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Public Health Rep ; 137(2): 317-325, 2022.
Article in English | MEDLINE | ID: covidwho-1582749


OBJECTIVES: Data on the health burden of COVID-19 among Asian American people of various ethnic subgroups remain limited. We examined COVID-19 outcomes of people of various Asian ethnic subgroups and other racial and ethnic groups in an urban safety net hospital system. METHODS: We conducted a retrospective analysis of 85 328 adults aged ≥18 tested for COVID-19 at New York City's public hospital system from March 1 through May 31, 2020. We examined COVID-19 positivity, hospitalization, and mortality, as well as demographic characteristics and comorbidities known to worsen COVID-19 outcomes. We conducted adjusted multivariable regression analyses examining racial and ethnic disparities in mortality. RESULTS: Of 9971 Asian patients (11.7% of patients overall), 48.2% were South Asian, 22.2% were Chinese, and 29.6% were in other Asian ethnic groups. South Asian patients had the highest rates of COVID-19 positivity (30.8%) and hospitalization (51.6%) among Asian patients, second overall only to Hispanic (32.1% and 45.8%, respectively) and non-Hispanic Black (27.5% and 57.5%, respectively) patients. Chinese patients had a mortality rate of 35.7%, highest of all racial and ethnic groups. After adjusting for demographic characteristics and comorbidities, only Chinese patients had significantly higher odds of mortality than non-Hispanic White patients (odds ratio = 1.44; 95% CI, 1.04-2.01). CONCLUSIONS: Asian American people, particularly those of South Asian and Chinese descent, bear a substantial and disproportionate health burden of COVID-19. These findings underscore the need for improved data collection and reporting and public health efforts to mitigate disparities in COVID-19 morbidity and mortality among these groups.

Asian Americans/statistics & numerical data , COVID-19/ethnology , Ethnic and Racial Minorities/statistics & numerical data , Health Status Disparities , Social Determinants of Health/ethnology , Adult , Aged , Female , Hospitalization , Hospitals, Public , Humans , Male , Middle Aged , New York City , Retrospective Studies , SARS-CoV-2 , Safety-net Providers , Young Adult
Applied Medical Informatics ; 43(2):68-80, 2021.
Article in English | ProQuest Central | ID: covidwho-1414384


Telemedicine integrates communication technologies with medicine, which allows healthcare professionals to monitor and treat patients remotely. During the coronavirus disease 2019 (COVID-19) pandemic, telemedicine has emerged as the most effective tool in the fight against such infectious diseases. Rapid advances have helped governments realize the flaws in current healthcare systems and have sparked a revolution in how these systems are managed and operated. The present work studies the changes realized within healthcare systems around the world, new regulations advocating these changes, and the barriers to widespread integration of telemedicine with current healthcare delivery systems. The Google Scholar, ScienceDirect and PubMed databases were used to find articles related to the aims of this study. In this systematic review based on the PRISMA guideline, we reviewed 61 studies to analyze the shift in trends within the telemedicine field due to the onset of the COVID-19 pandemic. Remote consultations, teleconferencing, and remote patient monitoring have experienced a significant increase in use and acceptance as a result of the pandemic. Furthermore, governments around the world have started to develop policies to expedite the integration of information and communication technologies with healthcare. The findings suggest that while a lot of progress has been made in terms of adopting such technology for healthcare delivery, several barriers, such as lack of legal framework and patient-physician acceptance in developing countries, still exist before telemedicine can be fully integrated with existing healthcare systems.