Are We Reaching Everyone? A Cross-Sectional Study of Telehealth Inequity in the COVID-19 Pandemic in an Urban Academic Pediatric Primary Care Clinic
| العنوان: | Are We Reaching Everyone? A Cross-Sectional Study of Telehealth Inequity in the COVID-19 Pandemic in an Urban Academic Pediatric Primary Care Clinic |
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| المؤلفون: | Honora Burnett, Meredith C Laguna, Megumi J. Okumura, Anobel Y. Odisho, Rachel B Schenker |
| المصدر: | Clinical Pediatrics |
| بيانات النشر: | SAGE Publications, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | 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 |
| الوصف: | 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. |
| تدمد: | 1938-2707 0009-9228 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5e20c6a8e2052620a0af95cf4e3a0af3 https://doi.org/10.1177/00099228211045809 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....5e20c6a8e2052620a0af95cf4e3a0af3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19382707 00099228 |
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