ArticleJournal of racial and ethnic health disparities2026
Provider Mental Health and Telehealth Utilization During COVID-19: A Cross-sectional Survey of Providers at Clinics Treating Urban American Indian and Alaska Native Peoples.
Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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Authors and funding
6 authors.
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Abstract
objectiveThe COVID-19 pandemic resulted in substantial changes to clinical work, particularly the rise of telehealth, with indeterminate benefits and challenges for healthcare providers (HCPs). HCPs serving American Indian and Alaska Native (AI/AN) patients may face additional challenges working in the unique healthcare systems designed for these populations.
methodsSeventy-seven providers working at five healthcare organizations that serve urban AI/AN peoples completed questionnaires between January and May 2021. The questionnaire examined mental health symptoms using the Kessler Psychological Distress Scale 6 (K-6) and assessed self-reported emotional health compared to pre-pandemic levels, and inquired about potential risks of distress including demographics, telehealth use, work hours, and COVID-19 related stressors. We assessed the associations between risk factors and K-6 scores using a series of univariate Ordinary Least Squares regressions.
resultsMultiple factors were significantly associated with higher distress, including female sex, level of concern about self and colleagues contracting COVID-19, and number of hours worked per week. AI/AN identity was a protective factor for distress. Telehealth use increased from 37% pre-pandemic to 84% during the pandemic, but providing telehealth was not associated with distress.
conclusionsPsychological distress among HCPs who work in clinics which primarily treat AI/AN patients from January to May 2021 was linked to heightened occupational demands, collective wellbeing, and demographic factors. Support strategies in AI/AN-serving healthcare institutions should leverage the protective assets of cultural identity and collective resilience.
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