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Title

Equal Access to Telemedicine during COVID‐19 Pandemic: A Pediatric Otolaryngology Perspective (Laryngoscope)

Publication Topics

Access to Health Care; Barriers to/Disparities in Health Care; Use of Health Services; California Health Interview Survey; 2015 California Health Interview Survey (CHIS 2015); 2016 California Health Interview Survey (CHIS 2016); Chronic Condition Prevalence; COVID-19

Publication Type

CHIS Journal Article

Publication Date

2020-10-05T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1801\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1801&amp;RootFolder=*">Wen Jiang</a>

Author 2

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=151\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=151&amp;RootFolder=*">et al</a>

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Abstract

Summary: During the current COVID-19 pandemic, the demand for directtohome telemedicine services has risen to an unprecedented level. Equal access to specialty care was assessed to identify potential barriers that may negatively impact telemedicine utilization.

Authors examined the 6-week period between March and May 2020 when the only access to nonurgent pediatric otolaryngology service was through telemedicine and compared it to in-person visits during the same period in 2019. They compared patient demographics, including age, gender, preferred language, ZIP code of residence, and primary insurance plan.

Findings: A total of 1,495 visits were conducted through telemedicine from March 23, 2020 to May 1, 2020, and 1,983 in-person visits were completed in 2019. There was no difference in patient age and gender. The proportions of Spanishspeaking families were similar (15.8% in 2019 vs. 14.4% in 2020). The percentage of Medi-Cal-insured patients (51.4% in 2019 vs. 49.8% in 2020) and the mean poverty level (12.6% in 2019 vs. 12.2% in 2020) also remained the same. Spanish-speaking families were statistically more likely to require rescheduling of their telemedicine visits (17.2%) when compared to the overall rescheduling rate of 11.9%.

Authors were able to successfully provide access to telemedicine services to vulnerable populations during the current COVID-19 pandemic. Telemedicine is likely to remain an essential mode of delivering patient care going forward. It is important to evaluate and identify potential disparities to telemedicine access and proactively implement changes to address these barriers.

This study cites 2015–2016 California Health Interview Survey (CHIS) data.

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Article 1

Journal Article: Equal Access to Telemedicine during COVID‐19 Pandemic: A Pediatric Otolaryngology Perspective

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Press Release

Related Link 1

California Health Interview Survey (CHIS)

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Version: 5.0
Created at 10/28/2020 2:36 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 11/18/2020 1:49 PM by i:0#.f|uclachissqlmembershipprovider|venetia