Addressing disparities in speech-language pathology and laryngology services with telehealth

被引:5
作者
Rameau, Anais [1 ,3 ]
Cox, Steven R. [2 ]
Sussman, Scott H. [1 ]
Odigie, Eseosa [1 ]
机构
[1] Weill Cornell Med Coll, Sean Parker Inst Voice, New York, NY USA
[2] Adelphi Univ, Dept Commun Sci & Disorders, Garden City, NY USA
[3] Sean Parker Inst Voice, Dept Otolaryngol Head & Neck Surg, 240E 59th St, New York, NY 10022 USA
关键词
Health care disparities; Laryngology; Telehealth; Telepractice; Voice therapy; VOICE THERAPY; TELEMEDICINE; TELEPRACTICE; COVID-19; DELIVERY; CARE;
D O I
10.1016/j.jcomdis.2023.106349
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
The COVID-19 pandemic disproportionately affected the health and well-being of marginalized communities, and it brought greater awareness to disparities in health care access and utilization. Addressing these disparities is difficult because of their multidimensional nature. Predisposing factors (demographic information, social structure, and beliefs), enabling factors (family and community) and illness levels (perceived and evaluated illness) are thought to jointly contribute to such disparities. Research has demonstrated that disparities in access and utilization of speech-language pathology and laryngology services are the result of racial and ethnic differences, geographic factors, sex, gender, educational background, income level and insurance status. For example, persons from diverse racial and ethnic backgrounds have been found to be less likely to attend or adhere to voice rehabilitation, and they are more likely to delay health care due to language barriers, longer wait times, a lack of transportation and difficulties contacting their physician. The purpose of this paper is to summarize existing research on telehealth, discuss how telehealth offers the potential to eliminate some disparities in the access and utilization of voice care, review its limitations, and encourage continued research in this area. A clinical perspective from a large volume laryngology clinic in a major city in northeastern United States highlights the use of telehealth in the provision of voice care by a laryngologist and speech-language pathologist during and after the COVID19 pandemic.
引用
收藏
页数:8
相关论文
共 56 条
[1]  
Ahmed A.A., 2020, THESIS NE U, DOI [10.13140/RG.2.2.18658.15048, DOI 10.13140/RG.2.2.18658.15048]
[2]  
American Medical Association, 2021, TEL RES CTR DEF
[3]  
American Speech-Language-Hearing Association, 2021, TEL
[4]  
American Speech-Language-Hearing Association, 2020, 2020 SCH SURV SURV M
[5]  
American Speech-Language-Hearing Association, 2020, ASHA COVID-19 survey results
[6]   SOCIETAL AND INDIVIDUAL DETERMINANTS OF MEDICAL CARE UTILIZATION IN UNITED-STATES [J].
ANDERSEN, R ;
NEWMAN, JF .
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY, 1973, 51 (01) :95-124
[7]  
[Anonymous], 2010, PATIENT PROTECTION A
[8]  
[Anonymous], 2020, COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
[9]  
Ballakur S.S., 2021, 2021 VIRT TRIOL SOC
[10]   In the Zoom Where It Happened: Telepractice and the Voice Clinic in 2020 [J].
Becker, Diana Rose ;
Gillespie, Amanda, I .
SEMINARS IN SPEECH AND LANGUAGE, 2021, 42 (01) :64-72