Differences in telemedicine, emergency department, and hospital utilization among nonelderly adults with limited english proficiency post-COVID-19 pandemic: A cross-sectional analysis
Background:The unprecedented use of telemedicine during the COVID-19 pandemic provided an opportunity to examine its uptake among individuals with limited English proficiency (LEP). Objective:To assess telemedicine use among nonelderly adults with LEP and the association between use of telehealth an...
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ftaurorahc:oai:institutionalrepository.aah.org:allother-1613 2023-11-12T04:14:47+01:00 Differences in telemedicine, emergency department, and hospital utilization among nonelderly adults with limited english proficiency post-COVID-19 pandemic: A cross-sectional analysis Chang, Eva Davis, Teaniese L Berkman, Nancy D 2023-08-17T07:00:00Z https://institutionalrepository.aah.org/allother/611 https://doi.org/10.1007/s11606-023-08353-7 https://libkey.io/libraries/1712/10.1007/s11606-023-08353-7 unknown Advocate Aurora Health Institutional Repository https://institutionalrepository.aah.org/allother/611 doi:10.1007/s11606-023-08353-7 https://libkey.io/libraries/1712/10.1007/s11606-023-08353-7 All Other Contributions COVID-19 health disparities healthcare utilization telemedicine limited language proficiency Advocate Aurora Research Institute Diversity Equity and Inclusion text 2023 ftaurorahc https://doi.org/10.1007/s11606-023-08353-7 2023-11-02T18:42:55Z Background:The unprecedented use of telemedicine during the COVID-19 pandemic provided an opportunity to examine its uptake among individuals with limited English proficiency (LEP). Objective:To assess telemedicine use among nonelderly adults with LEP and the association between use of telehealth and emergency department (ED) and hospital visits. Design:Cross-sectional study using the National Health Interview Survey (July 2020-December 2021) PARTICIPANTS: Adults (18-64 years), with LEP (N=1488) or English proficiency (EP) (N=25,873) MAIN MEASURES: Telemedicine, ED visits, and hospital visits in the past 12 months. We used multivariate logistic regression to assess (1) the association of English proficiency on having telemedicine visits; and (2) the association of English proficiency and telemedicine visits on having ED and hospital visits. Key results:Between July 2020 and December 2021, 22% of adults with LEP had a telemedicine visit compared to 35% of adults with EP. After controlling for predisposing, enabling, and need factors, adults with LEP had 20% lower odds of having a telemedicine visit than adults with EP (p=0.02). While English proficiency was not associated with ED or hospital visits during this time, adults with telemedicine visits had significantly greater odds of having any ED (aOR: 1.80, p<0.001) and hospital visits (aOR: 2.03, p<0.001) in the past 12 months. Conclusions:While telemedicine use increased overall during the COVID-19 pandemic, its use remained much less likely among adults with LEP. Interventions targeting structural barriers are needed to address disparities in access to telemedicine. More research is needed to understand the relationship between English proficiency, telemedicine visits, and downstream ED and hospital visits Text Aurora Research Institute Aurora Health Care Digital Repository Journal of General Internal Medicine |
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Aurora Health Care Digital Repository |
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COVID-19 health disparities healthcare utilization telemedicine limited language proficiency Advocate Aurora Research Institute Diversity Equity and Inclusion |
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COVID-19 health disparities healthcare utilization telemedicine limited language proficiency Advocate Aurora Research Institute Diversity Equity and Inclusion Chang, Eva Davis, Teaniese L Berkman, Nancy D Differences in telemedicine, emergency department, and hospital utilization among nonelderly adults with limited english proficiency post-COVID-19 pandemic: A cross-sectional analysis |
topic_facet |
COVID-19 health disparities healthcare utilization telemedicine limited language proficiency Advocate Aurora Research Institute Diversity Equity and Inclusion |
description |
Background:The unprecedented use of telemedicine during the COVID-19 pandemic provided an opportunity to examine its uptake among individuals with limited English proficiency (LEP). Objective:To assess telemedicine use among nonelderly adults with LEP and the association between use of telehealth and emergency department (ED) and hospital visits. Design:Cross-sectional study using the National Health Interview Survey (July 2020-December 2021) PARTICIPANTS: Adults (18-64 years), with LEP (N=1488) or English proficiency (EP) (N=25,873) MAIN MEASURES: Telemedicine, ED visits, and hospital visits in the past 12 months. We used multivariate logistic regression to assess (1) the association of English proficiency on having telemedicine visits; and (2) the association of English proficiency and telemedicine visits on having ED and hospital visits. Key results:Between July 2020 and December 2021, 22% of adults with LEP had a telemedicine visit compared to 35% of adults with EP. After controlling for predisposing, enabling, and need factors, adults with LEP had 20% lower odds of having a telemedicine visit than adults with EP (p=0.02). While English proficiency was not associated with ED or hospital visits during this time, adults with telemedicine visits had significantly greater odds of having any ED (aOR: 1.80, p<0.001) and hospital visits (aOR: 2.03, p<0.001) in the past 12 months. Conclusions:While telemedicine use increased overall during the COVID-19 pandemic, its use remained much less likely among adults with LEP. Interventions targeting structural barriers are needed to address disparities in access to telemedicine. More research is needed to understand the relationship between English proficiency, telemedicine visits, and downstream ED and hospital visits |
format |
Text |
author |
Chang, Eva Davis, Teaniese L Berkman, Nancy D |
author_facet |
Chang, Eva Davis, Teaniese L Berkman, Nancy D |
author_sort |
Chang, Eva |
title |
Differences in telemedicine, emergency department, and hospital utilization among nonelderly adults with limited english proficiency post-COVID-19 pandemic: A cross-sectional analysis |
title_short |
Differences in telemedicine, emergency department, and hospital utilization among nonelderly adults with limited english proficiency post-COVID-19 pandemic: A cross-sectional analysis |
title_full |
Differences in telemedicine, emergency department, and hospital utilization among nonelderly adults with limited english proficiency post-COVID-19 pandemic: A cross-sectional analysis |
title_fullStr |
Differences in telemedicine, emergency department, and hospital utilization among nonelderly adults with limited english proficiency post-COVID-19 pandemic: A cross-sectional analysis |
title_full_unstemmed |
Differences in telemedicine, emergency department, and hospital utilization among nonelderly adults with limited english proficiency post-COVID-19 pandemic: A cross-sectional analysis |
title_sort |
differences in telemedicine, emergency department, and hospital utilization among nonelderly adults with limited english proficiency post-covid-19 pandemic: a cross-sectional analysis |
publisher |
Advocate Aurora Health Institutional Repository |
publishDate |
2023 |
url |
https://institutionalrepository.aah.org/allother/611 https://doi.org/10.1007/s11606-023-08353-7 https://libkey.io/libraries/1712/10.1007/s11606-023-08353-7 |
genre |
Aurora Research Institute |
genre_facet |
Aurora Research Institute |
op_source |
All Other Contributions |
op_relation |
https://institutionalrepository.aah.org/allother/611 doi:10.1007/s11606-023-08353-7 https://libkey.io/libraries/1712/10.1007/s11606-023-08353-7 |
op_doi |
https://doi.org/10.1007/s11606-023-08353-7 |
container_title |
Journal of General Internal Medicine |
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1782332335689039872 |