To evaluate telehealth use disparities among Hispanic and non-Hispanic populations and identify barriers to equitable access.
Approach:
Study Analysis: Qian et al. analyzed National Health Survey data from 2020 to 2023 to assess telehealth utilization by race and ethnicity.
Barriers Identification: The study identified language proficiency, digital literacy, internet connectivity, and cultural perceptions as barriers to telehealth access.
Key Findings:
Hispanic respondents had decreased odds of telehealth use compared to non-Hispanic respondents (aOR 0.86 [0.81, 0.91]).
Non-English speakers had 23% lower odds of using telehealth, contributing to lower utilization among Hispanic patients.
Cultural beliefs and the importance of physical examinations affect Hispanic patients' trust and perceptions of telehealth.
Interpretation:
Limitations:
The study may not account for all factors influencing telehealth utilization.
Cultural beliefs and preferences may vary widely among different Hispanic communities.
A large Epic Cosmos analysis linked vaginal estrogen prescribing with lower rates of sepsis, hospital admission, and death following recurrent urinary tract infection, but researchers cautioned that prescribing may also mark broader differences in care.