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Analyzing disparities in access to teledermatology compared with dermatology clinic visits before, during, and after COVID-19 quarantine

The COVID-19 pandemic has caused significant changes in dermatologic care, likely exacerbating health disparities for specific minority populations. The use of teledermatology has also become more prevalent during this period. The aim of this study was to determine if the proportion of teledermatolo...

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Autores principales: Jallow, Mariama, Ewulu, Adaora, Ajilore, Priscilla, Hussain, Aamir N., Geng, Xue, Cardis, Michael A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633105/
https://www.ncbi.nlm.nih.gov/pubmed/36336317
http://dx.doi.org/10.1016/j.clindermatol.2022.10.006
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author Jallow, Mariama
Ewulu, Adaora
Ajilore, Priscilla
Hussain, Aamir N.
Geng, Xue
Cardis, Michael A.
author_facet Jallow, Mariama
Ewulu, Adaora
Ajilore, Priscilla
Hussain, Aamir N.
Geng, Xue
Cardis, Michael A.
author_sort Jallow, Mariama
collection PubMed
description The COVID-19 pandemic has caused significant changes in dermatologic care, likely exacerbating health disparities for specific minority populations. The use of teledermatology has also become more prevalent during this period. The aim of this study was to determine if the proportion of teledermatology versus office-based visits varied significantly during three study periods of the COVID-19 pandemic. The secondary objective was to determine whether there are significant differences in the use of office-based dermatology versus teledermatology care across the following demographic subgroups: insurance type, race/ethnicity, age, and language during the same periods. A chart review of dermatology visits in electronic medical records at a tertiary referral center in Washington, DC, was conducted. The overall telehealth visit rate was 0% in the prequarantine period, 61.12% during the quarantine period, and 10.59% in the postquarantine period. After assessing telehealth utilization rates among the demographic subgroups, we noted that Medicaid users, Black patients, 64-year-olds or older, and English speakers may benefit the least from telehealth services. Teledermatology use necessitated by the COVID-19 pandemic may have promoted health care disparities for specific marginalized populations.
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spelling pubmed-96331052022-11-04 Analyzing disparities in access to teledermatology compared with dermatology clinic visits before, during, and after COVID-19 quarantine Jallow, Mariama Ewulu, Adaora Ajilore, Priscilla Hussain, Aamir N. Geng, Xue Cardis, Michael A. Clin Dermatol Graduate Medical Education Rounds The COVID-19 pandemic has caused significant changes in dermatologic care, likely exacerbating health disparities for specific minority populations. The use of teledermatology has also become more prevalent during this period. The aim of this study was to determine if the proportion of teledermatology versus office-based visits varied significantly during three study periods of the COVID-19 pandemic. The secondary objective was to determine whether there are significant differences in the use of office-based dermatology versus teledermatology care across the following demographic subgroups: insurance type, race/ethnicity, age, and language during the same periods. A chart review of dermatology visits in electronic medical records at a tertiary referral center in Washington, DC, was conducted. The overall telehealth visit rate was 0% in the prequarantine period, 61.12% during the quarantine period, and 10.59% in the postquarantine period. After assessing telehealth utilization rates among the demographic subgroups, we noted that Medicaid users, Black patients, 64-year-olds or older, and English speakers may benefit the least from telehealth services. Teledermatology use necessitated by the COVID-19 pandemic may have promoted health care disparities for specific marginalized populations. Elsevier Inc. 2022-11-04 /pmc/articles/PMC9633105/ /pubmed/36336317 http://dx.doi.org/10.1016/j.clindermatol.2022.10.006 Text en © 2022 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Graduate Medical Education Rounds
Jallow, Mariama
Ewulu, Adaora
Ajilore, Priscilla
Hussain, Aamir N.
Geng, Xue
Cardis, Michael A.
Analyzing disparities in access to teledermatology compared with dermatology clinic visits before, during, and after COVID-19 quarantine
title Analyzing disparities in access to teledermatology compared with dermatology clinic visits before, during, and after COVID-19 quarantine
title_full Analyzing disparities in access to teledermatology compared with dermatology clinic visits before, during, and after COVID-19 quarantine
title_fullStr Analyzing disparities in access to teledermatology compared with dermatology clinic visits before, during, and after COVID-19 quarantine
title_full_unstemmed Analyzing disparities in access to teledermatology compared with dermatology clinic visits before, during, and after COVID-19 quarantine
title_short Analyzing disparities in access to teledermatology compared with dermatology clinic visits before, during, and after COVID-19 quarantine
title_sort analyzing disparities in access to teledermatology compared with dermatology clinic visits before, during, and after covid-19 quarantine
topic Graduate Medical Education Rounds
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633105/
https://www.ncbi.nlm.nih.gov/pubmed/36336317
http://dx.doi.org/10.1016/j.clindermatol.2022.10.006
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