4.6 Article

Ensuring Equitable Implementation of Telemedicine in Perinatal Care

Journal

OBSTETRICS AND GYNECOLOGY
Volume 137, Issue 3, Pages 487-492

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/AOG.0000000000004276

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The use of telemedicine in perinatal care in the U.S. has significantly increased during the COVID-19 pandemic and is likely to continue. If implemented equitably, telemedicine has the potential to reduce disparities in care access and outcomes. Therefore, implementation factors should be considered to prevent widening disparities as telemedicine becomes more integrated into care delivery.
The use of telemedicine in U.S. perinatal care has drastically increased during the coronavirus disease 2019 (COVID-19) pandemic, and will likely continue given the national focus on high-value, patient-centered care. If implemented in an equitable manner, telemedicine has the potential to reduce disparities in care access and related outcomes that stem from systemic racism, implicit biases and other forms of discrimination within our health care system. In this commentary, we address implementation factors that should be considered to ensure that disparities are not widened as telemedicine becomes more integrated into care delivery.

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