M. S. Lee|Bina Kassamali|Nehal Shah|Avery LaChance|Vinod E. Nambudiri
281 Racial and language disparities in teledermatology visits for acne during the COVID-19 pandemic
Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|George Washington University|Brigham and Women's Hospital|Brigham and Women's Hospital|Brigham and Women's Hospital
background teledermatology emerged essential model care covid19 pandemic however impact rapid transition teledermatology patients certain racialethnic language groups due differential access technology lower digital health literacy language barriers cultural perceptions unknown sought identify race language disparities teledermatology utilization patients acne one frequent diagnoses seen via teledermatology pandemic methods retrospective chart review inperson virtual visits acne large academic dermatology department marchmay 2019 marchmay 2020 conducted virtual visit types included video audioonly visits chisquared analyses performed compare populations across visit types results 3544 visits analyzed virtual visits accounted 12291630 756 pandemic visits racial language distributions patients overall visits statistically significantly different pre duringpandemic however video visits versus audioonly comprised greater proportion virtual visits duringpandemic white 869 compared nonwhite patients 820 englishspeaking 862 compared nonenglishspeaking patients 605 p0001 duringpandemic interpreters use documented 231 nonenglishspeaking patients inperson visits versus 93 virtual visits p0001 conclusions nonwhite nonenglishspeaking patients less likely use video visits acne pandemic white englishspeaking patients nonenglishspeaking patients less likely receive interpreters virtual visits inperson visits findings suggest underlying disparities teledermatology access barriers interpreter use virtual visits