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Coronavirus (COVID-19)

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

JAMA Pediatrics

Published Online: December 7, 2020

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Article Information and Disclosures

Deepa U. Menon, MBBS^1,2;

Harolyn M. E. Belcher, MD, MHS^3,4

Author Affiliations

¹Department of Neurology and Developmental Medicine, Kennedy Krieger Institute, Baltimore, Maryland
²Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland
³Office for Health, Equity, Inclusion, and Diversity, Kennedy Krieger Institute, Baltimore, Maryland
⁴Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland

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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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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

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

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 PubMed Google Scholar Crossref

Medicaid expansion & what it means for you. HealthCare.gov. Accessed October 30, 2020. https://www.healthcare.gov/medicaid-chip/medicaid-expansion-and-you/

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

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

Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, HR 6074, 116th Cong, 2nd Sess (2020).

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

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/

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.