Racial and ethnic differences in family planning telehealth use during the onset of the COVID-19 response in Arkansas, Kansas, Missouri, and Oklahoma

Hill, Brian H.; Lock, Li; Anderson, Brie

doi:10.1016/j.contraception.2021.05.016

Cited by 21 publications

(30 citation statements)

References 7 publications

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“…Utilization of telemedicine is lower in certain demographic groups [66] . One analysis of telemedicine visits in primary care found that older patients and low-English proficiency patients were less likely to use telemedicine; and that Black, Latinx, and poorer patients had less video use [67] .…”

Section: Clinical Questionsmentioning

confidence: 99%

Society of Family Planning Clinical Recommendations: Contraceptive Care in the Context of Pandemic Response

et al. 2022

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Section: Clinical Questionsmentioning

confidence: 99%

Society of Family Planning Clinical Recommendations: Contraceptive Care in the Context of Pandemic Response

et al. 2022

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“… 29 , 37 Similarly, technological barriers may be persistent for many patients who may not have access to the requisite technology. 4 As both a facilitator and a barrier, the presence or absence of the requisite technology and infrastructure may impact leaders' decisions regarding the implementation of telehealth among HD clinics.…”

Section: Discussionmentioning

confidence: 99%

“…Delays and cancellations disproportionately affected lower-income and Black and Hispanic women 1. Limitations in access to contraceptive services may widen preexisting disparities in women's health 3,4. Service delivery adaptations, such as telehealth, are needed 4,5…”

mentioning

confidence: 99%

“… 1 Limitations in access to contraceptive services may widen preexisting disparities in women's health. 3 , 4 Service delivery adaptations, such as telehealth, are needed. 4 , 5 …”

mentioning

confidence: 99%

“…1 Limitations in access to contraceptive services may widen preexisting disparities in women's health. 3,4 Service delivery adaptations, such as telehealth, are needed. 4,5 To mitigate the spread of COVID-19, federal and state agencies expanded regulations to encourage telehealth service provision.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Telehealth for Contraceptive Care During the Initial Months of the COVID-19 Pandemic at Local Health Departments in 2 US States: A Mixed-Methods Approach

Beatty

Smith²,

Khoury³

et al. 2022

Journal of Public Health Management and Practice

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Objectives: This study examined implementation of telehealth for contraceptive care among health departments (HDs) in 2 Southern US states with centralized/largely centralized governance structures during the early phase of the COVID-19 pandemic. Sustaining access to contraceptive care for underserved communities during public health emergencies is critical. Identifying facilitators and barriers to adaptive service provision helps inform state-level decision making and has implications for public health policy and practice, particularly in states with centralized HD governance. Design: Mixed-methods study including a survey of HD clinic administrators and key informant interviews with clinic- and system-level staff in 2 states conducted in 2020. Setting: Health department clinics in 2 Southern US states. Participants: Clinic administrators (survey) and clinic- and system-level respondents (key informant interviews). Participation in the research was voluntary and de-identified. Main Outcome Measures: (1) Telehealth implementation for contraceptive care assessed by survey and measured by the percentage of clinics reporting telehealth service provision during the pandemic; and (2) facilitators and barriers to telehealth implementation for contraceptive care assessed by key informant interviews. For survey data, bivariate differences between the states in telehealth implementation for contraceptive care were assessed using χ2 and Fisher exact tests. Interview transcripts were coded, with emphasis on interrater reliability and consensus coding, and analyzed for emerging themes. Results: A majority of HD clinics in both states (60% in state 1 and 81% in state 2) reported a decrease in contraceptive care patient volume during March-June 2020 compared with the average volume in 2019. More HD clinics in state 1 than in state 2 implemented telehealth for contraceptive services, including contraceptive counseling, initial and refill hormonal contraception, emergency contraception and sexually transmitted infection care, and reported facilitators of telehealth. Medicaid reimbursement was a predominant facilitator of telehealth, whereas lack of implementation policies and procedures and reduced staffing capacity were predominant barriers. Electronic infrastructure and technology also played a role. Conclusions: Implementation of telehealth for contraceptive services varied between state HD agencies in the early phase of the pandemic. Medicaid reimbursement policy and directives from HD agency leadership are key to telehealth service provision among HDs in centralized states.

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Sexual and Reproductive Health

Bryson,

Kantt,

DiVasta

et al. 2024

Telemedicine for Adolescent and Young Adult Health Care

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Racial and ethnic differences in family planning telehealth use during the onset of the COVID-19 response in Arkansas, Kansas, Missouri, and Oklahoma

Cited by 21 publications

References 7 publications

Society of Family Planning Clinical Recommendations: Contraceptive Care in the Context of Pandemic Response

Society of Family Planning Clinical Recommendations: Contraceptive Care in the Context of Pandemic Response

Telehealth for Contraceptive Care During the Initial Months of the COVID-19 Pandemic at Local Health Departments in 2 US States: A Mixed-Methods Approach

Sexual and Reproductive Health

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