A recently published study, Evaluating a Tobacco Treatment Program’s Transition to Telehealth Using a Social Determinants of Health Lens, considered how access to telehealth services was impacted by Social Determinates of Health (SDOH), using five-digit zip codes mapped to the CDC’s Social Vulnerability Index (SVI) and driving distance to the hospital.
The study found that with access to telehealth technology provided, the percentage of inpatients at each SVI vulnerability level who participated in tobacco cessation treatment remained stable from in-person to telehealth delivery of care. While other recent studies have shown that outpatient telehealth may exacerbate disparities in care, these inpatient telehealth findings suggest that improving access to telehealth infrastructure and technology may correlate to expanded reach and benefits to care that telehealth services provide.
Lead author Kimberly Shoenbill, MD, MPH, Director of the UNC Tobacco Treatment Program in the Department of Family Medicine; Michael Baca-Atlas, MD; Caleb Smith; Stephanie Wilhoit-Reeves, MDiv, MSW; Stefanie Baca-Atlas, MSW; and Adam Goldstein, MD, MPH; expanded the new study from their previous research, which found that access to telehealth services resulted in expanded participation in tobacco cessation counseling.
The new study’s novel method of measuring SDOH points toward an opportunity for future researchers to evaluate a composite metric for SDOH when only zip code or address data is available.
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