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Disparities in Telehealth use During the COVID-19 Pandemic
The coronavirus 2019 pandemic led to rapid expansion of outpatient telemedicine. We sought to characterize patient factors influencing outpatient teleneurology utilization at an urban safety-net hospital. We reviewed all neurology televisits scheduled between June 15, 2020 to April 15, 2021. We used...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9382002/ https://www.ncbi.nlm.nih.gov/pubmed/35976473 http://dx.doi.org/10.1007/s10903-022-01381-1 |
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author | Lau, K. H. Vincent Anand, Pria Ramirez, Alex Phicil, Sheila |
author_facet | Lau, K. H. Vincent Anand, Pria Ramirez, Alex Phicil, Sheila |
author_sort | Lau, K. H. Vincent |
collection | PubMed |
description | The coronavirus 2019 pandemic led to rapid expansion of outpatient telemedicine. We sought to characterize patient factors influencing outpatient teleneurology utilization at an urban safety-net hospital. We reviewed all neurology televisits scheduled between June 15, 2020 to April 15, 2021. We used the chi-squared test and multivariate logistic regression to characterize patient demographic factors associated with televisit completion and video use. Of 8875 scheduled televisit encounters, 7530 were completed successfully, 44% via video. Non-English speaking patients, Black patients, Latinx patients, and those with a zip code-linked annual income less than $50,000 were less likely to successfully complete a scheduled televisit. The same demographic groups other than Latinx ethnicity were also less likely to use the video option. Our study found unequal telehealth utilization based on patients’ demographic factors. Currently declining telemedicine reimbursement rates asymmetrically affect audio-only visits, which may limit telehealth access for vulnerable patient populations. |
format | Online Article Text |
id | pubmed-9382002 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-93820022022-08-17 Disparities in Telehealth use During the COVID-19 Pandemic Lau, K. H. Vincent Anand, Pria Ramirez, Alex Phicil, Sheila J Immigr Minor Health Brief Communication The coronavirus 2019 pandemic led to rapid expansion of outpatient telemedicine. We sought to characterize patient factors influencing outpatient teleneurology utilization at an urban safety-net hospital. We reviewed all neurology televisits scheduled between June 15, 2020 to April 15, 2021. We used the chi-squared test and multivariate logistic regression to characterize patient demographic factors associated with televisit completion and video use. Of 8875 scheduled televisit encounters, 7530 were completed successfully, 44% via video. Non-English speaking patients, Black patients, Latinx patients, and those with a zip code-linked annual income less than $50,000 were less likely to successfully complete a scheduled televisit. The same demographic groups other than Latinx ethnicity were also less likely to use the video option. Our study found unequal telehealth utilization based on patients’ demographic factors. Currently declining telemedicine reimbursement rates asymmetrically affect audio-only visits, which may limit telehealth access for vulnerable patient populations. Springer US 2022-08-17 2022 /pmc/articles/PMC9382002/ /pubmed/35976473 http://dx.doi.org/10.1007/s10903-022-01381-1 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Brief Communication Lau, K. H. Vincent Anand, Pria Ramirez, Alex Phicil, Sheila Disparities in Telehealth use During the COVID-19 Pandemic |
title | Disparities in Telehealth use During the COVID-19 Pandemic |
title_full | Disparities in Telehealth use During the COVID-19 Pandemic |
title_fullStr | Disparities in Telehealth use During the COVID-19 Pandemic |
title_full_unstemmed | Disparities in Telehealth use During the COVID-19 Pandemic |
title_short | Disparities in Telehealth use During the COVID-19 Pandemic |
title_sort | disparities in telehealth use during the covid-19 pandemic |
topic | Brief Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9382002/ https://www.ncbi.nlm.nih.gov/pubmed/35976473 http://dx.doi.org/10.1007/s10903-022-01381-1 |
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