ArticleClinical pediatrics2022
Are We Reaching Everyone? A Cross-Sectional Study of Telehealth Inequity in the COVID-19 Pandemic in an Urban Academic Pediatric Primary Care Clinic.
Article in Clinical pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 35 citations in OpenAlex.
- Barriers to telehealth uptake and use: a scoping review.JAMIA open · 2025Review
- Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025Article
- Article
- A comparison of referral and treatment patterns at child development institutes during the corona closures and pre-corona periods.Frontiers in public health · 2025Article
- Access to Primary Care Telemedicine and Visit Characterization in a Pediatric, Low-Income, Primarily Latino Population: Retrospective Study.JMIR pediatrics and parenting · 2024Article
- Patient Engagement With and Perspectives on a Mobile Health Home Spirometry Intervention: Mixed Methods Study.JMIR mHealth and uHealth · 2024Article
- Telemedicine in an adolescent and young adult medicine clinic: a mixed methods study.BMC health services research · 2023Article
- The Evolution of Primary Care Telehealth Disparities During COVID-19: Retrospective Cohort Study.Journal of medical Internet research · 2023Article
- Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study.Journal of medical Internet research · 2023Article
- Mixed methods evaluation of pediatric telehealth equity for patients/families who communicate in languages other than English.mHealth · 2023Article
- Haptic Perception Training Programs on Fine Motor Control in Adolescents with Developmental Coordination Disorder: A Preliminary Study.Journal of clinical medicine · 2022Article
- Health Care Providers' and Professionals' Experiences With Telehealth Oncology Implementation During the COVID-19 Pandemic: A Qualitative Study.Journal of medical Internet research · 2022Article
- Remote care in UK general practice: baseline data on 11 case studies.NIHR open research · 2022Article
- A qualitative study of health care access among African American older adults in a socio-demographically under-resourced region during the COVID-19 pandemic.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The COVID-19 (coronavirus disease 2019) pandemic brought rapid expansion of pediatric telehealth to maintain patient access to care while decreasing COVID-19 community spread. We designed a retrospective, serial, cross-sectional study to investigate if telehealth implementation at an academic pediatric practice led to disparities in health care access. Significant differences were found in pre-COVID-19 versus during COVID-19 patient demographics. Patients seen during COVID-19 were more likely to be younger, White/Caucasian or Asian, English speaking, and have private insurance. They were less likely to be Black/African American or Latinx and request interpreters. Age was the only significant difference in patient demographics between in-person and telehealth visits during COVID-19. A multivariate regression showed older age as a significant positive predictor of having a video visit and public insurance as a significant negative predictor. Our study demonstrates telehealth disparities based on insurance existed at our clinic as did inequities in who was seen before versus during COVID-19.
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Registered trials
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