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The COVID-19 pandemic has acted as a catalyst for telemedicine uptake among healthcare providers and patients. Prior research rarely has examined the lack of patient uptake of telemedicine. Known systemic barriers to accessing telemedicine in the U.S. before the COVID-19 pandemic may play a large role in its uptake. The purpose of this study is to assess the factors associated with the usage and acceptance of telemedicine pre- and since the COVID-19 pandemic. In this cross-sectional study, data was collected from persons residing within the U.S. who are 18 years of age or older using an online survey. Using an integrated model of the Theory of Planned Behavior and Technology Acceptance Model, this study measured barriers to accessing telemedicine before and since the COVID-19 pandemic as well as the six constructs of the model. Descriptive statistics and logistic regression were calculated. In the model examining predictors of telemedicine use before COVID-19 (p


Telemedicine; COVID-19; technology acceptance model; theory of planned behavior; telemedicine uptake; public health


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The bibliography is at the end of the manuscript, extending from pages 41 to 45. From pages 46 onward there is a copy of my questionnaire that was imported into Qualtrics for you all to evaluate.


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