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Characterizing digital access in pediatric urology
Julia B Finkelstein1, James S Rosoff2, Regina L Tham1
1Department of Urology, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Journal of Pediatric Urology
|April 30, 2023
Summary
Virtual medicine can improve access but may worsen disparities. Families with lower socioeconomic status and higher community distress scores are less likely to have digital access for virtual care.
Area of Science:
- Health disparities
- Digital health equity
- Pediatric urology
Background:
- Virtual medicine offers potential to improve healthcare access for underserved populations.
- Implementation challenges may paradoxically worsen existing health disparities.
- Understanding digital access barriers is crucial for equitable care.
Purpose of the Study:
- To characterize digital access among families in pediatric urology.
- To investigate the impact of social determinants of health on virtual medicine access.
- To test the hypothesis that lower socioeconomic status hinders virtual medicine access.
Main Methods:
- A digital access screening tool was developed and implemented.
- Screening assessed patient access to devices and reliable internet/cellular data.
- Socioeconomic status was estimated using the Distressed Communities Index.
Main Results:
- 3.5% of 3885 families lacked digital access.
- Insurance type and community distress score predicted digital access.
- Lack of digital access correlated with a preference for in-person visits.
Conclusions:
- A significant proportion of underserved families face digital access barriers.
- Targeted screening can identify at-risk patients for inclusive strategies.
- Interventions are needed to ensure equitable pediatric urological care through virtual medicine.
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