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The COVID-19 pandemic upended the way California delivers health care. Telehealth has become crucial to improving access to care as well as health equity – fair, just, and inclusive opportunities for people to be healthy – during this ongoing pandemic and beyond. This literature review was conducted by CCI to inform program design for the Connected Care Accelerator.

Virtual Care and Health Equity

The review describes trends in telehealth use in California with special attention to which patients had been left behind in the transition to virtual care (Nouri, 2020) and whether virtual care was being delivered by phone or video (Uscher-Pines, 2021). We sought to understand how people were experiencing virtual care from the perspective of patients (CPEHN, 2020; CHCF, 2020) and providers (Chang, 2021). We also included studies about a broad range of factors that impact telehealth use including broadband and device access (Hayes, 2021), California’s digital divide (Le, 2021), and language barriers (Rodriguez, 2021).

A Snapshot of Emerging Evidence

We conducted our review between June and September 2021. We focused our search narrowly on studies, reports, and news articles looking at telehealth and health equity in safety net clinics. At the time of our search, telehealth was still a relatively novel approach to care in the health care safety net, and research was only beginning to emerge describing its impacts on health equity. Consequently, the findings in this review are only a snapshot of early studies and may be outdated.

Download the Full Research

 
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Virtual Care Literature Review

February 9, 2022
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By Kendra Chaikind
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The COVID-19 pandemic upended the way California delivers health care. Telehealth has become crucial to improving access to care as well as health equity – fair, just, and inclusive opportunities fo…

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Driver Diagrams: Virtual Care Innovation

January 14, 2022
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By Kendra Chaikind
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How do you achieve equitable virtual care?

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Driver Diagram: Delivering High-Quality Video Visits

January 14, 2022
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By Kendra Chaikind
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We chose to use the “driver diagram” structure to help organize what we learned to be the most important levers to achieve our goal of equitable virtual care. This structure provides a simple visu…

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Keys to Flipping Telehealth Appointments From Phone Calls to Video Visits

December 21, 2021
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By Diana Hembree
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Many safety net clinics want to start transitioning their patients from phone calls to video visits. But are they asking the right questions?

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Bringing Behavioral Health Into the Virtual Care Team

December 17, 2021
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By Diana Hembree
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Uniting behavioral and medical health care personnel in a Zoom Clinic resulted in greater collaboration.

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Finally: A Digital Fix to Filling Out Forms

December 17, 2021
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By Diana Hembree
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During the pandemic, seeking verbal consent for virtual care became overwhelming. Enter online intake forms, which patients can complete from any device

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Bringing the Human Touch to Tech Helps Patients Navigate Virtual Care

December 17, 2021
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By Diana Hembree
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During the pandemic, safety net health clinics soon realized patients’ touchstone for virtual care: A human connection to help bridge the digital divide.

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Remote Patient Monitoring & Wireless Tech Pair Up To Help Manage Chronic Conditions

December 16, 2021
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By Diana Hembree
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Safety net health clinics in CCA are harnessing the power of wireless technology to send home monitoring data directly from the patient to the provider.

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Rolling Exams: Workstations on Wheels Make Hybrid Consultations Easy

November 15, 2021
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By Diana Hembree
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When space is at a premium, portable carts equipped with tablets allow providers to easily toggle between in-person visits and virtual visits in the same exam room.

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