Exploring the role of telehealth in providing equitable healthcare to the vulnerable patient population during COVID-19

J Telemed Telecare. 2024 Jul;30(6):1047-1050. doi: 10.1177/1357633X221113711. Epub 2022 Jul 14.

Abstract

The COVID 19 pandemic resulted in widespread telehealth implementation. Existent health disparities were widened, with under-represented minorities (URM) disproportionately affected by COVID. In this study, we assess the role of telehealth in improving access to care in the URMs and vulnerable populations. We noted a statistically significant increase in the number of visits in Hispanic or Latino patients (15.2% increase, p < 0.01) and Black patients (19% increase, p < 0.01). Based on payer type, there was a statistically significant increase in the number of visits in the Medicare (10.2%, p = 0.0001) and Medicaid (16.2%, p < 0.01) groups. We also noted increased access to care with telehealth in patients who were 65 and older (10.6%, p = 0.004). This highlights the importance of telehealth in increasing access to care and promoting health equity in the URM and vulnerable patient populations.

Keywords: COVID-19, pandemic; Telehealth; health equity; under-represented minority; vulnerable population.

MeSH terms

  • Adult
  • Aged
  • Black or African American / statistics & numerical data
  • COVID-19* / epidemiology
  • COVID-19* / therapy
  • Female
  • Health Equity
  • Health Services Accessibility*
  • Healthcare Disparities*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Male
  • Medicaid
  • Medicare
  • Middle Aged
  • Minority Groups / statistics & numerical data
  • Pandemics
  • Telemedicine* / organization & administration
  • United States
  • Vulnerable Populations*