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Describing Perspectives of Telehealth and the Impact on Equity in Access to Health Care from Community and Provider Perspectives: A Multimethod Analysis.

Publication ,  Journal Article
Norman, K; French, A; Lake, A; Tchuisseu, YP; Repka, S; Vasudeva, K; Dong, C; Whitaker, R; Bettger, JP
Published in: Telemed J E Health
January 2024

Introduction: The rapid adoption of telehealth as a result of the COVID-19 pandemic provided the opportunity to examine perceptions of health care access and use of telehealth for delivery of effective and equitable care in low-income and historically marginalized communities. Methods: Focusing on communities with high social vulnerability, a multimethod analysis of combined perspectives, collected February through August 2022 from 112 health care providers, obtained from surveys and interviews, and 23 community members via 3 focus groups on access to care and telehealth. Qualitative data were analyzed using the Health Equity and Implementation Framework to identify barriers, facilitators, and recommendations for the implementation of telehealth using a health equity lens. Results: Participants perceived that telehealth helped maintain access to health care during the pandemic by addressing barriers including provider shortages, transportation concerns, and scheduling conflicts. Additional benefits suggested were improved care quality and coordination attributed to convenient avenues for care delivery and communication among providers and patients. However, many barriers to telehealth were reported and considered to limit equitable access to care. These included restrictive or changing policies regarding allowable services provided via telehealth, and availability of technology and broadband services to enable telehealth visits. Recommendations provided insight into care delivery innovation opportunities and potential policy changes to address equitable access to care. Conclusion: Integration of telehealth into models of care delivery could improve access to health care services and promote communication among providers and patients to improve care quality. Our findings have implications that are critical for future policy reforms and telehealth research.

Duke Scholars

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Published In

Telemed J E Health

DOI

EISSN

1556-3669

Publication Date

January 2024

Volume

30

Issue

1

Start / End Page

242 / 259

Location

United States

Related Subject Headings

  • Telemedicine
  • Pandemics
  • Medical Informatics
  • Humans
  • Health Services Accessibility
  • Health Facilities
  • COVID-19
  • 4206 Public health
  • 4203 Health services and systems
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
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MLA
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Norman, K., French, A., Lake, A., Tchuisseu, Y. P., Repka, S., Vasudeva, K., … Bettger, J. P. (2024). Describing Perspectives of Telehealth and the Impact on Equity in Access to Health Care from Community and Provider Perspectives: A Multimethod Analysis. Telemed J E Health, 30(1), 242–259. https://doi.org/10.1089/tmj.2023.0036
Norman, Katherine, Alexis French, Ashley Lake, Yolande Pokam Tchuisseu, Samantha Repka, Karina Vasudeva, Cynthia Dong, Rebecca Whitaker, and Janet Prvu Bettger. “Describing Perspectives of Telehealth and the Impact on Equity in Access to Health Care from Community and Provider Perspectives: A Multimethod Analysis.Telemed J E Health 30, no. 1 (January 2024): 242–59. https://doi.org/10.1089/tmj.2023.0036.
Norman K, French A, Lake A, Tchuisseu YP, Repka S, Vasudeva K, et al. Describing Perspectives of Telehealth and the Impact on Equity in Access to Health Care from Community and Provider Perspectives: A Multimethod Analysis. Telemed J E Health. 2024 Jan;30(1):242–59.
Norman, Katherine, et al. “Describing Perspectives of Telehealth and the Impact on Equity in Access to Health Care from Community and Provider Perspectives: A Multimethod Analysis.Telemed J E Health, vol. 30, no. 1, Jan. 2024, pp. 242–59. Pubmed, doi:10.1089/tmj.2023.0036.
Norman K, French A, Lake A, Tchuisseu YP, Repka S, Vasudeva K, Dong C, Whitaker R, Bettger JP. Describing Perspectives of Telehealth and the Impact on Equity in Access to Health Care from Community and Provider Perspectives: A Multimethod Analysis. Telemed J E Health. 2024 Jan;30(1):242–259.
Journal cover image

Published In

Telemed J E Health

DOI

EISSN

1556-3669

Publication Date

January 2024

Volume

30

Issue

1

Start / End Page

242 / 259

Location

United States

Related Subject Headings

  • Telemedicine
  • Pandemics
  • Medical Informatics
  • Humans
  • Health Services Accessibility
  • Health Facilities
  • COVID-19
  • 4206 Public health
  • 4203 Health services and systems
  • 1117 Public Health and Health Services