The rise of telehealth during the COVID-19 pandemic raised concerns about perpetuating unequal access to care, partly due to the 'digital divide.'
When Johnnett Kent learned she had lung cancer, the COVID-19 pandemic was already descending on California. Her doctor didn’t want the 49-year-old to risk her health by heading into a crowded clinic between surgery, radiation and chemotherapy.
Now Kent is in remission and planning to rebuild her business as a private chef and caterer as the pandemic has eased its grip on daily life. And she still wants to hang on to telehealth as an option. She helped her mother set up the videoconferences, but the process seemed difficult for seniors living alone. “They don’t know how to use this technology,” Bernis, who works as a healthJohnnett Kent demonstrates how she attaches a sensor to her body at home in Burbank that her doctors can monitor remotely.
Besides video or phone appointments, telehealth can also include remote monitoring and “store-and-forward” technology to send images or medical data to a provider. A California Health Benefits Review Program analysis of existing studies found The challenge, she said, is that many of those same patients have trouble downloading and accessing a new app for telehealth visits. So the center made a simple change: It started texting them links to click on for appointments.
Both rooms were sitting empty on a recent Monday: L.A. Care is still trying to get the word out to people about the option as they trickle back into the centers, said Mabel Ponce, a senior manager of its community resource centers. Eberly said her study found that although Black and Latinx patients were less likely than white patients to use video visits, they were more likely to use telehealth in general, with the majority using phone calls. At Umma Community Clinic, Yohanna Barth-Rogers said “no-show” rates dropped with the rise of telehealth at the clinic’s centers.
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