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COVID-19 Pandemic Health Disparities and Pediatric Health Care—The Promise of Telehealth

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

By mid-July 2020, more than 138 000 US citizens died of novel coronavirus disease 2019 (COVID-19).1 While an estimated 0.03% of the deaths were children, aged birth through 14 years, many more children were affected directly by the deaths of their parents, grandparents, and caregivers.1 Given the human loss and public health efforts to mitigate the incidence of COVID-19, access to pediatric physical and mental health care was significantly impacted.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Deepa U. Menon, MBBS, Department of Neurology and Developmental Medicine, Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 (menon@kennedykrieger.org).

Published Online: December 7, 2020. doi:10.1001/jamapediatrics.2020.5097

Conflict of Interest Disclosures: None reported.

References
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National Center for Health Statistics weekly updates by select demographic and geographic characteristics: provisional death counts for coronavirus disease (COVID-19) by week of death. Centers for Disease Control and Prevention. Accessed July 18, 2020. https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm#Race_Hispanic
2.
Williams  DR , Cooper  LA .  COVID-19 and health equity—a new kind of “herd immunity”.   JAMA. 2020;323(24):2478-2480. doi:10.1001/jama.2020.8051 PubMedGoogle ScholarCrossref
3.
Medicaid expansion & what it means for you. HealthCare.gov. Accessed October 30, 2020. https://www.healthcare.gov/medicaid-chip/medicaid-expansion-and-you/
4.
Demographics of mobile device ownership and adoption in the United States. Mobile fact sheet 2019. Pew Research Center. Accessed June 4, 2020. https://www.pewresearch.org/internet/fact-sheet/mobile
5.
Telehealth Services. 42 CFR § 410.78. (b) General Rule. (2011). Accessed July 18, 2020. https://www.govinfo.gov/app/details/CFR-2011-title42-vol2/CFR-2011-title42-vol2-sec410-78/summary
6.
Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, HR 6074, 116th Cong, 2nd Sess (2020).
7.
Federation of State Medical Boards. U.S. states and territories modifying licensure requirement for physician in response to COVID-19 (out-of-state physicians in-person practice; license renewals). Federation of State Medical Boards. Accessed July 19, 2020. https://www.fsmb.org/siteassets/advocacy/pdf/state-emergency-declarations-licensures-requirementscovid-19.pdf
8.
Anderson  M , Perrin  A . Disabled Americans are less likely to use technology. Pew Research Center. Accessed June 4, 2020. https://www.pewresearch.org/fact-tank/2017/04/07/disabled-americans-are-less-likely-to-use-technology/
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