Expanding Telemedicine to Include Primary Care for the Urban Adult

Markwick, Laura; McConnochie, Kenneth M.; Wood, Nancy

doi:10.1353/hpu.2015.0078

Cited by 13 publications

(9 citation statements)

References 3 publications

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“…[42][43][44][45] A growing body of evidence focuses on patient portals, text message interventions, and mobile applications that may improve patient satisfaction (a psychosocial correlate of medical mistrust) 34 , improve self- Model 1 included race, age, marital status, household income, education, insurance, self-rated health status, and number of chronic conditions. Model 2 included race, age, marital status, household income, education, insurance self-rated health status, and number of chronic conditions and medical mistrust index management of chronic diseases, and reduce non-urgent ED visits in urban populations.…”

Section: Emergency Department As a Usual Source Of Carementioning

confidence: 99%

“…Model 2 included race, age, marital status, household income, education, insurance self-rated health status, and number of chronic conditions and medical mistrust index management of chronic diseases, and reduce non-urgent ED visits in urban populations. [42][43][44][45] Yet, the impact of HIT on medical mistrust disparities has not been well studied.…”

Section: Emergency Department As a Usual Source Of Carementioning

confidence: 99%

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Race, Medical Mistrust, and Segregation in Primary Care as Usual Source of Care: Findings from the Exploring Health Disparities in Integrated Communities Study

et al. 2016

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Compared to White Americans, African-Americans are less likely to use primary care (PC) as their usual source of care. This is generally attributed to race differences in socioeconomic status and in access to primary care services. Little is known about the relationship between race differences in medical mistrust and the usual source of care disparity. Using data from the Exploring Health Disparities in Integrated Communities (EHDIC) study, we examined the role of medical mistrust in choosing usual source of care in 1408 black and white adults who were exposed to the same healthcare facilities and low-income racially integrated community. Multinomial logistic regression models were estimated to examine the relationship between race, medical mistrust, and usual source of care. After adjusting for demographic and health-related factors, African-Americans were more likely than whites to use the emergency department (ED) (relative risk ratio [RRR] = 1.43 (95 % confidence interval (CI) [1.06-1.94])) and hospital outpatient department (RRR1.50 (95 %CI [1.10-2.05])) versus primary care as a usual source of care. When medical mistrust was added to the model, the gap between African-Americans' and whites' risk of using the ED versus primary care as a usual source of care closed (RRR = 1.29; 95 % CI [0.91-1.83]). However, race differences in the use of the hospital outpatient department remained even after accounting for medical mistrust (RRR = 1.67; 95 % CI [1.16-2.40]). Accounting for medical mistrust eliminated the ED-as-usual-source of care disparity. This study highlights the importance of medical mistrust as an intervention point for decreasing ED use as a usual source of care by low-income, urban African-Americans.

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Section: Emergency Department As a Usual Source Of Carementioning

confidence: 99%

Section: Emergency Department As a Usual Source Of Carementioning

confidence: 99%

Race, Medical Mistrust, and Segregation in Primary Care as Usual Source of Care: Findings from the Exploring Health Disparities in Integrated Communities Study

et al. 2016

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“…Substantial evidence supports the belief that it would. [13][14][15][16]32 The potential of connected care to address pressing issues, including equity of access and the high cost of health services, begs several questions. Among them are when has the evidence base supporting value of this, or any other, connected care model achieved a level where insurance coverage is justified?…”

Section: Discussionmentioning

confidence: 99%

Pursuit of Value in Connected Healthcare

McConnochie

2015

Telemedicine and e-Health

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“…34 These factors, along with reduced time lost from work and fewer inappropriate emergency room visits, result in reduced costs for patients leading to high levels of patient satisfaction. 35 Telemedicine benefits providers as well, as long as it is supported by state legislation and insurer policies. Implementation of a comprehensive sleep telemedicine protocol can increase the total number of sleep consultations and sleep studies performed, while simultaneously reducing the time between sleep consultation and PAP prescription by nearly two months.…”

Section: E X Pa Nd I Ng the R E Ach O F Sleep Speci A Li Sts Through mentioning

confidence: 99%