Background: The COVID-19 pandemic led to significant disruptions in healthcare and rapid increases in virtual healthcare delivery. The full effects of these shifts remain unknown. Understanding effects of these disruptions is particularly relevant for patients with chronic pain, which typically requires consistent engagement in treatment to maximize benefit, and for Black patients, given documented racial disparities in pain treatment and telehealth delivery. Objective: To understand how Black patients with chronic pain experienced pandemic-related changes in healthcare delivery. Design: In-depth, semi-structured qualitative interviews Participants: Black veterans with chronic pain. Key Results: Participants described decreased ability to self-manage their chronic pain, obtain nonpharmacological services such as physical therapy, see their primary care providers, and schedule surgery. Most did not believe telehealth met their needs, describing feeling inadequately assessed for their pain and noting that beyond renewing prescriptions, telehealth visits were not that useful. Some believed their communication with their providers suffered from a lack of in-person contact. Others, however, were willing to accept this tradeoff to prevent possible exposure to COVID-19, and some appreciated the convenience of being able to access healthcare from home. Conclusions: Black patients with chronic pain described mostly negative effects from the shift to telecare after the pandemic’s onset. Given existing disparities and likely persistence of virtual care, research on the longer-term effects of virtual pain care for Black patients is needed.
Bibliographical noteFunding Information:
This work was supported by a Department of Veterans Affairs Health Services Research and Development Merit Review Award to Dr. Matthias (IIR 17-032) and by a COVID-specific supplement to this award. Dr. Eliacin’s effort was supported by a Department of Veterans Affairs Health Services and Development Career Development Award (CDA 16-153). The sponsor had no role in study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the article for publication. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.
© 2022, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
- chronic pain
- healthcare disparities
PubMed: MeSH publication types
- Journal Article
- Research Support, U.S. Gov't, Non-P.H.S.