Healthcare disparities in telemedicine for rheumatology care

Curr Opin Rheumatol. 2022 May 1;34(3):171-178. doi: 10.1097/BOR.0000000000000869. Epub 2022 Feb 21.

Abstract

Purpose of review: We summarize the recent literature published in the last 2 years on healthcare disparities observed in the delivery of rheumatology care by telemedicine. We highlight recent research dissecting the underpinnings of healthcare disparities and identify potentially modifiable contributing factors.

Recent findings: The COVID-19 pandemic has had major impacts on care delivery and has led to a pronounced increase in telemedicine use in rheumatology practice. Telemedicine services are disproportionately underutilized by racial/ethnic minority groups and among patients with lower socioeconomic status. Disparities in telemedicine access and use among vulnerable populations threatens to exacerbate existing outcome inequalities affecting people with rheumatic disease.

Summary: Telemedicine has the potential to expand rheumatology services by reaching traditionally underserved communities. However, some areas lack the infrastructure and technology to engage in telemedicine. Addressing health equity and the digital divide may help foster more inclusive telemedicine care.

Publication types

  • Review

MeSH terms

  • COVID-19* / epidemiology
  • Ethnicity
  • Healthcare Disparities
  • Humans
  • Minority Groups
  • Pandemics
  • Rheumatology*
  • Telemedicine*