Are We Reaching Everyone? A Cross-Sectional Study of Telehealth Inequity in the COVID-19 Pandemic in an Urban Academic Pediatric Primary Care Clinic
| Autor: | Honora Burnett, Meredith C Laguna, Megumi J. Okumura, Anobel Y. Odisho, Rachel B Schenker |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Telemedicine medicine.medical_specialty Urban Population Coronavirus disease 2019 (COVID-19) telehealth Cross-sectional study education Special Section: COVID-19 Telehealth Ambulatory Care Facilities California Pandemic Health care medicine Humans Healthcare Disparities Child disparities Retrospective Studies Primary Health Care SARS-CoV-2 business.industry Rapid expansion COVID-19 Infant Articles Primary care clinic Cross-Sectional Studies Child Preschool Family medicine Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Clinical Pediatrics |
| ISSN: | 1938-2707 0009-9228 |
| DOI: | 10.1177/00099228211045809 |
| Popis: | 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: | OpenAIRE |
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