Affiliation:
1. Kennedy Krieger Institute, Baltimore, MD, USA
2. Johns Hopkins University School of Medicine, Baltimore, MD, USA
3. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Abstract
Background: During the COVID-19 pandemic, telehealth became widely utilized for healthcare, including psychological evaluations. However, whether telehealth has reduced or exacerbated healthcare disparities for children with Attention-Deficit/Hyperactivity Disorder (ADHD) remains unclear. Methods: Data (race, ethnicity, age, insurance type, ADHD presentation, comorbidities, and distance to clinic) for youth with ADHD ( Mage = 10.97, SDage = 3.42; 63.71% male; 51.62% White) were extracted from the medical record at an urban academic medical center. Three naturally occurring groups were compared: those evaluated in person prior to COVID-19 ( n =780), in person during COVID-19 ( n = 839), and via telehealth during COVID-19 ( n = 638). Results: Children seen via telehealth were significantly more likely to be older, White, have fewer comorbid conditions, and live farther from the clinic than those seen in person. Conclusions: The current study suggests that telehealth has not eliminated barriers to care for disadvantaged populations. Providers and institutions must take action to encourage telehealth use among these groups.
Funder
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Subject
Clinical Psychology,Developmental and Educational Psychology
Cited by
1 articles.
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