This OHSU_2019_2020_utilization_ambulatory_telehealth.txt file was generated on 2021-06-28 by JONATHAN SACHS. GENERAL INFORMATION 1. Title of Dataset: OHSU 2019-2020 utilization of ambulatory telehealth and office visits by patient demographics 2. Author Information A. Principal Investigator Contact Information Name: Jonathan Sachs, MD MPH Institution: Oregon Health & Science University Address: 3280 S.W. Sam Jackson Park Road Email: sachs@ohsu.edu B. Associate or Co-investigator Contact Information Peter Graven, PhD; Jeffrey A. Gold, MD; goldje@ohsu.edu Steven Z. Kassakian, MD, MS; kassakia@ohsu.edu 3. Date of data collection: 2019-06-01 through 2019-09-30 AND 2020-06-01 through 2020-09-30 4. Geographic location of data collection: Portland, Oregon 5. Information about funding sources that supported the collection of the data: None SHARING/ACCESS INFORMATION 1. Publications that cite or use the data: Sachs J, Graven P, Gold J, Kassakian S. Disparities in Telephone and Video Telehealth Engagement During the COVID-19 Pandemic. JAMIA Open. 2021 Jun 28. 2. Recommended citation for this dataset: https://doi.org/10.5061/dryad.c866t1g79 DATA & FILE OVERVIEW 1. File List: Table 1: table1_uniquepatients_modality_x_demographic.csv Table 1 displays unique patient counts of ambulatory care modality utilization (in-person, video, telephone, and any telehealth) for each demographic group (race, ethnicity, sex, preferred language, insurance, and age). There is also a column for total patients in that demographic group. In the main article, we performed logistic regression to evaluate the association of patient demographics with telehealth utilization. Table 2: table2_uniquepts_modal_x_demo_primaryonly.csv Table 2 displays unique patient counts of ambulatory care modality utilization for each demographic group only within primary care clinics. Table 3: table3_uniquepts_prepostpandemic_x_demo.csv Table 3 displays unique patient counts for each demographic group within the time periods before and during the COVID-19 pandemic: June 1 through Sept 30, 2019 and June 1 through Sept 30, 2020. In the study, we compared the proportional representation of demographic groups between before and during the pandemic to assess for overall changes in our patient population. METHODOLOGICAL INFORMATION A repeat cross-sectional study was conducted of patients who utilized the ambulatory clinics at Oregon Health & Science University (OHSU) from June 1 through September 30, in 2019 (reference period) and 2020 (study period). The study period was chosen because it exhibited a relatively stable rate of in-person, telephone, and video ambulatory visits. The initial months of the pandemic in March through May 2020 were marked by shifting state and institutional policies that affected appointment availability. By the summer of 2020, clinics were more open to scheduling in-person visits. We chose to investigate a later, more stable time-frame for disparities because we believe that the analysis would be more indicative of ongoing trends. Unique patient counts were extracted from ambulatory provider-led visits, defined as outpatient visits with physicians, nurse practitioners, or physician assistants. Visits modalities included in-person, video, or telephone, the latter two comprising telehealth. Patient demographics included ethnicity, race, preferred language, payer, age, and sex. The OHSU institutional review board determined that this project did not involve human subjects and was exempt from review (STUDY00022108). To assess for overall changes in patient demographics, we compared the proportional representation of groups between the equivalent study and reference periods. Next, we used multivariable logistic regression to evaluate the association of patient demographics with telehealth utilization (vs in-person only). Second, we assessed the association of demographics with video utilization (vs telephone-only) amongst the subset of telehealth users. To reveal if specialty services were disproportionately weighting our results, we performed a sensitivity analysis by repeating both regression models for primary-care visits only. Adjusted odds ratios and 95% confidence intervals were produced from the models. Entries with null values were excluded. Analyses were performed in the R programming environment (R Foundation for Statistical Computing 4.02). DATA-SPECIFIC INFORMATION FOR: Table 1: table1_uniquepatients_modality_x_demographic.csv 1. Number of variables: 6 2. Number of cases/rows: 20 3. Variable List: demographic: Demographic grouping in_person: Number of unique patients who utilized an in-person ambulatory visit during the period of analysis. telephone : Number of unique patients who utilized a telephone based ambulatory visit during the period of analysis. video: Number of unique patients who utilized a video based ambulatory visit during the period of analysis. any_telehealth: Number of unique patients who utilized either a telephone or video ambulatory visit during the period of analysis. total_patients: Number of unique patients in demographic group. Table 2: table2_uniquepts_modal_x_demo_primaryonly.csv 1. Number of variables: 6 2. Number of cases/rows: 20 3. Variable List: demographic: Demographic grouping in_person: Number of unique patients who utilized an in-person ambulatory visit during the period of analysis. telephone : Number of unique patients who utilized a telephone based ambulatory visit during the period of analysis. video: Number of unique patients who utilized a video based ambulatory visit during the period of analysis. any_telehealth: Number of unique patients who utilized either a telephone or video ambulatory visit during the period of analysis. total_patients: Number of unique patients in demographic group. Table 3: table3_uniquepts_prepostpandemic_x_demo.csv 1. Number of variables: 3 2. Number of cases/rows: 20 3. Variable List: demographic: Demographic grouping june1_to_sept30_2019: Number of unique patients accessing ambulatory care services during the pre-pandemic period. june1_to_sept30_2020: Number of unique patients accessing ambulatory care services during the pandemic period.