Article ; Online: Use of Telehealth Early and Late in the COVID-19 Public Health Emergency: Policy Implications for Improving Health Equity.
Journal of the American Board of Family Medicine : JABFM
2023 Volume 36, Issue 5, Page(s) 746–754
Abstract: Introduction: Early in the COVID-19 pandemic, primary care adopted telehealth rapidly to preserve access. Although policy flexibilities persist, but with in-person access restored, insight regarding long-term policy reform is needed for equitable access, ...
Abstract | Introduction: Early in the COVID-19 pandemic, primary care adopted telehealth rapidly to preserve access. Although policy flexibilities persist, but with in-person access restored, insight regarding long-term policy reform is needed for equitable access, especially for underserved, low income, and rural populations. Methods: We used electronic health record data to compare primary care telehealth use in practices serving primarily commercially insured patients versus clinics serving low-income uninsured patients, in March-June 2020 ("early COVID") and March-June 2022 ("late COVID"). Results: Primary care visit mode differed significantly ( Conclusions: Findings demonstrate the importance of both phone and video visits in preserving primary care access early in the pandemic. Telehealth use declined in late COVID, but still accounted for ∼20% of primary care visits in the commercially insured setting and less than 10% of visits in the community care clinics. Differences in telehealth use were largely by setting, reflecting income/insurance status, indicating disparities needing to be addressed. |
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Language | English | |||||
Publishing date | 2023-08-30 | |||||
Publishing country | United States | |||||
Document type | Journal Article | |||||
ZDB-ID | 2239939-2 | |||||
ISSN | 1558-7118 ; 1557-2625 | |||||
ISSN (online) | 1558-7118 | |||||
ISSN | 1557-2625 | |||||
DOI | 10.3122/jabfm.2023.230080R1 | |||||
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Database | MEDical Literature Analysis and Retrieval System OnLINE |
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