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Use Of And Willingness To Use Video Telehealth Through The COVID-19 Pandemic
Shira H Fischer1, Zachary Predmore2, Elizabeth Roth3
1Shira H. Fischer (sfischer@rand.org), RAND Corporation, Boston, Massachusetts.
Health Affairs (Project Hope)
|November 7, 2022
Summary
Video telehealth use and willingness increased significantly for most groups during the COVID-19 pandemic, especially among Black adults and those with less education. These trends highlight expanding access to virtual healthcare services.
Area of Science:
- Public Health
- Health Services Research
- Digital Health
Background:
- The COVID-19 pandemic necessitated rapid adoption of remote healthcare solutions.
- Understanding trends in video telehealth utilization is crucial for assessing healthcare accessibility.
Purpose of the Study:
- To examine the changes in video telehealth use and willingness to use among a longitudinally followed cohort during the COVID-19 pandemic.
- To identify demographic subgroups with significant shifts in video telehealth adoption.
Main Methods:
- Longitudinal cohort study design.
- Data collected between February 2019 and March 2021.
- Analysis of video telehealth usage and willingness to use across various demographic subgroups.
Main Results:
- Overall increase in video telehealth use and willingness across nearly all subgroups.
- Significant increases observed among Black adults and adults with lower educational attainment.
- In March 2021, Black adults, younger adults (20-39), and high-income adults showed the greatest willingness to use video telehealth.
Conclusions:
- Video telehealth adoption saw substantial growth during the pandemic, particularly in underserved populations.
- Demographic disparities in willingness to use video telehealth persist but show evolving patterns.
- Findings underscore the potential for video telehealth to improve healthcare access and equity.
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