Social vulnerability, lower broadband internet access, and rurality associated with lower telemedicine use in U.S. Counties

Mollie Cummins, Bob Wong, Neng Wan, Jiuying Han, Sukrut Shishupal, Ramkiran Gouripeddi, Julia Ivanova, Asiyah Franklin, Jace D. Johnny, Triton Ong, Brandon M. Welch, Brian E. Bunnell · 2025 · JAMIA Open

Summary. Analysis of 8 million U.S. telemedicine sessions reveals that rural counties use telemedicine at lower rates than urban counties. Broadband internet access and rurality are stronger predictors of telemedicine use than social vulnerability factors. The relationship between social vulnerability and telemedicine adoption differs significantly between rural and urban areas, with greater variability in urban counties.

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Cummins, M., Wong, B., Wan, N., Han, J., Shishupal, S., Gouripeddi, R., Ivanova, J., Franklin, A., Johnny, J. D., Ong, T., Welch, B. M., & Bunnell, B. E.. (2025). Social vulnerability, lower broadband internet access, and rurality associated with lower telemedicine use in U.S. Counties. JAMIA Open. https://doi.org/10.1093/jamiaopen/ooaf056

@article{cummins-2025-social-vulnerability-lower-broadband-internet,
  title   = {Social vulnerability, lower broadband internet access, and rurality associated with lower telemedicine use in U.S. Counties},
  author  = {Mollie Cummins and Bob Wong and Neng Wan and Jiuying Han and Sukrut Shishupal and Ramkiran Gouripeddi and Julia Ivanova and Asiyah Franklin and Jace D. Johnny and Triton Ong and Brandon M. Welch and Brian E. Bunnell},
  journal = {JAMIA Open},
  year    = {2025},
  doi     = {10.1093/jamiaopen/ooaf056},
  url     = {https://doi.org/10.1093/jamiaopen/ooaf056}
}

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TI  - Social vulnerability, lower broadband internet access, and rurality associated with lower telemedicine use in U.S. Counties
AU  - Mollie Cummins
AU  - Bob Wong
AU  - Neng Wan
AU  - Jiuying Han
AU  - Sukrut Shishupal
AU  - Ramkiran Gouripeddi
AU  - Julia Ivanova
AU  - Asiyah Franklin
AU  - Jace D. Johnny
AU  - Triton Ong
AU  - Brandon M. Welch
AU  - Brian E. Bunnell
JO  - JAMIA Open
PY  - 2025
DO  - 10.1093/jamiaopen/ooaf056
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Details

DOI: 10.1093/jamiaopen/ooaf056
Countries: United States
Regions: North America
Categories: broadband-and-digital, rural-healthcare
Added: 2026-04-28