Telehealth Use by Age and Race at a Single Academic Medical Center During the COVID-19 Pandemic : Retrospective Cohort Study

©Jennifer P Stevens, Oren Mechanic, Lawrence Markson, Ashley O'Donoghue, Alexa B Kimball. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 20.05.2021..

BACKGROUND: During the COVID-19 pandemic, many ambulatory clinics transitioned to telehealth, but it remains unknown how this may have exacerbated inequitable access to care.

OBJECTIVE: Given the potential barriers faced by different populations, we investigated whether telehealth use is consistent and equitable across age, race, and gender.

METHODS: Our retrospective cohort study of outpatient visits was conducted between March 2 and June 10, 2020, compared with the same time period in 2019, at a single academic health center in Boston, Massachusetts. Visits were divided into in-person visits and telehealth visits and then compared by racial designation, gender, and age.

RESULTS: At our academic medical center, using a retrospective cohort analysis of ambulatory care delivered between March 2 and June 10, 2020, we found that over half (57.6%) of all visits were telehealth visits, and both Black and White patients accessed telehealth more than Asian patients.

CONCLUSIONS: Our findings indicate that the rapid implementation of telehealth does not follow prior patterns of health care disparities.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Journal of medical Internet research - 23(2021), 5 vom: 20. Mai, Seite e23905

Sprache:

Englisch

Beteiligte Personen:

Stevens, Jennifer P [VerfasserIn]
Mechanic, Oren [VerfasserIn]
Markson, Lawrence [VerfasserIn]
O'Donoghue, Ashley [VerfasserIn]
Kimball, Alexa B [VerfasserIn]

Links:

Volltext

Themen:

Access
Barrier
COVID-19
Cohort
Demographic
Equity
Equity of care
Journal Article
Outpatient
Telehealth

Anmerkungen:

Date Completed 23.06.2021

Date Revised 04.12.2021

published: Electronic

Citation Status MEDLINE

doi:

10.2196/23905

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325260893