Equity and use of telehealth modalities among people living with HIV during the COVID-19 pandemic
Background COVID-19 forced a rapid transition to telehealth. Little is known about the use of telephone versus video visits among people living with or at risk for HIV (PWH). Setting We studied electronic health record data from an urban HIV clinic. Our sample included visit- and person-level data....
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-12-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076231218840 |
| _version_ | 1797391375866527744 |
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| author | Hannah Carson Karen H. Wang Hyung Paek Pamela Hoffman Andrew Arakaki Rosana Gonzalez-Colaso Lydia A Barakat Merceditas Villanueva Julie A Womack |
| author_facet | Hannah Carson Karen H. Wang Hyung Paek Pamela Hoffman Andrew Arakaki Rosana Gonzalez-Colaso Lydia A Barakat Merceditas Villanueva Julie A Womack |
| author_sort | Hannah Carson |
| collection | DOAJ |
| description | Background COVID-19 forced a rapid transition to telehealth. Little is known about the use of telephone versus video visits among people living with or at risk for HIV (PWH). Setting We studied electronic health record data from an urban HIV clinic. Our sample included visit- and person-level data. Visit-level data came from appointments scheduled from 30 March 2020 to 31 May 2020. Person-level data came from patients 18+ years of age who completed at least one telephone or video visit during the period of interest. Methods We performed a cross-sectional analysis. Our primary outcome was telehealth modality (telephone or video). We compared visit completion status by telehealth modality. We evaluated associations between patient characteristics and telehealth modality using logistic regression. Results In total, 1742 visits included information on telehealth modality: 1432 telephone (82%) and 310 (18%) video visits. 77% of telephone visits were completed compared to 75% of video visits ( p = 0.449). The clinic recorded 643 completed telehealth visits in April and 623 in May 2020. The proportion of telephone visits decreased from 84% in April to 79% in May ( p = 0.031). Most patients participated in telephone versus video visits (415 vs. 88 patients). Older age (adjusted odds ratio [AOR] 3.28; 95% confidence interval [CI], 1.37–7.82) and Black race (AOR 2.42; 95% CI, 1.20–4.49) were positively associated with telephone visits. Patient portal enrollment (AOR 0.06; 95% CI, 0.02–0.16) was negatively associated with telephone visits. Conclusion PWH used telephone more than video visits, suggesting that telephone visits are a vital healthcare resource for this population. |
| first_indexed | 2024-03-08T23:32:06Z |
| format | Article |
| id | doaj.art-beec5716fdf449aa998969b88a907422 |
| institution | Directory Open Access Journal |
| issn | 2055-2076 |
| language | English |
| last_indexed | 2024-03-08T23:32:06Z |
| publishDate | 2023-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj.art-beec5716fdf449aa998969b88a9074222023-12-14T13:06:53ZengSAGE PublishingDigital Health2055-20762023-12-01910.1177/20552076231218840Equity and use of telehealth modalities among people living with HIV during the COVID-19 pandemicHannah Carson0Karen H. Wang1Hyung Paek2Pamela Hoffman3Andrew Arakaki4Rosana Gonzalez-Colaso5Lydia A Barakat6Merceditas Villanueva7Julie A Womack8 Yale School of Medicine and Yale Physician Associate Program, New Haven, CT, USA , New Haven, CT, USA Yale School of Medicine and Yale School of Public Health, Department of Biostatistics, New Haven, CT, USA Yale School of Medicine, Child Study Center, New Haven, CT, USA Yale School of Public Health, Department of Chronic Disease Epidemiology New Haven, CT, USA Yale Physician Associate Program, New Haven, CT, USA , New Haven, CT, USA Yale School of Medicine, Department of Infectious Diseases, New Haven, CT, USA VA Connecticut Healthcare System and Yale School of Nursing, West Haven, CT, USABackground COVID-19 forced a rapid transition to telehealth. Little is known about the use of telephone versus video visits among people living with or at risk for HIV (PWH). Setting We studied electronic health record data from an urban HIV clinic. Our sample included visit- and person-level data. Visit-level data came from appointments scheduled from 30 March 2020 to 31 May 2020. Person-level data came from patients 18+ years of age who completed at least one telephone or video visit during the period of interest. Methods We performed a cross-sectional analysis. Our primary outcome was telehealth modality (telephone or video). We compared visit completion status by telehealth modality. We evaluated associations between patient characteristics and telehealth modality using logistic regression. Results In total, 1742 visits included information on telehealth modality: 1432 telephone (82%) and 310 (18%) video visits. 77% of telephone visits were completed compared to 75% of video visits ( p = 0.449). The clinic recorded 643 completed telehealth visits in April and 623 in May 2020. The proportion of telephone visits decreased from 84% in April to 79% in May ( p = 0.031). Most patients participated in telephone versus video visits (415 vs. 88 patients). Older age (adjusted odds ratio [AOR] 3.28; 95% confidence interval [CI], 1.37–7.82) and Black race (AOR 2.42; 95% CI, 1.20–4.49) were positively associated with telephone visits. Patient portal enrollment (AOR 0.06; 95% CI, 0.02–0.16) was negatively associated with telephone visits. Conclusion PWH used telephone more than video visits, suggesting that telephone visits are a vital healthcare resource for this population.https://doi.org/10.1177/20552076231218840 |
| spellingShingle | Hannah Carson Karen H. Wang Hyung Paek Pamela Hoffman Andrew Arakaki Rosana Gonzalez-Colaso Lydia A Barakat Merceditas Villanueva Julie A Womack Equity and use of telehealth modalities among people living with HIV during the COVID-19 pandemic Digital Health |
| title | Equity and use of telehealth modalities among people living with HIV during the COVID-19 pandemic |
| title_full | Equity and use of telehealth modalities among people living with HIV during the COVID-19 pandemic |
| title_fullStr | Equity and use of telehealth modalities among people living with HIV during the COVID-19 pandemic |
| title_full_unstemmed | Equity and use of telehealth modalities among people living with HIV during the COVID-19 pandemic |
| title_short | Equity and use of telehealth modalities among people living with HIV during the COVID-19 pandemic |
| title_sort | equity and use of telehealth modalities among people living with hiv during the covid 19 pandemic |
| url | https://doi.org/10.1177/20552076231218840 |
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