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Article CommentaryCommentary

Achieving Equity in Telehealth: “Centering at the Margins” in Access, Provision, and Reimbursement

Andrea Westby, Tanner Nissly, Rebecca Gieseker, Kaleigh Timmins and Kathryn Justesen
The Journal of the American Board of Family Medicine February 2021, 34 (Supplement) S29-S32; DOI: https://doi.org/10.3122/jabfm.2021.S1.200280
Andrea Westby
From North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (AW, TN, KJ); PGY-2, North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (RG, KT).
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Tanner Nissly
From North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (AW, TN, KJ); PGY-2, North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (RG, KT).
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Rebecca Gieseker
From North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (AW, TN, KJ); PGY-2, North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (RG, KT).
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Kaleigh Timmins
From North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (AW, TN, KJ); PGY-2, North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (RG, KT).
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Kathryn Justesen
From North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (AW, TN, KJ); PGY-2, North Memorial Family Medicine Residency/Broadway Family Medicine, Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN (RG, KT).
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Abstract

The SARS-CoV-2 epidemic has led to rapid transformation of health care delivery and access with increased provision of telehealth services despite previously identified barriers and limitations to this care. While telehealth was initially envisioned to increase equitable access to care for under-resourced populations, the way in which telehealth provision is designed and implemented may result in worsening disparities if not thoughtfully done. This commentary seeks to demonstrate the opportunities for telehealth equity based on past research, recent developments, and a recent patient experience case example highlighting benefits of telehealth care in underserved patient populations. Recommendations to improve equity in telehealth provision include improved virtual visit technology with a focus on patient ease of use, strategies to increase access to video visit equipment, universal broadband wireless, and inclusion of telephone visits in CMS reimbursement criteria for telehealth.

  • Access to Health Care
  • Centers for Medicare and Medicaid Services
  • COVID-19
  • Medically Underserved Area
  • Telemedicine
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The Journal of the American Board of Family  Medicine: 34 (Supplement)
The Journal of the American Board of Family Medicine
Vol. 34, Issue Supplement
February 2021
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Achieving Equity in Telehealth: “Centering at the Margins” in Access, Provision, and Reimbursement
Andrea Westby, Tanner Nissly, Rebecca Gieseker, Kaleigh Timmins, Kathryn Justesen
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S29-S32; DOI: 10.3122/jabfm.2021.S1.200280

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Achieving Equity in Telehealth: “Centering at the Margins” in Access, Provision, and Reimbursement
Andrea Westby, Tanner Nissly, Rebecca Gieseker, Kaleigh Timmins, Kathryn Justesen
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S29-S32; DOI: 10.3122/jabfm.2021.S1.200280
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Keywords

  • Access to Health Care
  • Centers for Medicare and Medicaid Services
  • COVID-19
  • Medically Underserved Area
  • Telemedicine

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