Does Telehealth Reduce Rural-Urban Care Access Disparities? Evidence from Covid-19 Telehealth Expansion

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dc.contributor.authorSun, Shujing
dc.contributor.authorWang, Guihua
dc.date.accessioned2021-12-24T18:19:12Z
dc.date.available2021-12-24T18:19:12Z
dc.date.issued2022-01-04
dc.description.abstractUsing hospital claims data, we study the effect of telehealth expansion on the disparities between care access in rural and urban areas during Covid-19. We use urban areas as the control group and compare the changes in patients' access to care before and after the telehealth expansion. We find that the rural-urban disparities in overall access to care (i.e., the total number of visits) remain unchanged after the policy. We further distinguish in-person from telehealth visits and find enlarged disparities in patients' visiting modalities. In particular, urban patients substitute in-person visits with telehealth visits, yet rural patients have a much lower adoption rate of telehealth services and continue with in-person visits. Finally, we perform visit-level analyses and identify patients' social determinants and physicians' characteristics associated with telehealth adoptions.
dc.format.extent10 pages
dc.identifier.doi10.24251/HICSS.2022.787
dc.identifier.isbn978-0-9981331-5-7
dc.identifier.urihttp://hdl.handle.net/10125/80127
dc.language.isoeng
dc.relation.ispartofProceedings of the 55th Hawaii International Conference on System Sciences
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectDigital Transformations of Business Operations
dc.subjectcovid-19 pandemic
dc.subjectempirical health care
dc.subjectrural-urban disparities
dc.subjecttelehealth expansion
dc.titleDoes Telehealth Reduce Rural-Urban Care Access Disparities? Evidence from Covid-19 Telehealth Expansion
dc.type.dcmitext

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