Characteristics of telehealth users in NYC for COVID-related care during the coronavirus pandemic

Weber, Ellerie; Miller, Sarah; Astha, Varuna; Janević, Teresa; Benn, Emma K. T.

doi:10.1093/jamia/ocaa216

Cited by 138 publications

(142 citation statements)

References 9 publications

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“…This was based solely on race/ethnicity, despite no significant difference in primary languages spoken between the timeframes. This is in contrast to a similar study in a large health system in New York City, which demonstrated Black/African American and Hispanic/Latino patients have lower odds of using telemedicine in comparison to White or Asian patients [ 27 ]. These disparities have been explained by lack of digital access, digital literacy, and mistrust of the telemedicine system.…”

Section: Discussioncontrasting

confidence: 99%

Effects of COVID-19 on telemedicine practice patterns in outpatient otolaryngology

Shehan

Agarwal

Danis

et al. 2021

American Journal of Otolaryngology

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Objective Otolaryngology is considered high risk for Coronavirus Disease 2019 (COVID-19) exposure and spread. This has led to a transition to telemedicine and directly impacts patient volume, evaluation and management practices. The objective of this study is to determine the impact of COVID-19 on patient characteristics in relation to outpatient attendance, ancillary testing, medical therapy, and surgical decision making. Methods A retrospective case series at an academic medical center was performed. Outpatient appointments from October 2019 (pre-COVID) and March 16–April 10, 2020 (COVID) were analyzed. Prevalence rates and odds ratios were used to compare demographics, visit characteristics, ancillary tests, medication prescribing, and surgical decisions between telemedicine and in-person visits, before and during COVID. Results There was a decrease in scheduled visits during the COVID timeframe, for both in-person and telemedicine visits, with a comparable proportion of no-shows. There was a higher overall percentage of Hispanic/Latino patients who received care during the COVID timeframe (OR = 1.43; 95% CI = 1.07–1.90) in both groups, although primary language was not significantly associated with attendance. There were fewer ancillary tests ordered (OR = 0.54) and more medications prescribed (OR = 1.59) during COVID telemedicine visits compared with pre-COVID in-person visits. Conclusion COVID-19 has rapidly changed the use of telemedicine. Telemedicine can be used as a tool to reach patients with severe disease burden. Continued healthcare reform, expanded access to affordable care, and efficient use of resources is essential both during the current COVID-19 pandemic and beyond. Level of evidence IV.

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Section: Discussioncontrasting

confidence: 99%

Effects of COVID-19 on telemedicine practice patterns in outpatient otolaryngology

Shehan

Agarwal

Danis

et al. 2021

American Journal of Otolaryngology

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“…Our study is the first to examine disparities in telemedicine use for subspecialty diabetes care during the pandemic. However, analyses of care delivery to primary care populations during the same time frame also concluded that older adults, 3,12 patients with non-English language preferences, 3,12 and those with public insurance 12 were less likely to receive care after widescale implementation of telemedicine, suggesting these associations are robust.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Telemedicine Use for Subspecialty Diabetes Care During COVID-19 Shelter-In-Place Orders

Haynes

Kompala

Neinstein

et al. 2021

J Diabetes Sci Technol

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Background: During the COVID-19 pandemic, telemedicine use rapidly and dramatically increased for management of diabetes mellitus. It is unknown whether access to telemedicine care has been equitable during this time. This study aimed to identify patient-level factors associated with adoption of telemedicine for subspecialty diabetes care during the pandemic. Methods: We conducted an explanatory sequential mixed-methods study using data from a single academic medical center. We used multivariate logistic regression to explore associations between telemedicine use and demographic factors for patients receiving subspecialty diabetes care between March 19 and June 30, 2020. We then surveyed a sample of patients who received in-person care to understand why these patients did not use telemedicine. Results: Among 1292 patients who received subspecialty diabetes care during the study period, those over age 65 were less likely to use telemedicine (OR: 0.34, 95% CI: 0.22-0.52, P < .001), as were patients with a primary language other than English (OR: 0.53, 95% CI: 0.31-0.91, P = .02), and patients with public insurance (OR: 0.64, 95% CI: 0.49-0.84, P = .001). Perceived quality of care and technological barriers were the most common reasons cited for choosing in-person care during the pandemic. Conclusions: Our findings suggest that, amidst the COVID-19 pandemic, there have been disparities in telemedicine use by age, language, and insurance for patients with diabetes mellitus. We anticipate telemedicine will continue to be an important care modality for chronic conditions in the years ahead. Significant work must therefore be done to ensure that telemedicine services do not introduce or widen population health disparities.

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“…7,[36][37][38] These findings are consistent with the existing literature, which largely suggests that being younger, white, higher income, and female are associated with higher utilization of telemedicine. 34,35,39,40 However, these patterns appear to vary by institution and patient population. 41,42 Differing patterns and associations, however, are not surprising given the variations in study setting, telemedicine intervention, patient population, specialty line, and data analysis plan among telemedicine studies, which makes comparing single-institution studies challenging.…”

Section: Discussionmentioning

confidence: 99%

Understanding Telemedicine's “New Normal”: Variations in Telemedicine Use by Specialty Line and Patient Demographics

Drake

Lian

Cameron

et al. 2022

Telemedicine and e-Health

126

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Background: Our objective was to examine the variation in telemedicine adoption by specialty line and patient demographic characteristics after the initial peak period of the coronavirus disease 2019 pandemic when in-person visits had resumed and visit volume returned to prepandemic levels. Materials and Methods: Aggregated encounter data were extracted for six service lines (dermatology, psychiatry, endocrinology, cardiology, orthopedics, and nonurgent primary care) in an integrated health system across three time periods:

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Characteristics of telehealth users in NYC for COVID-related care during the coronavirus pandemic

Cited by 138 publications

References 9 publications

Effects of COVID-19 on telemedicine practice patterns in outpatient otolaryngology

Effects of COVID-19 on telemedicine practice patterns in outpatient otolaryngology

Disparities in Telemedicine Use for Subspecialty Diabetes Care During COVID-19 Shelter-In-Place Orders

Understanding Telemedicine's “New Normal”: Variations in Telemedicine Use by Specialty Line and Patient Demographics

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