The Mitigating Effects of Telehealth Uptake on Disparities in Maternal Care Access, Quality, Outcomes, and Expenditures, United States, 2020 (ICPSR 39023)
Version Date: Feb 19, 2024 View help for published
Principal Investigator(s): View help for Principal Investigator(s)
Peiyin Hung, University of South Carolina;
Xiaoming Li, University of South Carolina
https://doi.org/10.3886/ICPSR39023.v1
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This study explores whether perinatal telehealth uptake has mitigated the pandemic's effects on disparities in maternal care access, quality, and outcomes by race, ethnicity, and rural or urban residence. To date, research has utilized census data to assess whether community-wide broadband infrastructure exists to support the use of telehealth services in areas with high travel times to maternal care units. Findings suggest that socioeconomically disadvantaged communities face significant barriers to maternity care access, both with substantial travel burdens and inadequate digital access to facilitate telehealth services. Future research will incorporate electronic health records from the National COVID Cohort Collaborative (N3C), hospital-based claims data, and vital statistics from Florida and South Carolina to investigate the impact of the COVID-19 pandemic on maternal care and birth outcomes by race, ethnicity, and urbanicity. The study also aims to assess how state-level telehealth policies relate to perinatal telehealth uptake by race, ethnicity, and urbanicity, and to develop a model to predict long-term changes in maternal care access, quality, outcomes, and expenditures, with and without state telehealth policies.
The ICPSR provides variable-level metadata for the data associated with this study. The actual data may only be available from the Principal Investigator directly. The variable descriptions available through ICPSR also include information regarding the source of each variable listed, as does the Data Source field of these metadata.
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Universe View help for Universe
Residential ZIP code tabulation areas in the United States. (Residential ZCTAs are those with at least one resident in 2020 according to the American Community Survey.)
Data Source View help for Data Source
Population-weighted centroids for each ZCTA were taken from the U.S. Department of Housing and Urban Development's ZIP Code Population Weighted Centroids 2020 data.
The 2010 Rural-Urban Commuting Codes were used to classify ZCTAs as rural or urban.
Data on internet access and demographic characteristics of ZIP code tabulation areas (ZCTAs) comes from the 2020 American Community Survey.
Locations of hospital maternity units were taken from the 2020 American Hospital Association annual survey.