners, scientists, researchers, and institutions in a complex and dangerous situation, forcing them to address challenges with ethical scenarios.

Comparison of the sexual behaviors and syndromic diagnosis between rural and urban cases in east-central India: A retrospective hospital-based study

Objectives: Sexually transmitted infections (STIs) are a significant public health challenge in India. Limited healthcare access, socioeconomic inequalities, and gender-based vulnerabilities contribute to the disproportionate burden in rural and urban areas. The aim of this study was to compare the sociodemographic profile, sexual behavior, and the syndromic diagnosis of STIs between rural and urban cases attending an STI clinic. Materials and Methods: A cross-sectional retrospective study was conducted at an STI clinic in east-central region of India. All patients, irrespective of age and sex, who visited the clinic from July 2022 to November 2023, were included in the study. Demographic, clinical, and behavioral data were compared between urban and rural cases using appropriate statistical methods. Results: Out of 925 patients, rural and urban cases were 70.8% and 29.2%, respectively. Rural cases: 92.2% females, 7.8% male; urban cases: 81.1% females, 18.9% males. The majority were aged 20 -40 years. There were more cases aged below 20 years from urban areas (6.3% vs. 2.7%; P &lt; 0.01). Illiterate cases were more from rural area (P &lt; 0.01); and those educated &gt;10th grade from urban area (P &lt; 0.01). The predominant occupation was homemakers and incomes ranged between Rs 5000 and 10000. In both rural and urban areas, lower abdomen pain was the most common symptom, followed by vaginal discharge. Genital herpes (P &lt; 0.01) and syphilitic genital ulcers to syphilis (P = 0.01) were more common in urban areas compared to rural. Retroviral infection was reported to be similar from both areas.: Mean age of sexual debut was 19.5 years in rural and 20.2 year in cases from urban areas (P &lt; 0.01). Time since last sexual encounter (21.2 vs. 20.3 days, P = 0.01), and cases with multiple partners (4.1% vs. 8.8%; P &lt; 0.01) were different in cases from rural and urban cases. The difference in drug abuse and contact with sex worker were not significantly different between the groups. Limitations: Retrospective study design, hospital-based study setting and lack of microbiological confirmation were the limitations of this study. Conclusion: There were disparities in the sociodemographic profile, STI patterns, and sexual behavior between rural and urban cases of the east-central zone of India.

Disparities in Vision-Related Functional Impairments Among Adults in the United States

ABSTRACT Purpose To investigate the relationships between vision-related functional impairment (VFI) with sociodemographic and healthcare access factors in a representative sample of the United States population. Methods Data from the 2017 National Health Interview Survey (NHIS) were used. The NHIS involves responses from the U.S. civilian, non-institutionalized population aged 18 years or older. It provides self-reported data on demographic characteristics, socioeconomic factors, health status, and healthcare access. NHIS participants who responded to at least one of our target questions about VFI were included in the study. VFI was defined for participants based on their ‘yes’ or ‘no’ responses to target questions about experiencing a VFI. Data analysis was performed through univariable and multivariable logistic regression. Results Overall, 26,711 participants were included, of which 6926 (25.9%) participants reported experiencing a VFI. In univariable analysis, there were greater odds of VFI among females (OR: 1.16, 95% CI: 1.07–1.26, p < 0.001), and participants with less than a high school degree compared to those with an advanced degree (OR: 1.17, 95% CI: 1.02–1.33, p = 0.02). Among economic and healthcare access factors, greater odds of VFI was associated with public health insurance versus private coverage (OR: 1.19, 95% CI: 1.07–1.32, p = 0.001), having delayed medical care due to costs (OR: 1.86, 95% CI: 1.86–2.10, p < 0.001), and being unemployed (OR: 1.39, 95% CI: 1.26–1.53, p < 0.001). Participants whose incomes were lower than the poverty threshold (OR: 1.54, 95% CI: 1.32–1.80, p < 0.001) had higher odds of VFI than those with income >5× poverty threshold. Conclusions Several demographic and economic factors are associated with VFI in a representative sample of the U.S. population. These results highlight the importance of addressing social and economic factors that are associated with the development of VFI.

Geospatial Analysis of COVID-19 Death Rate and Influencing Factors in the Middle East and North Africa Region

Introduction: This study uses advanced geospatial modeling to analyze key determinants of COVID-19 death cases across the Middle East and North Africa (MENA) region, aiming to reveal spatial patterns and inform targeted interventions for enhanced public health response. Methods: This study employs GIS and geostatistical models, including OLS, SLM, SEM, GWR, and MGWR, to analyze spatial and demographic determinants of COVID-19 mortality across MENA. By examining socioeconomic, medical, and demographic factors, it identifies key drivers and explores spatially non-stationary relationships impacting death rates. Results: The study found that hospital bed allocation, unemployment rate, and vaccination doses positively correlate with COVID-19 death cases in MENA, likely due to better reporting and healthcare access. The OLS model (R² = 0.7346) highlighted spatial autocorrelation, prompting the use of SLM and SEM, which confirmed predictor significance. GWR (R² = 0.8140) and MGWR (R² = 0.8187) revealed spatially non-stationary relationships, with hospital beds impacting the northwest (GWR) and southwest (MGWR). Unemployment was significant in the northeast (Iran, Turkey) and northwest (Morocco), while vaccination doses were notably influential in Iran and Somalia. Conclusion: This study emphasizes the significant roles of healthcare capacity, socioeconomic factors, and vaccination coverage in influencing COVID-19 mortality across MENA. It highlights the vulnerability of healthcare systems in developing countries and underscores the need for targeted resource allocation. Using spatial models like GWR and MGWR, the research reveals regional variations, especially in the northwest, advocating for tailored, region-specific interventions. By integrating GIS and geostatistical models, this analysis lays a foundation for future research on COVID-19 dynamics, providing crucial insights to inform policy measures for better public health crisis management

PREVENÇÃO E MANEJO DO DECLÍNIO COGNITIVO NA POPULAÇÃO IDOSA – UMA REVISÃO DE LITERATURA

Population aging has intensified challenges related to elderly health, with cognitive decline being one of the most prevalent and impactful conditions. This review addresses the main strategies for preventing and managing cognitive decline in the elderly, emphasizing evidence-based interventions. Studies show that regular physical activities, such as aerobic exercises and dancing, promote neuroplasticity and preserve cognitive functions. Additionally, balanced diets, notably the Mediterranean diet, exhibit neuroprotective effects. Psychological support, through techniques like mindfulness and cognitive-behavioral therapy, and cognitive stimulation using tools like memory games, complement preventive and therapeutic approaches. However, socioeconomic, cultural, and healthcare access barriers still hinder the widespread implementation of these strategies. Integrated public policies and interdisciplinary programs, aligned with the social determinants of health, are crucial to mitigating the impacts of this condition. This study emphasizes the importance of personalized, accessible, and culturally adapted interventions, highlighting the need for joint efforts among healthcare professionals, policymakers, and society to promote healthy aging and improve quality of life. Overcoming structural barriers and expanding preventive programs are identified as essential pillars to enhance elderly care and reduce the burden of cognitive decline on healthcare systems.

Integrating Telemedicine in Botulinum Toxin Type-A Treatment for Spasticity Management: Perspectives and Challenges from Italian Healthcare Professionals

(1) Background: Telemedicine is a vital tool for enhancing healthcare accessibility and outcomes at reduced costs. This study aimed to assess the usability of the Maia Connected Care telemedicine platform for managing spasticity in patients receiving botulinum toxin type-A, focusing on the perspectives of Italian physiatrists with expertise in this treatment. (2) Methods: Conducted from March 2023 to June 2023, this multicenter survey involved 15 Italian physicians who used the platform for teleconsultations. Data collected included demographic details, responses to the Telemedicine Usability Questionnaire, and physician insights on patient satisfaction, treatment effectiveness, and implementation challenges in telehealth. (3) Results: The platform demonstrated high usability, with strong physician satisfaction due to its user-friendly interface and quality of interactions. A majority expressed willingness to continue telehealth for spasticity management, noting its effectiveness in improving patient satisfaction and outcomes. Challenges included replicating the depth of in-person consultations and addressing issues like reimbursement and telehealth standardization. (4) Conclusions: This study highlights telemedicine’s potential for spasticity management and clinician satisfaction, while underscoring the need for improvements in simulating in-person experiences and addressing systemic issues. The absence of patient perspectives represents a limitation, advocating for future research to optimize telemedicine practices and evaluate long-term clinical impacts.