ArticleOTA international : the open access journal of orthopaedic trauma2021
Age and socioeconomic status affect access to telemedicine at an urban level 1 trauma center.
Article in OTA international : the open access journal of orthopaedic trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Telemedicine in orthopaedics and trauma surgery during the first year of COVID pandemic: a systematic review.BMC musculoskeletal disorders · 2023Pooled it
- Regional Differences in Telemedicine Utilization by Patient in Late and Post-COVID-19 Pandemic Japan.Health services insights · 2026Article
- The Rise of Telemedicine in Orthopaedic Trauma Follow-Up Care and Its Long-Term Outcomes: A Narrative Review.Cureus · 2025Review
- Telemedicine Use During the COVID-19 Pandemic in 8 Countries From the International Sexual Health and Reproductive Health Consortium: Web-Based Cross-Sectional Survey Study.Journal of medical Internet research · 2025Article
- Exploring the feasibility and acceptability of community paramedicine programs in achieving vaccination equity: a qualitative study.BMC health services research · 2024Article
- Social Determinants of Health and Patients' Technology Acceptance of Telehealth During the COVID-19 Pandemic: Pilot Survey.JMIR human factors · 2023Article
- Age, Sex, and Education Level Predict Telehealth Engagement in Total Joint Arthroplasty Patients.Arthroplasty today · 2023Article
- Telemedicine Use Decreases the Carbon Footprint of the Bariatric Surgery Preoperative Evaluation.Obesity surgery · 2023Article
- The environmental impact of surgical telemedicine: life cycle assessment of virtual vs. in-person preoperative evaluations for benign foregut disease.Surgical endoscopy · 2023Article
- Examining Cancer Patients' Perceptions of the Impact of COVID-19 on Teleoncology: Findings From 15 Nigerian Outpatient Cancer Clinics.JCO global oncology · 2023Article
- Telemedicine-based new patient consultations for hernia repair and advanced abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Impact of Socioeconomic Status on the Perception of Accessibility to and Quality of Healthcare Services during the COVID-19 Pandemic among Poles-Pilot Study.International journal of environmental research and public health · 2022Article
- Health disparities in orthopedic trauma: a qualitative study examining providers' perspectives on barriers to care and recovery outcomes.Social work in health careArticle
Corrections and comments
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Authors and funding
29 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDespite clinical and economic advantages, routine utilization of telemedicine remains uncommon. The purpose of this study was to examine potential disparities in access and utilization of telehealth services during the rapid transition to virtual clinic during the coronavirus pandemic.
designRetrospective chart review.
settingOutpatient visits (in-person, telephone, virtual-Doxy.me) over a 7-week period at a Level I Trauma Center orthopaedic clinic.
interventionVirtual visits utilizing the Doxy.me platform.
main outcome measuresAccessing at least 1 virtual visit ("Virtual") or having telephone or in-person visits only ("No virtual").
methodsAll outpatient visits (in-person, telephone, virtual) during a 7-week period were tracked. At the end of the 7-week period, the electronic medical record was queried for each of the 641 patients who had a visit during this period for the following variables: gender, ethnicity, race, age, payer source, home zip code. Data were analyzed for both the total number of visits (n = 785) and the total number of unique patients (n = 641). Patients were identified as accessing at least 1 virtual visit ("Virtual") or having telephone or in-person visits only ("No virtual").
resultsWeekly totals demonstrated a rapid increase from 0 to greater than 50% virtual visits by the third week of quarantine with sustained high rates of virtual visits throughout the study period. Hispanic and Black/African American patients were able to access virtual care at similar rates to White/Caucasian patients. Patients of ages 65 to 74 and 75+ accessed virtual care at lower rates than patients ≤64 (
conclusionA rapid transition to virtual clinic can be performed at a level 1 trauma center, and high rates of virtual visits can be maintained. However, disparities in access exist and need to be addressed.
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