1. Telehealth, medical decisions and new health inequality in China
- Author
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Zhaopeng Xu, Liuliu Zhou, Weibang Gu, Zhixin Yang, and Lufa Zhang
- Subjects
Telehealth ,Medical choice ,The hierarchical medical system ,Health inequality ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background The widespread of telehealth has not only improved medical service accessibility and convenience, and has also played an active role in the COVID-19 Epidemic. This suggests that telehealth is becoming increasingly important in both normality and emergency. It is therefore essential to evaluate the use of the technology and its impact on the healthcare system. Objective This paper studied the use of telehealth in China, the socio-demographic characteristics of users, its impact on patients’ choice of first-visit, and potential health inequalities. Methods We obtained 14,944 valid questionnaires from a multistage stratified sample of 41 cities in the Yangtze River Delta, China, and multinomial logit was mainly used. Results The utilization rate of telehealth in the study area was 10.43%. Residents that were younger, more educated, had higher household incomes, were more health literate, used more adequate medical insurance, ordered food delivery more often, and had chronic diseases were more likely to use telehealth. Residents who used telehealth had significantly higher odds of choosing high-level hospital instead of primary care provider as their first visit (B = 0.168, P
- Published
- 2025
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