Patient Characteristics Associated With Telemedicine Access for Primary and Specialty Ambulatory Care During the COVID-19 Pandemic

By L. Eberly, M. J. Kallan, Howard M. Julien, N. Haynes, S. Khatana, Ashwin S Nathan, Christopher Snider, N. Chokshi, N. Eneanya, Samuel U. Takvorian and 16 more. JAMA Network Open, 2020

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Key Points Question What sociodemographic factors are associated with higher use of telemedicine and the use of video (vs telephone) for telemedicine visits for ambulatory care during the coronavirus disease 2019 (COVID-19) pandemic? Findings In this cohort study of 148 402 patients scheduled for primary care and medical specialty ambulatory telemedicine visits at a large academic health system during the early phase of the COVID-19 pandemic, older age, Asian race, non-English language as the patient’s preferred language, and Medicaid were independently associated with fewer completed telemedicine visits. Older age, female sex, Black race, Latinx ethnicity, and lower household income were associated with lower use of video for telemedicine care. Meaning This study identified racial/ethnic, sex, age, language, and socioeconomic differences in accessing telemedicine for primary care and specialty ambulatory care; if not addressed, these differences may compound existing inequities in care among vulnerable populations.

Subfields: Clinical Psychology, Oncology, Public Health, Environmental and Occupational Health

View Paper: https://www.semanticscholar.org/paper/ad31455b84c5c3e824041aac5ccd16e533d9165b

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