Table 2.
Authors | Study design | Country | Study population | Research question | Analytical framework | Findings |
Campos-Castillo and Anthony44 | Cohort study | USA | 10 624 US-wide survey respondents | What are the characteristics of patients who used ICTs to connect with care providers in relation to COVID-19? | Logistic regression | Total of 17% of respondents self-reported using telehealth because of the pandemic. Black respondents were more likely than Whites to report using telehealth because of the pandemic (OR 1.42; 95% CI 1.07 to 1.88). |
Campos-Castillo and Laestadius47 | Cohort study | USA | 10 541 US-wide survey respondents | What are the characteristics of patients posting COVID-19-related messages on social media? | Logistic regression | Respondents who identified as black (OR 1.29; 95% CI 1.02 to 1.64; p=0.03) or Latino (OR 1.66; 95% CI 1.36 to 2.04; p=0.03) had higher odds than respondents who identified as white of reporting that they posted COVID-19 content on social media. |
Chunara et al40 | Cohort study | USA | 140 184 patients | What are the characteristics of patients who use telemedicine? | Descriptive statistics and logistic regression | Black patients nearly half as likely as white patients to access care through telemedicine (OR 0.6 times; 95% CI 0.58 to 0.63). |
Eberly et al43 | Cohort study | USA | 2940 cardiovascular outpatients | What are the characteristics of patients who complete a telemedicine consultation? | Logistic regression | Being female and being non-English speaking were independently associated with less telemedicine use. |
Gabbiadini et al46 | Cross-sectional | Italy | 465 respondents | Whether the use of ICT promoted perceptions of social support (mitigating the psychological effects of lockdown). | Separate multiple and simple regression models | The amount of technology use was a significant predictor of perceived social support (OR 2.40, p<0.02, 99% CI −0.01 to 0.31). |
Hughes et al39 | Mixed methods | UK | 156 high-risk individuals and a further 1217 vulnerable patients over the age of 70 | Can medical students (general practitioner trainees) use teleconsultations to assess the needs of patients and support digital access to healthcare? | Descriptive statistical analysis. Thematic analysis of conversation issues arising, no theoretical framework named. |
A total of 22% high-risk patients and 44% of vulnerable patients reported connectivity issues. Participants reported who were confident in ordering medication online. |
Runfola et al45 | Cohort study | Italy | 33 bariatric outpatients | What are the characteristics of patients who completed a telemedicine consultation? | Categorical data were compared using the Χ2 test. Continuous variables compared using the Student’s t-test. | 57.6%completed the consultation. No significant differences were found between participants and non-participants in terms of age and gender. |
Weber et al41 | Cohort study | USA | 52 585 patients diagnosed with COVID-19 | What are the characteristics of patients who access care by telemedicine, ER or office visit? | Descriptive statistics and multinomial regression analysis | White patients had the highest predicted probabilities of using telehealth (46.7%). Black and Hispanic patients over 65 have the lowest predicted probability (11.3%). |
Whaley et al42 | Cross-sectional | USA | Data from 5.6 to 6.8 million US individuals with employer health insurance between 2018 and 2020 | What are the characteristics of patients who use telemedicine? | Logistic regression | Patients living in postcodes with lower income or majority racial/ethnic minority populations had lower rates of adoption of telemedicine; ≥80% racial/ethnic minority postcode: −71.6 per 10 000 (95% CI −87.6 to −55.5); 79%–21% racial/ethnic minority postcode: −15.1 per 10 000 (95% CI −19.8 to −10.4). |
ER, emergency room; ICT, information and communication technology.