Rumi Chunara|Yuan Zhao|Chen Ji|Katharine Lawrence|Paul Testa|Oded Nov|David Mann
Telemedicine and healthcare disparities: a cohort study in a large healthcare system in New York City during COVID-19
New York University|New York University|New York University|NYU Langone Health|NYU Langone Health|New York University|NYU Langone Health
coronavirus disease 2019 covid19 pandemic telemedicine became necessary entry point process diagnosis triage treatment racial ethnic disparities healthcare well documented covid19 respect risk infection inhospital outcomes admitted assess disparities access healthcare via telemedicine covid19electronic health record data patients new york university langone health march 19th april 30 2020 used conduct descriptive multilevel regression analyses respect visit type telemedicine inperson suspected covid diagnosis covid test resultscontrolling individual communitylevel attributes black patients 06 times adjusted odds 95 ci 058063 accessing care telemedicine compared white patients though increasingly accessing telemedicine urgent care driven younger female population covid diagnoses significantly likely black versus white telemedicine patientsthere disparities black patients accessing telemedicine however increased uptake young female black patients mean income decreased mean household size zip code also significantly related telemedicine usetelemedicine access disparities reflect inperson healthcare access roots disparate use complex reflect individual community structural factors including intersectionmany due systemic racism evidence regarding disparities manifest telemedicine used inform tool design systemic efforts promote digital health equity