权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Telehealth and Reproductive Health Equity

远程医疗和生殖健康公平

基本信息

批准号：
10737445
负责人：
Ushma Desai Upadhyay
金额：
$ 54.39万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-20 至 2028-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10737445
关键词：
Address Affect Area Biometry COVID-19 pandemic Caring Censuses Clinic Clinic Visits Clinical Colorado Communication Consultations Contraceptive methods Contracts Devices Electronics Eligibility Determination Enrollment Ensure Equity Face Funding Geography Goals Health Health Personnel Health Services Healthcare Immigrant Induced Abortion Inequity Institutional Racism Insurance Intake Internet Language Learning Legal Legal Status Low Income Population Mail Order Market Research Methods Mifepristone Misoprostol Outcome Patients Persons Pharmaceutical Preparations Pharmacy facility Policies Population Pregnancy Pregnancy Outcome Primary Health Care Privacy Privatization Progesterone Provider Reproductive Health Research Role Safety Schools Secure Services Site Stigmatization Surveys Technology Telephone Text Time Translations Uterus Virginia Visit Women&apos s Health Work abortion access disparities asynchronous communication cohort cost design digital disparity reduction experience experimental study follow-up geographic disparity health care availability health care disparity health care service health equity health inequalities health organization indexing innovation interest literacy marginalization marginalized population people of color policy recommendation preference programs recruit service delivery social social vulnerability structural determinants telehealth

项目摘要

PROJECT SUMMARY Historically marginalized populations such as people of color, low-income people, and immigrant populations disproportionately face barriers to reproductive healthcare. Telehealth options for reproductive health care services are growing and may address some of the distance and cost barriers to access. Research on telehealth for primary care suggests that it may bridge geographic disparities, allow for easier language translations, feel safer and more private for immigrant populations, be less expensive, and require less time off work or school. Conversely, telehealth services could exacerbate inequities if patients lack technology, digital literacy, and reliable internet coverage. Our long-term goal is to reduce disparities in healthcare access and to optimize telehealth for groups historically marginalized from healthcare including people of color, low-income people, and immigrants. The goal of this research is to determine whether telehealth provides patients with more timely and affordable reproductive healthcare, whether telehealth reaches people in areas with greater health inequities, and which attributes of telehealth patients prefer. The Telehealth and Reproductive Health Equity study will enroll 2,000 patients seeking reproductive health care. One cohort will comprise 1,000 patients seeking telehealth or in-person services through the clinic sites. A second cohort of 1,000 patients searching for a reproductive healthcare provider online will be recruited using Google Ads. In Aim 1 we will determine the ways in which telehealth services affect timing, costs, and follow-up care relative to in-person care. We will also compare rates of unplanned in-person care between telehealth and in-person groups. The cohorts recruited from clinics and via Google Ads will be analyzed separately. In Aim 2 we will conduct a geospatial analysis of patient census block groups or tracts to determine whether compared to patients using in-person care for abortion care, patients using telehealth reside in areas with greater health inequities. We will compare the telehealth and in-person groups using four social vulnerability indices. In Aim 3 we will determine preferences in and barriers to telehealth for reproductive healthcare, focusing on historically marginalized populations. We will use two innovative methods traditionally used for market research, the discrete choice experiment and maximum difference analysis. This research addresses substantial and increasing disparities in access to healthcare in historically marginalized groups. The results of the proposed research will provide clear guidance on how health care providers can design telehealth services so that they are accessible and attractive to people of color, low-income people, and immigrants. Our results will contribute to digital inclusion and increased health access and will be applicable to all areas of healthcare.

项目总结