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Tytuł pozycji:

Expanding telehealth options during the COVID pandemic eliminated racial and age disparities in electronic communication by inflammatory bowel disease patients.

Tytuł:
Expanding telehealth options during the COVID pandemic eliminated racial and age disparities in electronic communication by inflammatory bowel disease patients.
Autorzy:
Hayrapetian L; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA.
Zepp M; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA.
Rao S; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA.
Hennessey M; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA.
Houle M; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA.
Atienza M; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA.
Belfaqeeh OA; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA.
Dharia I; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA.
Khan A; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA.
Borum ML; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University, Washington, D.C, USA. Electronic address: .
Źródło:
Journal of the National Medical Association [J Natl Med Assoc] 2021 Aug; Vol. 113 (4), pp. 474-477. Date of Electronic Publication: 2021 Apr 30.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: 2016- : New York : Elsevier
Original Publication: Washington, DC : National Medical Association
MeSH Terms:
COVID-19*
Inflammatory Bowel Diseases*/epidemiology
Inflammatory Bowel Diseases*/therapy
Telemedicine*
Communication ; Electronics ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; SARS-CoV-2
Contributed Indexing:
Keywords: COVID; Disparities; Inflammatory Bowel Disease; Telemedicine
Entry Date(s):
Date Created: 20210504 Date Completed: 20211124 Latest Revision: 20211124
Update Code:
20240104
DOI:
10.1016/j.jnma.2021.03.005
PMID:
33941370
Czasopismo naukowe
Background: Electronic messaging and telemedicine visits increased during the COVID pandemic. African-Americans and older patients have less frequently used electronic messaging with their physicians. This study compares the utilization of virtual health care before and during the COVID pandemic for inflammatory bowel disease (IBD) patients.
Methods: A chart review of all IBD patients seen at an academic medical center from 2014-2020 was conducted to evaluate the use of telehealth options (e-messaging, e-visits) during a pre-COVID and COVID timeframe. Analysis of telehealth use from March - August 2018 and March - August 2020 was performed. Patient age, gender, race, IBD type, electronic messaging and telehealth visits were obtained. A confidential database was created. Statistical analysis was performed using Fisher Exact test with significance set at p < 0.05. The study was IRB approved.
Results: 392 patients were in the pre-COVID cohort. There were 204 White, 99 African-American, 11 Asian, and 78 racially un-identified patients. 160 (40.8%) initiated E-communication with their physicians. There was a significant difference in the use of e-messaging based upon age (51.1% < 50 vs 39.7% ≥ 50; p = 0.0396) and race (62.3% White vs 28.2% African-American; p < 0.00001).There were no significant differences in the use of e-messaging based upon patient gender (p = 0.6840) or IBD type (p = 0.6374). There were 295 patients in the COVID cohort. There were 155 White, 83 African American patients, 24 Hispanic patients, 10 Asian patients, and 22 racially un-identified patients. 109 (36.9%) utilized a telehealth option (53 via e-messaging; 56 via telemedicine visit). There was no significant difference in the use of a telehealth option based upon age (36.8% < 50 vs 37.25% ≥ 50 years; p = 1.00), race (42.6% White vs 35.9% African-American; p = 0.2693) or IBD type (p = 0.331). Males used telehealth more than females (46.1% vs 29.7%, respectively; p = 0.0051).
Discussion: The COVID pandemic emergency increased e-visits and e-messaging for care delivery. Expanded telemedicine options for IBD patients eliminated previously identified racial and age disparities in virtual medical care. African Americans utilized electronic communication as frequently as Whites during the pandemic. Post-pandemic policy consideration for continued telemedicine options may expand patient-physician engagement and eliminate disparities in health care.
(Copyright © 2021 National Medical Association. Published by Elsevier Inc. All rights reserved.)

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