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Published on: December 23, 2020
Factors Associated with Never Having Had A Video Visit.
Peggy B Leung1, Musarrat Nahid2, Melissa Rusli2
1From Division of General Internal Medicine, Weill Cornell Medicine, New York, NY, USA (PBL, MN, MR, DB, FNP, JT, MRS). pbl9001@med.cornell.edu.
Many medically high-risk patients face barriers to video visits, including medication access issues and low confidence with technology. Addressing these disparities is crucial for equitable healthcare access.
Area of Science:
- Health Services Research
- Digital Health Equity
- Ambulatory Care
Background:
- Disparities in accessing video-visit services were evident during the COVID-19 pandemic.
- Medically high-risk ambulatory populations may face unique challenges in adopting telehealth.
Purpose of the Study:
- To investigate factors influencing the non-utilization of video visits among medically high-risk ambulatory patients.
- To identify barriers contributing to unequal access to virtual healthcare services.
Main Methods:
- A cross-sectional study utilizing a telephone-based survey.
- Data collection focused on health challenges, social needs, and attitudes towards video visits.
- Multivariable analysis was employed to identify significant associations.
Main Results:
- Fewer non-COVID-related symptoms were associated with not using video visits.
- Increased barriers to obtaining medications correlated with higher rates of video-visit non-adoption.
- Lower confidence in using video-visit software emerged as a significant factor.
Conclusions:
- Findings highlight the need for targeted interventions to overcome disparities in video-visit utilization.
- Efforts should focus on addressing medication access and improving digital literacy among high-risk populations.
- Ensuring equitable access to virtual care requires a multifaceted approach.
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