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September 28, 2023American Journal of HypertensionOpen Access

Rural and Urban Differences in Hypertension Management Through Telehealth Before and During the COVID-19 Pandemic Among Commercially Insured Patients

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Key result

Urban residents had a higher monthly average proportion of hypertension-related telehealth visits than rural residents during the COVID-19 pandemic (10.19% vs. 6.96%; P<0.001).

Why the study?

Limited evidence exists regarding how rural and urban residents utilized telehealth and in-person outpatient services to manage hypertension during the COVID-19 pandemic.

Does telehealth utilization for hypertension management differ between urban and rural residents during the COVID-19 pandemic?

Population

701,410 US adults aged 18-64 years continuously enrolled in MarketScan Commercial Claims Database

Comparison

Rural vs urban residents

Design

Longitudinal study

Follow-up

January 2019 through March 2022

Authors

JLJun Soo LeeCenters for Disease Control and PreventionABAmi BhattCenters for Disease Control and PreventionSJSandra L. JacksonMarquette University

Discussion

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Member takes

Implication

Rural patients used less telehealth for hypertension than urban residents; leaves open effects on control and requires targeted access studies.

Study Design

Type

Observational (n=701,410)

Multicenter

Yes

Structured PICO

Does telehealth utilization for hypertension management differ between urban and rural residents during the COVID-19 pandemic?

P
Population
701,410 commercially insured US adults aged 18-64 years, continuously enrolled from 2017 to 2022, analyzed for hypertension-related telehealth and in-person visits.
E
Exposure
Telehealth for hypertension management in urban residents
C
Comparator
Telehealth for hypertension management in rural residents
O
Outcome
Monthly numbers of hypertension-related telehealth and in-person outpatient visits (per 100 individuals), and the proportion of telehealth visits among all hypertension-related outpatient visits

Main Result

Absolute Event Rate: 10.19% vs 6.96%

p-value: p=<0.001

Urban residents had a higher proportion of hypertension-related telehealth visits compared to rural residents during the COVID-19 pandemic, highlighting disparities in telehealth utilization.

Cite This Study

Lee et al. (2023) conducted an observational in Hypertension (n=701,410). Urban residence vs. Rural residence was evaluated on Monthly average proportion of hypertension-related telehealth visits (March 2020 to March 2022) (p=<0.001). Urban residents had a higher monthly average proportion of hypertension-related telehealth visits than rural residents during the COVID-19 pandemic (10.19% vs. 6.96%; P<0.001).

synapsesocial.com/papers/6a62acb83c4f8a4b5b07d1e0https://doi.org/10.1093/ajh/hpad093

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence of Self-Reported Hypertension and Antihypertensive Medication Use by County and Rural-Urban Classification — United States, 20172020 · 90 citations
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