Primary care virtual resource use prior and post COVID-19 pandemic onset

Haun, Jolie; Panaite, Vanessa; Cotner, Bridget A.; Melillo, Christine; Venkatachalam, Hari H.; Fowler, Christopher A.; Lapcevic, William A.; Alman, Amy C.; French, Dustin D.; Zilka, Brian; Messina, William A.

doi:10.1186/s12913-022-08790-w

Cited by 4 publications

(3 citation statements)

References 13 publications

(16 reference statements)

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“…Our study results indicate that Hispanic persons who used the internet for health information, such as WebMD, were more likely to use telehealth services; however, there was no relationship with online prescription behavior. Haun et al [28] also suggested no statistically significant relationship exists between telehealth use and online prescription behavior as the provider, not the patient, initiates this service. Among Hispanic patients who used telehealth, they had the highest rate of missed telehealth visits at 42% [3].…”

Section: Telehealth and Socioeconomic Factorsmentioning

confidence: 99%

Telehealth Utilization Among Hispanic Group During COVID-19: A Retrospective Observational Study (Preprint)

Shang,

Williams,

Culiqi

2024

JMIR Medical Informatics

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Background:The Hispanic community represents a sizeable community that experiences inequities in the United States healthcare system. As the system has moved toward digital health platforms, it is critical that evaluate the potential impact for Hispanic communities Objective:The study aimed to investigate demographic, socioeconomic, and behavioral factors that contribute to low telehealth utilization in Hispanic communities.Methods: A retrospective observation study design was employed to examine the study objectives. The COVID-19 Research Database Consortium provided the AnalyticsIQ Peoplecore Consumer data and Office Alley claims data. The study period was from March 2020 to April 2021. Multiple logistic regression was used to determine the odds of using telehealth services. Results:We examined 3,478,287 unique Hispanic patients, of whom 16.63% used telehealth. Results suggested that patients aged 18-44 were more likely to use telehealth [OR: 1.07 (C.I.: 1.05, 1.1); p<.001]) than patients aged 65+. Across all age groups, patients with high incomes were at least 20% more likely to use telehealth than patients with lower incomes (p <.001); patients who had a primary care physician, exhibited high medical utilization, or were interested in exercise were more likely to use telehealth (p < .05); patients who had unhealthy behaviors such as smoking and alcohol were less likely to use telehealth (p < .001). Male patients were less likely than females to use telehealth among patients aged 65 and above [OR: 0.94 (C.I.: 0.93, 0.95); p<.001], while male patients aged 18 to 44 were more likely to use telehealth [OR: 1.05 (C.I.: 1.03, 1.07); p < .001]. Among patients younger than 65, full-time employment was positively associated with telehealth use (p<.001). Patients aged 18-44 with high school or less education are 2% less likely to use telehealth [OR: 0.98 (C.I.: 0.97, 0.99); p = .005]. Results also revealed a positive association with using WebMD among patients above 44 years old (p<.001), while there was a negative association with online prescriptions among those who are under 65 years old (p< .01). Conclusions:To prevent exacerbation of the health inequities in telehealth, we recommend interventions to bolster education, income, employment, and health behaviors. We make the following recommendations: increase access to health insurance and primary care providers and provide fiscal and educational resources.

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Section: Telehealth and Socioeconomic Factorsmentioning

confidence: 99%

Telehealth Utilization Among Hispanic Group During COVID-19: A Retrospective Observational Study (Preprint)

Shang,

Williams,

Culiqi

2024

JMIR Medical Informatics

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“…There have been some changes in service redesign found in our Scoping review, which has been tailored to prevent the spread of the COVID-19 virus (15,16), in the form of rapid incorporation of telemedicine (14,(17)(18)(19). However, as with most medical innovations, there have been a few barriers to virtual consultation, in the form of privacy, eligibility, quality of the technology, quality of care, sociodemographic, and safety (20,21,37,38).…”

Section: Effects On Service Redesignmentioning

confidence: 99%

“…Due to this rapid shift in consultation styles, patients were consulted by the practitioner via telephone and/or video [17][18][19]. Due to this shift in consultation styles, there was a requirement for the development of virtual platforms to help with such consultations, as such companies that offered these services expanded, allowing new consultation platforms to integrate with existing ones, at a favorable usage cost.…”

Section: Future Of Primary Care Post-pandemicmentioning

confidence: 99%

The Impact of COVID-19 on Primary Care: A Scoping Review

Khalil-Khan¹,

Khan²

2023

Cureus

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The COVID-19 pandemic had a severe impact on various aspects of everyday life, including healthcare provision. The aim of the scoping review was to collate, summarize, and discuss this literature, in light of the impact COVID-19 had on Primary care. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) four-stage process framework for reporting was followed. A total of 31 studies were included in this review. Based upon our review we found COVID-19 pandemic on Primary Care, has made significant effects on 1) service redesign, 2) long-term illness care provision, 3) healthcare staff well-being and 4) the post-pandemic future of Primary Care. The COVID-19 outbreak has demonstrated, how a pandemic can drastically change the process of healthcare provision within the community, as evidenced by the change in consultation styles with patients, the impact on the physical and mental wellbeing of health workers, a shift from isolated practice to teamwork, as well as the ability of healthcare workers to seek prompt help with their health. Studies have demonstrated progress in knowledge and experience gained by healthcare workers when tackling COVID-19, and how these can be implemented in possible future pandemics affecting Primary Care, however, further research is required within this sphere.

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Telehealth Utilization Among Hispanic Group During COVID-19: A Retrospective Observational Study (Preprint)

Shang,

Williams,

Culiqi

2024

Preprint

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BACKGROUND The Hispanic community represents a sizeable community that experiences inequities in the United States healthcare system. As the system has moved toward digital health platforms, it is critical that evaluate the potential impact for Hispanic communities OBJECTIVE The study aimed to investigate demographic, socioeconomic, and behavioral factors that contribute to low telehealth utilization in Hispanic communities. METHODS A retrospective observation study design was employed to examine the study objectives. The COVID-19 Research Database Consortium provided the AnalyticsIQ Peoplecore Consumer data and Office Alley claims data. The study period was from March 2020 to April 2021. Multiple logistic regression was used to determine the odds of using telehealth services. RESULTS We examined 3,478,287 unique Hispanic patients, of whom 16.63% used telehealth. Results suggested that patients aged 18-44 were more likely to use telehealth [OR: 1.07 (C.I.: 1.05, 1.1); p<.001]) than patients aged 65+. Across all age groups, patients with high incomes were at least 20% more likely to use telehealth than patients with lower incomes (p <.001); patients who had a primary care physician, exhibited high medical utilization, or were interested in exercise were more likely to use telehealth (p < .05); patients who had unhealthy behaviors such as smoking and alcohol were less likely to use telehealth (p < .001). Male patients were less likely than females to use telehealth among patients aged 65 and above [OR: 0.94 (C.I.: 0.93, 0.95); p<.001], while male patients aged 18 to 44 were more likely to use telehealth [OR: 1.05 (C.I.: 1.03, 1.07); p < .001]. Among patients younger than 65, full-time employment was positively associated with telehealth use (p<.001). Patients aged 18-44 with high school or less education are 2% less likely to use telehealth [OR: 0.98 (C.I.: 0.97, 0.99); p = .005]. Results also revealed a positive association with using WebMD among patients above 44 years old (p<.001), while there was a negative association with online prescriptions among those who are under 65 years old (p< .01). CONCLUSIONS To prevent exacerbation of the health inequities in telehealth, we recommend interventions to bolster education, income, employment, and health behaviors. We make the following recommendations: increase access to health insurance and primary care providers and provide fiscal and educational resources.

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Primary care virtual resource use prior and post COVID-19 pandemic onset

Cited by 4 publications

References 13 publications

Telehealth Utilization Among Hispanic Group During COVID-19: A Retrospective Observational Study (Preprint)

Telehealth Utilization Among Hispanic Group During COVID-19: A Retrospective Observational Study (Preprint)

The Impact of COVID-19 on Primary Care: A Scoping Review

Telehealth Utilization Among Hispanic Group During COVID-19: A Retrospective Observational Study (Preprint)

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