ArticleDigestive diseases and sciences2022
Racial and Socioeconomic Disparities in Utilization of Telehealth in Patients with Liver Disease During COVID-19.
Article in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.
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Who cites it
62 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.
- Analyzing the Effect of Telemedicine on Domains of Quality Through Facilitators and Barriers to Adoption: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Real-time remote outpatient consultations in secondary and tertiary care: A systematic review of inequalities in invitation and uptake.PloS one · 2022Pooled it
- Pain psychology service utilization and socioeconomic disparities following telehealth implementation.The journal of pain · 2026Article
- Identifying Barriers to Being Offered and Accepting a Telehealth Visit for Cancer Care: Unpacking the Multi-Levels of Documented Racial Disparities in Telehealth Use.Health services research · 2026Article
- Minimizing Travel Burden of Gynecologic Cancer Surveillance Through a Unique Multidisciplinary Telehealth Program.O&G open · 2025Article
- Video-based telemedicine utilization patterns and associated factors among racial and ethnic minorities in the United States during the COVID-19 pandemic: A mixed-methods scoping review.PLOS digital health · 2025Article
- Changes in the liver transplant evaluation process during the early COVID-19 era and the role of telehealth.World journal of transplantation · 2025Article
- Hepatology in the Digital Era: A Review of Telehealth Care for Liver Disease.Current gastroenterology reports · 2025Review
- Significant Disparities in Hepatocellular Carcinoma Outcomes by Race/Ethnicity and Sociodemographic Factors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- The Association Between the Digital Divide and Health Inequalities Among Older Adults in China: Nationally Representative Cross-Sectional Survey.Journal of medical Internet research · 2025Article
- Patterns of healthcare utilization according to health equity determinants during the first year of the pandemic at Johns Hopkins Medicine.JAMIA open · 2024Article
- Telemedicine in the tertiary liver unit: A feasibility study.Clinical and experimental hepatology · 2024Article
- Closing the gap: addressing telehealth disparities across specialties in the sustained pandemic era.NPJ digital medicine · 2024Article
- Telehealth Uptake Among Hispanic People During COVID-19: Retrospective Observational Study.JMIR medical informatics · 2024Article
- Telemedicine Use Among Adults with Asthma in the United States, 2021-2022.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Article
- Socioeconomic factors associated with use of telehealth services in outpatient care settings during the COVID-19.BMC health services research · 2024Article
- Telehepatology Satisfaction Is Associated with Ethnicity: The Real-World Experience of a Vulnerable Population with Fatty Liver Disease.Digestive diseases and sciences · 2024Article
- Between-hospital care referrals for severe alcohol-related liver disease during the COVID-19 pandemic, 2020 to 2022.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Telehepatology Use and Satisfaction Among Vulnerable Cirrhosis Patients Across Three Healthcare Systems in the Coronavirus Disease Pandemic Era.Gastro hep advances · 2024Article
- Patient Portal Use and Risk of Readmissions in Decompensated Cirrhosis: Retrospective Study.JMIR formative research · 2023Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
aimsThe coronavirus disease 2019 (COVID-19) pandemic resulted in a rapid expansion of telehealth services in hepatology. However, known racial and socioeconomic disparities in internet access potentially translate into barriers for the use of telehealth, particularly video technology. The specific aim of this study was to determine if disparities in race or socioeconomic status exist among patients utilizing telehealth visits during COVID-19.
methodsWe performed a retrospective cohort study of all adult patients evaluated in hepatology clinics at Duke University Health System. Visit attempts from a pre-COVID baseline period (January 1, 2020 through February 29, 2020; n = 3328) were compared to COVID period (April 1, 2020 through May 30, 2020; n = 3771).
resultsOn multinomial regression modeling, increasing age was associated with higher odds of a phone or incomplete visit (canceled, no-show, or rescheduled after May 30,2020), and non-Hispanic Black race was associated with nearly twice the odds of completing a phone visit instead of video visit, compared to non-Hispanic White patients. Compared to private insurance, Medicaid and Medicare were associated with increased odds of completing a telephone visit, and Medicaid was associated with increased odds of incomplete visits. Being single or previously married (separated, divorced, widowed) was associated with increased odds of completing a phone compared to video visit compared to being married.
conclusionsThough liver telehealth has expanded during the COVID-19 pandemic, disparities in overall use and suboptimal use (phone versus video) remain for vulnerable populations including those that are older, non-Hispanic Black, or have Medicare/Medicaid health insurance.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.