| Autor: |
Schenker RB; University of California, San Francisco, CA, USA., Laguna MC; University of California, San Francisco, CA, USA., Odisho AY; University of California, San Francisco, CA, USA., Okumura MJ; University of California, San Francisco, CA, USA., Burnett H; University of California, San Francisco, CA, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
Clinical pediatrics [Clin Pediatr (Phila)] 2022 Jan; Vol. 61 (1), pp. 26-33. Date of Electronic Publication: 2021 Sep 11. |
| DOI: |
10.1177/00099228211045809 |
| Abstrakt: |
The COVID-19 (coronavirus disease 2019) pandemic brought rapid expansion of pediatric telehealth to maintain patient access to care while decreasing COVID-19 community spread. We designed a retrospective, serial, cross-sectional study to investigate if telehealth implementation at an academic pediatric practice led to disparities in health care access. Significant differences were found in pre-COVID-19 versus during COVID-19 patient demographics. Patients seen during COVID-19 were more likely to be younger, White/Caucasian or Asian, English speaking, and have private insurance. They were less likely to be Black/African American or Latinx and request interpreters. Age was the only significant difference in patient demographics between in-person and telehealth visits during COVID-19. A multivariate regression showed older age as a significant positive predictor of having a video visit and public insurance as a significant negative predictor. Our study demonstrates telehealth disparities based on insurance existed at our clinic as did inequities in who was seen before versus during COVID-19. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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