Disparities in Use of Video Telemedicine Among Patients With Limited English Proficiency During the COVID-19 Pandemic

Hsueh, Loretta; Huang, Jie; Millman, Andrea; Gopalan, Anjali; Parikh, Rahul; Teran, Silvia; Reed, Mary

doi:10.1001/jamanetworkopen.2021.33129

Cited by 71 publications

(61 citation statements)

References 4 publications

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“…As in other studies 18 , 19 , 20 from the first year of the pandemic, we found disparities in telehealth use across populations. For example, patients who preferred a language other than English were more likely to be served in person.…”

Section: Discussionsupporting

confidence: 85%

Use of Telehealth Across Pediatric Subspecialties Before and During the COVID-19 Pandemic

et al. 2022

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Key Points Question How has telehealth use during the COVID-19 pandemic varied across pediatric subspecialties, and was telehealth associated with changes in no-show rates and access disparities? Findings This cohort study of 8 large pediatric medical groups in California found high variability in telehealth use across subspecialties but no association between telehealth volume and clinic no-show rates. Although overall visits remained stable from the prepandemic to pandemic periods, English-speaking patients and patients of ethnicities other than Hispanic were more likely to be seen via telehealth. Meaning Documenting variation in telehealth adoption can inform telehealth policy, including the appropriateness of telehealth for different patient needs and areas where additional tools are needed to promote use.

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Section: Discussionsupporting

confidence: 85%

Use of Telehealth Across Pediatric Subspecialties Before and During the COVID-19 Pandemic

et al. 2022

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“…Additionally, while virtual care has the potential to improve access to intepreter services, more work is needed to realize this potential. An analysis of nearly 1 million virtual visits found that telemedicine was lower among patients who require interpreters 66 . Language barriers also limit access to health-focused mobile applications, most of which are only available in English 67 …”

Section: Virtual Care In Oncologymentioning

confidence: 99%

Lessons for Oncology From the COVID-19 Pandemic

Roberts

Lennes

2022

Cancer J

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After several decades of slow expansion, the use of virtual care in oncology rapidly expanded during the COVID-19 pandemic. Data from cancer centers across the country show that most patients and providers were satisfied with components of virtual care, and virtual care may be able to improve access to care. However, the rapid implementation of programs during the pandemic worsened disparities in access to virtual care. Health systems must develop strategies to monitor quality, support patients and providers, promote health equity, and overcome regulatory challenges to successfully deliver care in hybrid systems that combine in-person and virtual care.

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“…In addition to language interpretation, effective telehealth care for patients who communicate in non-English languages requires institutional access [21] for effective telemedicine, competent bilingual clinicians, and language-concordant assistance for patients' digital access [26].…”

Section: Resources Needed For Effective Telehealth For Linguistic Minoritiesmentioning

confidence: 99%

“…Even when clinicians have access to interpreters during telemedicine visits or when clinicians have the medical language skills to provide care in Spanish, many Spanishspeaking patients are unable to access phone or video interpretation services for telehealth visits due to a variety of technological limitations [2]. Prior studies demonstrate that Spanish-speaking patients with LEP are less likely to use technology to access healthcare [26,30]. They may not have reliable internet [31] and are often unable to readily understand instructions for setting up telemedicine technology, especially when instructions are unavailable in Spanish.…”

Section: Digital Access For Non-english-language Speakersmentioning

confidence: 99%

Educating Clinicians to Improve Telemedicine Access for Patients with Limited English Proficiency

2021

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The COVID-19 pandemic prompted the rapid incorporation of telemedicine into healthcare systems, resulting in increased access challenges for patients in the United States with limited English proficiency (LEP). Non-English-language speakers face challenges with telemedicine that magnify pre-existing barriers to language-appropriate care, such as difficulty accessing professional medical interpreters and navigating both electronic health information and online patient portals. Improved medical education on telehealth would increase equitable care for linguistic minorities. Medical education targeting telehealth care delivery should include clinician instruction on working with interpreters in telehealth contexts, increasing patient access to telehealth resources, and addressing patients’ language needs for telemedicine.

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Disparities in Use of Video Telemedicine Among Patients With Limited English Proficiency During the COVID-19 Pandemic

Cited by 71 publications

References 4 publications

Use of Telehealth Across Pediatric Subspecialties Before and During the COVID-19 Pandemic

Use of Telehealth Across Pediatric Subspecialties Before and During the COVID-19 Pandemic

Lessons for Oncology From the COVID-19 Pandemic

Educating Clinicians to Improve Telemedicine Access for Patients with Limited English Proficiency

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