Table 2.
Adjusted odds ratios of predictors of telemedicine use during the public health emergency.
| Predictors | Combined health systems (N=10,201) | Academic system (N=3623) | Safety net system (N=6578) | ||||||||||
|
|
aORa | 95% CI | aOR | 95% CI | aOR | 95% CI | |||||||
| Health system (reference: UCSFb) | |||||||||||||
|
|
SFHNc | 2.94d | 2.48-3.48 | N/Ae | N/A | N/A | N/A | ||||||
| Age group (years; reference: 75+) | |||||||||||||
|
|
18-34 | 2.55d | 1.63-3.97 | 3.97d | 1.99-7.93 | 1.42 | 0.78-2.60 | ||||||
|
|
35-49 | 1.39f | 1.12-1.73 | 1.86d | 1.36-2.56 | 0.98 | 0.70-1.37 | ||||||
|
|
50-64 | 1.09 | 0.92-1.30 | 1.15 | 0.91-1.45 | 0.87 | 0.65-1.16 | ||||||
|
|
65-74 | 0.95 | 0.81-1.12 | 0.91 | 0.74-1.11 | 0.84 | 0.64-1.11 | ||||||
| Race and ethnicity (reference: White) | |||||||||||||
|
|
Asian | 0.67d | 0.56-0.79 | 0.57d | 0.46-0.70 | 0.88 | 0.67-1.17 | ||||||
|
|
Black or African American | 0.83g | 0.68-1.00 | 0.81 | 0.61-1.07 | 0.90 | 0.68-1.19 | ||||||
|
|
Hispanic or Latine | 0.76f | 0.61-0.95 | 0.67g | 0.50-0.91 | 0.86 | 0.62-1.18 | ||||||
|
|
Other or unknown | 0.89 | 0.70-1.13 | 0.86 | 0.63-1.16 | 0.94 | 0.64-1.38 | ||||||
| Language (reference: English) | |||||||||||||
|
|
Spanish | 1.04 | 0.83-1.30 | 1.49 | 0.90-2.48 | 1.02 | 0.78-1.35 | ||||||
|
|
Chinese | 2.04d | 1.66-2.50 | 1.16 | 0.86-1.56 | 2.52d | 1.85-3.42 | ||||||
|
|
Other or unknown | 1.11 | 0.91-1.35 | 1.09 | 0.81-1.47 | 0.99 | 0.76-1.30 | ||||||
| nSESh quintiles (reference: 5) | |||||||||||||
|
|
1 | 1.08 | 0.90-1.30 | 1.16 | 0.89-1.52 | 1.10 | 0.81-1.48 | ||||||
|
|
2 | 1.14 | 0.95-1.38 | 1.11 | 0.86-1.43 | 1.19 | 0.88-1.62 | ||||||
|
|
3 | 1.11 | 0.92-1.35 | 0.95 | 0.74-1.21 | 1.36 | 0.97-1.91 | ||||||
|
|
4 | 1.05 | 0.87-1.27 | 0.95 | 0.75-1.19 | 1.23 | 0.88-1.73 | ||||||
| Baseline hemoglobin A1c | 1.03 | 0.99-1.07 | 1.11d | 1.05-1.18 | 0.99 | 0.95-1.04 | |||||||
| Baseline BPi (mm Hg; reference: ≤120/80) | |||||||||||||
|
|
≤140/90 | 1.08 | 0.95-1.23 | 1.04 | 0.85-1.28 | 1.10 | 0.93-1.31 | ||||||
|
|
>140/90 | 1.04 | 0.89-1.23 | 0.99 | 0.78-1.26 | 1.09 | 0.88-1.36 | ||||||
| Sex (reference: male) | |||||||||||||
|
|
Female | 1.36d | 1.22-1.51 | 1.36d | 1.16-1.59 | 1.34d | 1.15-1.55 | ||||||
| Insurance type (reference: Medicare) | |||||||||||||
|
|
Private | 0.85g | 0.72-1.00 | 0.82g | 0.68-0.99 | 2.02 | 0.80-5.11 | ||||||
|
|
Public | 0.84g | 0.72-0.98 | 1.03 | 0.78-1.37 | 0.83 | 0.69-1.00 | ||||||
|
|
Uninsured | 0.95 | 0.73-1.23 | N/A | N/A | 1.03 | 0.77-1.37 | ||||||
|
|
Healthy Workersj | 1.35g | 1.04-1.76 | N/A | N/A | 1.18 | 0.89-1.57 | ||||||
| Patient portal status (reference: inactivated) | |||||||||||||
|
|
Activated | 1.71d | 1.47-2.00 | 1.86d | 1.55-2.23 | 1.46f | 1.10-1.94 | ||||||
| Charlson Comorbidity Index (reference: 0-2) | |||||||||||||
|
|
3+ | 1.33d | 1.17-1.53 | 1.90d | 1.57-2.30 | 0.93 | 0.77-1.12 | ||||||
aaOR: adjusted odds ratio.
bUCSF: University of California, San Francisco.
cSFHN: San Francisco Health Network.
dP<.001.
eN/A: not applicable.
fP<.01.
gP<.05.
hnSES: neighborhood socioeconomic status.
iBP: blood pressure.
jHealthy Workers is an insurance plan provided to temporary exempt employees of the City and County of San Francisco, including providers of in-home care.