PT  - JOURNAL ARTICLE
AU  - Courtney R. Lyles
AU  - Anjana E. Sharma
AU  - Jessica D. Fields
AU  - Yaphet Getachew
AU  - Urmimala Sarkar
AU  - Laurie Zephyrin
TI  - Centering Health Equity in Telemedicine
AID  - 10.1370/afm.2823
DP  - 2022 Jul 01
TA  - The Annals of Family Medicine
PG  - 362--367
VI  - 20
IP  - 4
4099  - http://www.annfammed.org/content/20/4/362.short
4100  - http://www.annfammed.org/content/20/4/362.full
SO  - Ann Fam Med2022 Jul 01; 20
AB  - In the wake of the racial injustices laid bare in 2020, on top of centuries of systemic racism, it is clear we need actionable strategies to fundamentally restructure health care systems to achieve racial/ethnic health equity. This paper outlines the pillars of a health equity framework from the Institute for Healthcare Improvement, overlaying a concrete example of telemedicine equity. Telemedicine is a particularly relevant and important topic, given the growing evidence of disparities in uptake by racial/ethnic, linguistic, and socioeconomic groups in the United States during the COVID-19 pandemic, as well as the new standard of care that telemedicine represents post-pandemic. We present approaches for telemedicine equity across the domains of: (1) strategic priorities of a health care organization, (2) structures and processes to advance equity, (3) strategies to address multiple determinants of health, (4) elimination of institutional racism and oppression, and (5) meaningful partnerships with patients and communities.