期刊
JOURNAL OF MEDICAL INTERNET RESEARCH
卷 23, 期 5, 页码 -出版社
JMIR PUBLICATIONS, INC
DOI: 10.2196/23905
关键词
access; barrier; cohort; COVID-19; demographic; equity of care; equity; outpatient; telehealth
资金
- Agency for Healthcare Research and Quality [K08HS024288]
The study found that during the COVID-19 pandemic, the use of telehealth did not exacerbate inequitable access to care. Both Black and White patients accessed telehealth more than Asian patients.
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.
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