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Association of Race and Socioeconomic Disadvantage With Missed Telemedicine Visits for Pediatric Patients During the COVID-19 Pandemic

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

Missed scheduled clinic appointments (ie, no-shows) are more common among uninsured patients from racial and ethnic minority groups living in economically disadvantaged areas and contribute to poorer health outcomes.13 In the pediatric population, the implications of telemedicine for no-show rates have not been adequately explored despite the widespread adoption of telemedicine during the COVID-19 pandemic. The aim of this study was to ascertain whether patient race and ethnicity and level of socioeconomic disadvantage were associated with no-show rates for in-person and telemedicine clinic visits.

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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

Accepted for Publication: January 26, 2022.

Published Online: May 23, 2022. doi:10.1001/jamapediatrics.2022.1510

Corresponding Author: McGreggor Crowley, MD, Division of Gastroenterology, Hepatology, and Nutrition, Boston Children’s Hospital, 300 Longwood Ave, Boston, MA 02115 (paul.crowley@childrens.harvard.edu).

Author Contributions: Mr Brociner and Dr Crowley had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Brociner, Yu, Crowley.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Brociner, Crowley.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Brociner, Yu, Crowley.

Obtained funding: Crowley.

Administrative, technical, or material support: Yu, Crowley.

Supervision: Kohane, Crowley.

Conflict of Interest Disclosures: Dr Yu reported receiving grants from the National Institutes of Health National Institute of General Medical Sciences and being an inventor of US patent 16/179,101, that is, quantitative pathology analysis and diagnosis using neural networks, assigned to Harvard University outside the submitted work. No other disclosures were reported.

References
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2.
Kemp  MT , Liesman  DR , Brown  CS ,  et al.  Factors associated with increased risk of patient no-show in telehealth and traditional surgery clinics.   J Am Coll Surg. 2020;231(6):695-702. doi:10.1016/j.jamcollsurg.2020.08.760PubMedGoogle ScholarCrossref
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Miller  AJ , Chae  E , Peterson  E , Ko  AB .  Predictors of repeated “no-showing” to clinic appointments.   Am J Otolaryngol. 2015;36(3):411-414. doi:10.1016/j.amjoto.2015.01.017 PubMedGoogle ScholarCrossref
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American Community Survey. US Census Bureau. Updated March 28, 2022. Accessed January 2, 2022. https://www.census.gov/programs-surveys/acs
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Haynes  SC , Marcin  JP , Dayal  P , Tancredi  DJ , Crossen  S .  Impact of telemedicine on visit attendance for paediatric patients receiving endocrinology specialty care.   J Telemed Telecare. 2020;X20972911. Published online November 23, 2020. doi:10.1177/1357633X20972911PubMedGoogle ScholarCrossref
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Crossen  SS , Marcin  JP , Qi  L ,  et al.  Home visits for children and adolescents with uncontrolled type 1 diabetes.   Diabetes Technol Ther. 2020;22(1):34-41. doi:10.1089/dia.2019.0214 PubMedGoogle ScholarCrossref
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