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Telehealth use in cystic fibrosis during COVID-19: Association with race, ethnicity, and socioeconomic factors.
Albon, Dana; Van Citters, Aricca D; Ong, Thida; Dieni, Olivia; Dowd, Christopher; Willis, Anne; Sabadosa, Kathryn A; Scalia, Peter; Reno, Kimberly; Oates, Gabriela R; Schechter, Michael S.
  • Albon D; University of Virginia Health System, Department of Internal Medicine, Division of Pulmonary and Critical Care, Charlottesville, VA, USA. Electronic address: da9zj@virginia.edu.
  • Van Citters AD; The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Williamson Translational Research Building, Level 5, One Medical Center Drive, Lebanon, NH 03766, USA.
  • Ong T; University of Washington, Seattle Children's Hospital, Division of Pediatric Pulmonary and Sleep Medicine, Seattle WA, USA.
  • Dieni O; Cystic Fibrosis Foundation, 4550 Montgomery Avenue, Suite 1100N, Bethesda, MD 20814 USA.
  • Dowd C; Cystic Fibrosis Foundation, 4550 Montgomery Avenue, Suite 1100N, Bethesda, MD 20814 USA.
  • Willis A; Cystic Fibrosis Foundation, 4550 Montgomery Avenue, Suite 1100N, Bethesda, MD 20814 USA.
  • Sabadosa KA; Cystic Fibrosis Foundation, 4550 Montgomery Avenue, Suite 1100N, Bethesda, MD 20814 USA.
  • Scalia P; The Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Williamson Translational Research Building, Level 5, One Medical Center Drive, Lebanon, NH 03766, USA.
  • Reno K; Cystic Fibrosis Foundation, 4550 Montgomery Avenue, Suite 1100N, Bethesda, MD 20814 USA.
  • Oates GR; University of Alabama at Birmingham, Birmingham, AL, USA.
  • Schechter MS; Children's Hospital of Richmond at Virginia Commonwealth University, USA.
J Cyst Fibros ; 20 Suppl 3: 49-54, 2021 12.
Article in English | MEDLINE | ID: covidwho-1587337
ABSTRACT

BACKGROUND:

Due to the COVID-19 pandemic, there was an uptake of telehealth in cystic fibrosis care. Previous studies show disparities in telehealth use based on socioeconomic status (SES). We aimed to (1) understand telehealth use and perceptions and (2) identify the facilitators and barriers to telehealth use among people with CF and their families (PwCF) from diverse racial/ethnic and socioeconomic backgrounds.

METHODS:

We conducted an analysis of the 2020 Cystic Fibrosis State of Care surveys completed by PwCF (PFSoC), CF Care Programs (SoC1) and the CF Foundation Patient Registry (CFFPR).

RESULTS:

A total of 424 PwCF and 286 programs responded to the PFSoC and SoC1. Among PwCF, 90% self-identified as White, 6% as Hispanic/Latino, and 2% as Black. Racial/ethnic minorities were less likely to have had a telehealth visit (p=.015). This difference was pronounced among the Hispanic/Latino population (p<.01). Telehealth use did not differ by health insurance and was similarly offered independent of financial status. Compared to PwCF who denied financial constraints, those who reported financial difficulties found telehealth more difficult to use (p=.018) and were less likely to think that their concerns (p=.010) or issues that mattered most to them (p=.020) were addressed during telehealth. Programs perceived lack of technology, language barriers, and home conditions as barriers to telehealth in vulnerable populations.

CONCLUSION:

PFSoC and SoC1 identified differences in telehealth use and care perceptions by ethnicity, race, and socioeconomic characteristics. Further studies are needed to understand how telehealth can change access to CF care in diverse subpopulations.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Communication Barriers / Cystic Fibrosis / Minority Health / COVID-19 Type of study: Prognostic study / Qualitative research / Randomized controlled trials / Risk factors Limits: Humans Country/Region as subject: North America Language: English Journal: J Cyst Fibros Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / Communication Barriers / Cystic Fibrosis / Minority Health / COVID-19 Type of study: Prognostic study / Qualitative research / Randomized controlled trials / Risk factors Limits: Humans Country/Region as subject: North America Language: English Journal: J Cyst Fibros Year: 2021 Document Type: Article