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. 2020 Nov 1;27(11):1816-1818.
doi: 10.1093/jamia/ocaa156.

Telehealth in response to the COVID-19 pandemic: Implications for rural health disparities

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Telehealth in response to the COVID-19 pandemic: Implications for rural health disparities

Kelly A Hirko et al. J Am Med Inform Assoc. .

Abstract

Telehealth programs have long held promise for addressing rural health disparities perpetuated by inadequate healthcare access. The COVID-19 (coronavirus disease 2019) pandemic and accompanying social distancing measures have hastened the implementation of telehealth programs in hospital systems around the globe. Here, we provide specific examples of telehealth efforts that have been implemented in a large rural healthcare system in response to the pandemic, and further describe how the massive shift to telehealth and reliance on virtual connections in these times of social isolation may impact rural health disparities for those without access to necessary broadband to deploy digital technologies. Finally, we provide recommendations for researchers and policymakers to ensure that telehealth initiatives do not amplify existing health disparities experienced by those living in rural communities.

Keywords: COVID-19; broadband; rural; telehealth; telemedicine.

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References

    1. Singh GK, Siahpush M.. Widening rural-urban disparities in life expectancy, U.S., 1969-2009. Am J Prev Med 2014; 46 (2): e19–29. - PubMed
    1. Laditka JN, Laditka SB, Probst JC.. Health care access in rural areas: evidence that hospitalization for ambulatory care-sensitive conditions in the United States may increase with the level of rurality. Health Place 2009; 15: 731–40. - PubMed
    1. Probst JC, Moore CG, Glover SH, et al. Person and place: the compounding effects of race/ethnicity and rurality on health. Am J Public Health 2004; 94 (10): 1695–703. - PMC - PubMed
    1. Chartis Center for Rural Health. The rural health safety net under pressure: rural hospital vulnerability; 2020. https://www.ivantageindex.com/wp-content/uploads/2020/02/CCRH_Vulnerabil....
    1. Centers for Disease Control and Prevention. About Rural Health; 2017. https://www.cdc.gov/ruralhealth/about.html Accessed April 23, 2020.