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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
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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.

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|April 30, 2023
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
Digital accessHealth disparitiesSocioeconomic statusVideo visit

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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.