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Use of Telehealth Early and Late in the COVID-19 Public Health Emergency: Policy Implications for Improving Health Equity.

J Am Board Fam Med

October 2023

From the Baylor Scott & White Research Institute, Dallas, TX (KS, MK, BDG); UT Southwestern Medical Center, Peter O'Donnell Jr. School of Public Health, Dallas, TX (HK); Baylor Scott & White Community Care Clinics (JZ); Duke-Margolis Center for Health Policy, Duke University (FM).

Introduction: Early in the COVID-19 pandemic, primary care adopted telehealth rapidly to preserve access. Although policy flexibilities persist, but with in-person access restored, insight regarding long-term policy reform is needed for equitable access, especially for underserved, low income, and rural populations.

Methods: We used electronic health record data to compare primary care telehealth use in practices serving primarily commercially insured patients versus clinics serving low-income uninsured patients, in March-June 2020 ("early COVID") and March-June 2022 ("late COVID").

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