Disparities in Use of Virtual Primary Care During the Early COVID-19 Pandemic

被引:6
作者
Cherabuddi, Medha R. R. [1 ,5 ]
Heidemann, Danielle [1 ]
Gwinn, Meghan [1 ]
White-Perkins, Denise [2 ]
Willens, David [1 ]
Nair, Anupama [1 ]
Peterson, Ed [3 ]
Jesse, Michelle T. T. [1 ,4 ]
机构
[1] Henry Ford Hlth, Div Gen Internal Med, Detroit, MI USA
[2] Henry Ford Hlth, Dept Family Med, Detroit, MI USA
[3] Henry Ford Hlth, Publ Hlth Sci, Detroit, MI USA
[4] Henry Ford Hlth, Transplant Inst, Detroit, MI USA
[5] Henry Ford Hosp, Div Gen Internal Med, 2799 West Grand Blvd, Detroit, MI 48202 USA
关键词
primary care; telehealth; telemedicine; disparities; COVID-19;
D O I
10.1089/tmj.2022.0499
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The COVID-19 pandemic increased the use of virtual health care. However, certain factors may disparately affect some patients' utilization of virtual care. Associations between age, racial categories (White or Black), and socioeconomic disadvantage were evaluated during the early COVID-19 pandemic.Methods: This cross-sectional retrospective study included adult patients with virtual or in-person primary care encounters at a large, midwestern hospital system with widespread urban and suburban offices between March 1, 2020, and June 30, 2020. Virtual visits included synchronous video and telephone visits and asynchronous patient portal E-visits. Chi-squared tests and multivariable logistic analysis assessed the associations between ages and racial categories, and area deprivation index with the use of virtual versus in-person primary care.Results: Of 72,153 patient encounters, 43.0% were virtual visits, 54.6% were White patients, and 45.4% were Black. Across equivalent age ranges, black patients were slightly less likely to utilize virtual care than similarly aged White patients, but not consistently across virtual modalities. Women were more likely to use virtual care across all modalities, and individuals >65 years were more likely to use telephone visits and less likely to use video and E-visits, regardless of race. Patients residing in areas with the greatest socioeconomic advantage were more likely to utilize video and E-visits.Conclusions: Differential patterns of utilization emerged across racial categories and age ranges, suggesting that racial disparities are exacerbated depending upon patient age and mode of utilization.
引用
收藏
页码:1127 / 1133
页数:7
相关论文
共 23 条
[1]   Use and Content of Primary Care Office-Based vs Telemedicine Care Visits During the COVID-19 Pandemic in the US [J].
Alexander, G. Caleb ;
Tajanlangit, Matthew ;
Heyward, James ;
Mansour, Omar ;
Qato, Dima M. ;
Stafford, Randall S. .
JAMA NETWORK OPEN, 2020, 3 (10)
[2]   Who Is (and Is Not) Receiving Telemedicine Care During the COVID-19 Pandemic [J].
Cantor, Jonathan H. ;
McBain, Ryan K. ;
Pera, Megan F. ;
Bravata, Dena M. ;
Whaley, Christopher M. .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2021, 61 (03) :434-438
[3]  
Center for Health Disparities Research University of Wisconsin School of Medicine and Public Health, 2019, AR DEPR IND 2019
[4]  
Centers for Medicare and Medicaid Services, 2020, PHYS OTH CLIN CMS FL
[5]   Sociodemographic factors affecting telemedicine access: A population-based analysis [J].
Chagpar, Anees B. .
SURGERY, 2022, 171 (03) :793-798
[6]   Differences within Differences: Gender Inequalities in Caregiving Intensity Vary by Race and Ethnicity in Informal Caregivers [J].
Cohen, Steven A. ;
Sabik, Natalie J. ;
Cook, Sarah K. ;
Azzoli, Ariana B. ;
Mendez-Luck, Carolyn A. .
JOURNAL OF CROSS-CULTURAL GERONTOLOGY, 2019, 34 (03) :245-263
[7]   The effectiveness of teleconsultations in primary care: systematic review [J].
de Albornoz, Sara Carrillo ;
Sia, Kah-Ling ;
Harris, Anthony .
FAMILY PRACTICE, 2022, 39 (01) :168-182
[8]   Patient Characteristics Associated With Telemedicine Access for Primary and Specialty Ambulatory Care During the COVID-19 Pandemic [J].
Eberly, Lauren A. ;
Kallan, Michael J. ;
Julien, Howard M. ;
Haynes, Norrisa ;
Khatana, Sameed Ahmed M. ;
Nathan, Ashwin S. ;
Snider, Christopher ;
Chokshi, Neel P. ;
Eneanya, Nwamaka D. ;
Takvorian, Samuel U. ;
Anastos-Wallen, Rebecca ;
Chaiyachati, Krisda ;
Ambrose, Marietta ;
O'Quinn, Rupal ;
Seigerman, Matthew ;
Goldberg, Lee R. ;
Leri, Damien ;
Choi, Katherine ;
Gitelman, Yevginiy ;
Kolansky, Daniel M. ;
Cappola, Thomas P. ;
Ferrari, Victor A. ;
Hanson, C. William ;
Deleener, Mary Elizabeth ;
Adusumalli, Srinath .
JAMA NETWORK OPEN, 2020, 3 (12)
[9]   Accessibility of Virtual Visits for Urgent Care Among US Hospitals: a Descriptive Analysis [J].
Goodman, Christopher W. ;
Brett, Allan S. .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2021, 36 (07) :2184-2185
[10]   Tracking Healthy People 2020 Internet, Broadband, and Mobile Device Access Goals: An Update Using Data From the Health Information National Trends Survey [J].
Greenberg-Worisek, Alexandra J. ;
Kurani, Shaheen ;
Rutten, Lila J. Finney ;
Blake, Kelly D. ;
Moser, Richard P. ;
Hesse, Bradford W. .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2019, 21 (06)