• AnayaYohualli Balderas-MedinaYBFrom Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles (YBA, ABM); Center for the Study of Latino Health and Culture, David Geffen School of Medicine, University of Califor, Andrea Bañuelos Mota, Giselle D Hernandez, Alejandra Osorio, and David E Hayes-Bautista.
• From Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles (YBA, ABM); Center for the Study of Latino Health and Culture, David Geffen School of Medicine, University of California, Los Angeles (GDH, AO, and DEH). yanaya@mednet.ucla.edu.
• J Am Board Fam Med. 2022 May 1; 35 (3): 588-592.

AbstractNational telehealth policy thus far has focused on broadening access to service, specialties, and originating sites. Yet telehealth policy can further equity by providing system-level change needed to reduce structural determinants that hamper telehealth access in historically marginalized, low income, and limited English-speaking populations. The authors propose policy solutions for states and CMS to help address these structural determinants of telehealth care. A telehealth "ecosystem" grounded in the following core components would ensure equitable access to care: use of technology inclusive of economically marginalized patients, access to the technology and broadband for completing virtual visits, and concrete support for patients as they develop their digital and telehealth skills.© Copyright 2022 by the American Board of Family Medicine.

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