Disparities in telemedicine use during the COVID‐19 pandemic among pediatric dermatology patients
Open accessAbstract
Background/Objectives: The COVID‐19 pandemic necessitated rapid implementation of telemedicine at medical centers across the United States. As telemedicine is expected to persist beyond the pandemic in subspecialties like pediatric dermatology, there is growing concern that socioeconomic factors may contribute to inequitable telemedicine access. This study aims to identify factors associated with disparities in telemedicine use among pediatric dermatology patients during the pandemic. Methods: In this single‐center cross‐sectional study, patients less than 18 years old who completed a visit with a pediatric dermatologist via a video telemedicine call or in‐person office visit during the specified time periods were included. Univariate and multivariable analyses were performed to compare demographic factors for (1) patients who had a telemedicine visit versus office visit during June 1, 2020, to January 22, 2021, and (2) patients who had either visit type during June 1, 2020, to January 22, 2021, versus June 1, 2019, to January 2020. Results: The independent factors associated with lower odds of telemedicine include identifying as Black/African American, having a non‐English preferred language, and having public insurance, whereas the independent factors reducing overall access to pediatric dermatology care during the pandemic include identifying as Hispanic/Latino and having public insurance. Conclusions: Differential telemedicine use in vulnerable communities may be attributed to disparities in technology access and digital literacy and should be addressed at a structural level. If such disparities are identified and adequately remedied, telemedicine can serve as an important tool for expanding access in the field of pediatric dermatology.
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Another single center US study demonstrated via multivariate analyses that independent factors associated with lower rates of telemedicine use were patients identifying as Black/African American and having a non-English preferred language.
“Another single center US study [22] demonstrated via multivariate analyses that independent factors associated with lower rates of telemedicine use were patients identifying as Black/African American and having a non-English preferred language.”
From A Glance at the Practice of Pediatric Teledermatology Pre- and Post–COVID-19: Narrative Review (2022) · cites this paper as [22]
In that study, patients on public insurance were found to have significantly lower odds of telemedicine use despite widely expanded telehealth coverage by US health insurance plans.
“In this study, patients on public insurance were also found to have significantly lower odds of telemedicine use despite widely expanded telehealth coverage by US health insurance plans.”
From A Glance at the Practice of Pediatric Teledermatology Pre- and Post–COVID-19: Narrative Review (2022) · cites this paper as [22]
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Cites
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A Glance at the Practice of Pediatric Teledermatology Pre- and Post–COVID-19: Narrative Review
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- Authors
- Duan, G. Y., Ruiz De Luzuriaga, A. M., Schroedl, L. M., & Rosenblatt, A. E.
- Affiliations
- University of Chicago (US)
- Section of Dermatology Department of Medicine University of Chicago Medical Center Chicago Illinois USA
- Endeavor Health (US)
- University of Chicago Medical Center (US)
- Corresponding author
- Duan, Grace Y.
- Venue
- Pediatric Dermatology
- Publisher
- Wiley
- Published
- 2022-03-18
- Volume
- 39
- Issue
- 4
- Pages
- 520-527
- ISSN
- 0736-8046 (ISSN-L)
- 1525-1470
- PMC
- PMC9115291
- OpenAlex
- W4220962017
- Cited by
- 20
- References
- 16
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 2
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Pediatric Dermatology (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Center for Advancing Translational Sciences (5UL1TR002389‐04)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Physical Sciences › Computer Science › Information Systems › Educational Innovations and Technology
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Keywords
- telemedicine, COVID-19 pandemic, health disparities, socioeconomic disparities, access to dermatologic care, public insurance, racial and ethnic disparities, language barriers, digital literacy, access to technology, video consultation
- MeSH terms
- COVID-19, Adolescent, Child, Cross-Sectional Studies, Dermatology, Humans, United States, Telemedicine, Pandemics
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