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- W3103206515 abstract "Background: The COVID-19 pandemic has led to an unprecedented expansion in telemedicine but has also exposed the deep underlying healthcare disparities in the US Vulnerable patients, including those with limited English proficiency, underrepresented minority groups, older adults, and those with lower socioeconomic status, are more likely to experience digital barriers to engaging in telemedicine Although our academic hepatology practice adopted telemedicine several years before COVID-19, there was a concerted effort to assist patients and providers with video visits during the pandemic We aimed to evaluate shifting demographics of patients accessing telemedicine pre- and post-COVID-19 Methods: Patient demographics, appointment date, and visit type were obtained from the electronic health record reporting database for all patients seen by the UCSF Hepatology and Liver Transplant clinic 1/2/2019-5/29/2020 Visits were stratified into pre-COVID-19 (1/2/2019-3/15/2020) and post-COVID-19 (3/15/2020- 5/29/2020) periods We compared characteristics of clinic patients seen 1) in the pre- vs post-COVID-19 periods;2) via in-person vs video visits;and 3) via video visits pre- vs post- COVID-19 Chi-square or Kruskal-Wallis tests were used to compare categorical and continuous variables, respectively Telephone visits were not included in the analysis Results: Pre-COVID-19, a total of 12,017 patients were seen, including 1,509 via video (12 5%) Post-COVID-19, 1,894 patients were seen, including 1,504 via video (79%) Over the entire study period, compared to patients seen in-person (n=9,344), patients seen via video (n=3,013) were younger and more likely to be Caucasian, speak English as their primary language, and have commercial insurance (p < 0 001 across all comparisons) Among all patients who completed video visits, those seen post-COVID-19 were older, were more likely to be non-Caucasian, non-English speaking and utilizing an interpreter for the visit, and have public insurance compared to pre-COVID-19 (p < 0 001 across all comparisons) Conclusion: Prior to COVID-19, video visits were relatively common in our clinic, but disparities in video visit utilization existed Post-COVID-19, with significant efforts to convert clinic visits to video, the characteristics of patients seen via video changed to include more vulnerable patients If telemedicine is the future of hepatology, we must work to ensure that all of our patients have equitable access (Table Presented)" @default.
- W3103206515 created "2020-11-23" @default.
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- W3103206515 date "2020-01-01" @default.
- W3103206515 modified "2023-09-23" @default.
- W3103206515 title "ENSURING EQUITABLE ACCESS TO HEPATOLOGY TELEMEDICINE DURING THE COVID-19 PANDEMIC" @default.
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