Age and Racial Inequities in Telemedicine Internet Support Among Nephrology Outpatients During the COVID-19 Pandemic.
Age and Racial Inequities in Telemedicine Internet Support Among Nephrology Outpatients During the COVID-19 Pandemic.
复制标题
DOI：
10.1016/j.xkme.2021.05.001
复制
发表时间：
2021-09
期刊：
影响因子：
3.9
通讯作者：
Sawinski DL
中科院分区：
文献类型：
--
作者：
Eneanya ND;Stallings TL;Shaffer J;Konu ME;Cohen JB;Schrauben SJ;Hogan JJ;Sawinski DL
为应对COVID-19大流行期间保持社交距离的需要和安全问题，全国许多门诊诊所从主要进行面对面的诊所评估转向远程医疗就诊。然而，最近的一项研究表明，大流行期间在使用远程医疗方面存在种族和年龄不平等。具体来说，在初级和专科医学诊所就诊的老年人和少数种族患者完成视频就诊的可能性较小。造成这些不平等的原因尚不清楚，可能是由于在使用远程医疗视频技术方面存在困难。在本横断面分析中，我们评估了远程医疗视频访问和互联网支持的总体需求。本质量改进项目按照宾夕法尼亚大学机构审查委员会质量/绩效改进项目政策进行，不需要正式的研究伦理委员会审查或知情同意。我们联系了2020年5月至8月期间（在当地关闭命令实施之后）计划在宾夕法尼亚大学相关的普通和移植肾病诊所就诊的所有患者。我们使用皮尤研究中心“2019年移动技术和家庭宽带”报告中的修改问题评估了视频远程医疗的使用情况。此外，我们通过以下问题确定了互联网支持需求：“如果你经常使用互联网，你是自己使用还是寻求帮助？”我们从电子病历中获得了人口统计数据。
In response to the need for social distancing and safety concerns during the COVID-19 pandemic, many outpatient clinics across the country shifted from primarily conducting in-person clinic assessments to telemedicine visits. However, a recent study demonstrated racial and age inequities in use of telemedicine during the pandemic. 1 Specifically, older and racial minority patients seen in primary and specialty medicine clinics were less likely to complete video visits. The reasons for these inequities remain unclear and may be owing to difficulties with using telemedicine video technologies. In this cross-sectional analysis of adult patients scheduled for nephrology telemedicine visits, we assessed overall telemedicine video access and internet support needs. This quality improvement project was conducted in accordance with the University of Pennsylvania Institutional Review Board Quality/Performance Improvement Project Policy and did not require formal research ethics committee review or informed consent.We contacted all patients scheduled for visits at general and transplant nephrology clinics associated with the University of Pennsylvania between May and August 2020 (after local shutdown mandates had been implemented). We assessed access to video telemedicine using modified questions from Pew Research Center’s “Mobile Technology and Home Broadband 2019” report. 2 Additionally, we ascertained internet support needs with the following item:“If you use the internet regularly, do you do it yourself or with help?” We obtained demographics from the electronic medical chart.
DOI：
10.1053/j.ajkd.2020.10.013
发表时间：
2021-06
期刊：
American journal of kidney diseases : the official journal of the National Kidney Foundation
影响因子：
--
作者：
Schrauben SJ;Appel L;Rivera E;Lora CM;Lash JP;Chen J;Hamm LL;Fink JC;Go AS;Townsend RR;Deo R;Dember LM;Feldman HI;Diamantidis CJ;CRIC Study Investigators
通讯作者：
CRIC Study Investigators
影响因子：
13.8
作者：
Eberly LA;Kallan MJ;Julien HM;Haynes N;Khatana SAM;Nathan AS;Snider C;Chokshi NP;Eneanya ND;Takvorian SU;Anastos-Wallen R;Chaiyachati K;Ambrose M;O'Quinn R;Seigerman M;Goldberg LR;Leri D;Choi K;Gitelman Y;Kolansky DM;Cappola TP;Ferrari VA;Hanson CW;Deleener ME;Adusumalli S
通讯作者：
Adusumalli S
DOI：
10.1093/jamia/ocaa216
发表时间：
2020-12-01
影响因子：
6.4
作者：
Weber, Ellerie;Miller, Sarah J.;Benn, Emma
通讯作者：
Benn, Emma