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Sociodemographic and Clinical Characteristics Associated With Veterans' Digital Needs
Lauren E Russell1, Portia Y Cornell2,3,4, Christopher W Halladay2
1Office of Health Equity, Veterans Health Administration, Washington, DC.
JAMA Network Open
|November 15, 2024
Summary
Many veterans face digital access barriers, impacting telehealth. Routine screening identifies these needs, helping connect veterans with resources and reduce healthcare inequities.
Area of Science:
- Digital Health Equity
- Telehealth Access
- Social Determinants of Health
Background:
- Telehealth offers expanded healthcare access but can be hindered by digital needs.
- Understanding digital access barriers is crucial for equitable healthcare delivery.
Purpose of the Study:
- To investigate sociodemographic and clinical factors associated with digital needs among veterans.
- To identify disparities in digital access within the veteran population.
Main Methods:
- A quality improvement study analyzed data from the Assessing Circumstances and Offering Resources for Needs (ACORN) initiative.
- Veterans were screened for social risks and needs, including specific digital access indicators.
- Data from 6,419 veterans across various VA settings were analyzed.
Main Results:
- Over 42% of veterans reported at least one digital need.
- Older veterans (≥80 years) and Black or African American veterans showed higher rates of lacking devices or reliable internet.
- Conditions like dementia and substance use disorder were associated with increased digital needs and requests for telehealth assistance.
Conclusions:
- Significant disparities in digital needs exist among veterans.
- Routine screening for digital access barriers is essential.
- Addressing these needs can help mitigate inequities in telehealth access and utilization.
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