Factors Associated with Arkansans' First Use of Telehealth during the COVID-19 Pandemic.

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES

International Journal of Telemedicine and Applications Pub Date : 2022-06-28 eCollection Date: 2022-01-01 DOI:10.1155/2022/5953027

Jennifer A Andersen, Holly C Felix, Dejun Su, James P Selig, Shawn Ratcliff, Pearl A McElfish

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引用次数: 3

Abstract

Objective: To examine the factors associated with the first use of telehealth during the COVID-19 pandemic using Andersen's Model of Healthcare Utilization. Andersen's Model of Healthcare Utilization allowed the categorization of the independent variables into the following: (1) predisposing factors, including sociodemographic variables and health beliefs; (2) enabling factors, including socioeconomic status and access to care; and (3) need for care, including preexisting or newly diagnosed conditions and reasons to seek out care or to utilize a new mode of care.

Methods: Potential respondents (n = 4,077) were identified for recruitment from a volunteer registry in Arkansas. Recruitment emails provided a study description, the opportunity to verify meeting the study's inclusion criteria and to consent for participation, and a link to follow to complete the survey online. The online survey responses were collected between July and August of 2020 (n = 1,137).

Results: Telehealth utilization included two categories: (1) utilizers reported the first use of telehealth services during the pandemic, and (2) nonutilizers reported they had never used telehealth. Lower odds of reporting telehealth utilization during the pandemic were associated with race (Black; OR = 0.57, CI [0.33, 0.96]) and education (high School or less; OR = 0.45, CI [0.25, 0.83]). Higher odds of reporting telehealth utilization included having more than one provider (OR = 2.33, CI [1.30, 4.18]), more physical (OR = 1.12, CI [1.00, 1.25]) and mental (OR 1.53, CI [1.24, 1.88]) health conditions, and changes in healthcare delivery during the pandemic (OR = 3.49, CI [2.78, 4.38]).

Conclusions: The results illustrate that disparities exist in Arkansans' utilization of telehealth services during the pandemic. Future research should explore the disparities in telehealth utilization and how telehealth may be used to address disparities in care for Black Arkansans and those with low socioeconomic status.

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与阿肯色州在COVID-19大流行期间首次使用远程医疗相关的因素

目的:利用Andersen的医疗保健利用模型，探讨COVID-19大流行期间远程医疗首次使用的相关因素。安徒生的医疗保健利用模型允许将自变量分为以下几类:(1)诱发因素，包括社会人口变量和健康信念;(2)有利因素，包括社会经济地位和获得保健的机会;(3)需要护理，包括先前存在或新诊断的疾病以及寻求护理或使用新护理模式的原因。方法:从阿肯色州的志愿者登记处确定潜在的受访者(n = 4,077)进行招募。招募邮件提供了研究描述，验证是否符合研究的纳入标准和同意参与的机会，以及一个链接，以完成在线调查。在线调查回复是在2020年7月至8月期间收集的(n = 1137)。结果:远程医疗利用包括两类:(1)利用者报告在大流行期间首次使用远程医疗服务，(2)非利用者报告他们从未使用过远程医疗。大流行期间报告远程医疗利用的几率较低与种族有关(Black;OR = 0.57, CI[0.33, 0.96])和教育程度(高中以下;Or = 0.45, ci[0.25, 0.83])。报告远程医疗利用的较高几率包括拥有多个提供者(OR = 2.33, CI[1.30, 4.18])，更多的身体健康状况(OR = 1.12, CI[1.00, 1.25])和精神健康状况(OR = 1.53, CI[1.24, 1.88])，以及大流行期间医疗保健服务的变化(OR = 3.49, CI[2.78, 4.38])。结论:结果表明，在疫情期间，阿肯色州利用远程医疗服务的情况存在差异。未来的研究应探讨远程医疗利用方面的差异，以及如何利用远程医疗来解决阿肯色州黑人和社会经济地位较低的人在护理方面的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Telemedicine and Applications HEALTH CARE SCIENCES & SERVICES-

CiteScore

6.90

自引率

2.30%

发文量

审稿时长

12 weeks

期刊介绍： The overall aim of the International Journal of Telemedicine and Applications is to bring together science and applications of medical practice and medical care at a distance as well as their supporting technologies such as, computing, communications, and networking technologies with emphasis on telemedicine techniques and telemedicine applications. It is directed at practicing engineers, academic researchers, as well as doctors, nurses, etc. Telemedicine is an information technology that enables doctors to perform medical consultations, diagnoses, and treatments, as well as medical education, away from patients. For example, doctors can remotely examine patients via remote viewing monitors and sound devices, and/or sampling physiological data using telecommunication. Telemedicine technology is applied to areas of emergency healthcare, videoconsulting, telecardiology, telepathology, teledermatology, teleophthalmology, teleoncology, telepsychiatry, teledentistry, etc. International Journal of Telemedicine and Applications will highlight the continued growth and new challenges in telemedicine, applications, and their supporting technologies, for both application development and basic research. Papers should emphasize original results or case studies relating to the theory and/or applications of telemedicine. Tutorial papers, especially those emphasizing multidisciplinary views of telemedicine, are also welcome. International Journal of Telemedicine and Applications employs a paperless, electronic submission and evaluation system to promote a rapid turnaround in the peer-review process.