Rural areas in the U.S. have significantly less access to telehealth and cancer care services Cancer Coronavirus Disease COVID Telemedicine PLOSONE wakeforestmed UofSC UIowaCPH
By Dr. Chinta SidharthanFeb 5 2023Reviewed by Benedette Cuffari, M.Sc. In a recent study published in the journal PLoS One, researchers analyze telehealth provisions and oncological services available in hospitals throughout the United States before the onset of the coronavirus disease 2019 pandemic, in addition to examining the sociodemographic and geographic correlates of telehealth access.
Several studies have identified correlations between geographic barriers and reduced access to high-quality oncologic care for patients with lung, colon, breast, esophagogastric, rectal, and gynecologic cancers. A mismatched distribution of oncologists and cancer care professionals with respect to patient populations, along with the concentration of complex cancer care facilities in high-volume centers, has been attributed to discrepancies in oncological treatment availability.
About the study In the present study, the researchers conducted a retrospective cross-sectional analysis of data from the 2019 Annual Hospital Survey and Information Technology Supplement by the American Hospital Association , the U.S. Department of Agriculture's Urban Influence Codes from 2013, and the Area Health Resources Files for 2018 from the Health Services and Resources Administration .
Low-access counties had no hospitals within the boundaries that provided oncology care or telehealth facilities. Moderate-access counties included those with hospitals that had either telehealth or oncology care, but not both, while high-access counties had hospitals providing both oncology care and telehealth services.
Out of the 3,152 counties examined in this study, 1,288 distributed over 41 U.S. states had no access to telehealth services or cancer care facilities in the hospitals. These counties have a total population of 26.6 million.
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