Your browser doesn't support javascript.
Racial and Socioeconomic Disparities in Utilization of Telehealth in Patients with Liver Disease During COVID-19.
Wegermann, Kara; Wilder, Julius M; Parish, Alice; Niedzwiecki, Donna; Gellad, Ziad F; Muir, Andrew J; Patel, Yuval A.
  • Wegermann K; Division of Gastroenterology, Department of Medicine, Duke University School of Medicine, Box 3913, Durham, NC, 27710, USA.
  • Wilder JM; Division of Gastroenterology, Department of Medicine, Duke University School of Medicine, Box 3913, Durham, NC, 27710, USA.
  • Parish A; Duke Clinical Research Institute, Durham, USA.
  • Niedzwiecki D; Department of Biostatistics and Bioinformatics, Duke University, Durham, USA.
  • Gellad ZF; Department of Biostatistics and Bioinformatics, Duke University, Durham, USA.
  • Muir AJ; Division of Gastroenterology, Department of Medicine, Duke University School of Medicine, Box 3913, Durham, NC, 27710, USA.
  • Patel YA; Duke Clinical Research Institute, Durham, USA.
Dig Dis Sci ; 67(1): 93-99, 2022 01.
Article in English | MEDLINE | ID: covidwho-1051364
Semantic information from SemMedBD (by NLM)
1. Telemedicine TREATS Liver diseases
Subject
Telemedicine
Predicate
TREATS
Object
Liver diseases
2. Liver diseases PROCESS_OF Patients
Subject
Liver diseases
Predicate
PROCESS_OF
Object
Patients
3. Telemedicine TREATS Patients
Subject
Telemedicine
Predicate
TREATS
Object
Patients
4. Liver diseases COEXISTS_WITH COVID-19
Subject
Liver diseases
Predicate
COEXISTS_WITH
Object
COVID-19
5. Patients LOCATION_OF CD69 protei
Subject
Patients
Predicate
LOCATION_OF
Object
CD69 protei
6. Racial group LOCATION_OF CD69 protei
Subject
Racial group
Predicate
LOCATION_OF
Object
CD69 protei
7. Clinic LOCATION_OF Retrospective Cohort Study
Subject
Clinic
Predicate
LOCATION_OF
Object
Retrospective Cohort Study
8. GJA1 gene|GJA1 compared_with GJA1 gene|GJA1
Subject
GJA1 gene|GJA1
Predicate
compared_with
Object
GJA1 gene|GJA1
9. Telemedicine TREATS Liver diseases
Subject
Telemedicine
Predicate
TREATS
Object
Liver diseases
10. Liver diseases PROCESS_OF Patients
Subject
Liver diseases
Predicate
PROCESS_OF
Object
Patients
11. Telemedicine TREATS Patients
Subject
Telemedicine
Predicate
TREATS
Object
Patients
12. Liver diseases COEXISTS_WITH COVID-19
Subject
Liver diseases
Predicate
COEXISTS_WITH
Object
COVID-19
13. Patients LOCATION_OF CD69 protein, human|CD69
Subject
Patients
Predicate
LOCATION_OF
Object
CD69 protein, human|CD69
14. Racial group LOCATION_OF CD69 protein, human|CD69
Subject
Racial group
Predicate
LOCATION_OF
Object
CD69 protein, human|CD69
15. Clinic LOCATION_OF Retrospective Cohort Study
Subject
Clinic
Predicate
LOCATION_OF
Object
Retrospective Cohort Study
16. GJA1 gene|GJA1 compared_with GJA1 gene|GJA1
Subject
GJA1 gene|GJA1
Predicate
compared_with
Object
GJA1 gene|GJA1
ABSTRACT
BACKGROUND AND

AIMS:

The coronavirus disease 2019 (COVID-19) pandemic resulted in a rapid expansion of telehealth services in hepatology. However, known racial and socioeconomic disparities in internet access potentially translate into barriers for the use of telehealth, particularly video technology. The specific aim of this study was to determine if disparities in race or socioeconomic status exist among patients utilizing telehealth visits during COVID-19.

METHODS:

We performed a retrospective cohort study of all adult patients evaluated in hepatology clinics at Duke University Health System. Visit attempts from a pre-COVID baseline period (January 1, 2020 through February 29, 2020; n = 3328) were compared to COVID period (April 1, 2020 through May 30, 2020; n = 3771).

RESULTS:

On multinomial regression modeling, increasing age was associated with higher odds of a phone or incomplete visit (canceled, no-show, or rescheduled after May 30,2020), and non-Hispanic Black race was associated with nearly twice the odds of completing a phone visit instead of video visit, compared to non-Hispanic White patients. Compared to private insurance, Medicaid and Medicare were associated with increased odds of completing a telephone visit, and Medicaid was associated with increased odds of incomplete visits. Being single or previously married (separated, divorced, widowed) was associated with increased odds of completing a phone compared to video visit compared to being married.

CONCLUSIONS:

Though liver telehealth has expanded during the COVID-19 pandemic, disparities in overall use and suboptimal use (phone versus video) remain for vulnerable populations including those that are older, non-Hispanic Black, or have Medicare/Medicaid health insurance.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Socioeconomic Factors / Telemedicine / Racial Groups / Healthcare Disparities / COVID-19 / Liver Diseases Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Dig Dis Sci Year: 2022 Document Type: Article Affiliation country: S10620-021-06842-5

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Socioeconomic Factors / Telemedicine / Racial Groups / Healthcare Disparities / COVID-19 / Liver Diseases Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Dig Dis Sci Year: 2022 Document Type: Article Affiliation country: S10620-021-06842-5