personal use, which could include telehealth visits. Thus, our results may not represent telehealth use among all people without internet access. We analyze telehealth use, satisfaction with telehealth, wanting telehealth but not getting it, reasons for not getting telehealth, wanting care but not getting it because telehealth was the only option, and reasons for not wanting telehealth despite wanting care. We show results both overall and by selected health and 3 | Telehealth and Unmet Health Care Needs During the Pandemic demographic characteristics: race and ethnicity, insurance coverage, living in or outside a metropolitan statistical area, health status, and number of chronic conditions. Additionally, we calculate regression-adjusted rates for each outcome, using multivariate regression models that control for each key health and demographic characteristic. Findings from the regressionadjusted models, which are not shown, are consistent with the unadjusted results unless otherwise noted. Results Use of Telehealth One-third of adults reported having had a telehealth visit to talk about their own health since the coronavirus outbreak began in March, and this differed substantially across subgroups (figure 1). Health status and the presence of chronic conditions were strongly associated with whether an adult had a telehealth Figure 1. Use of Telehealth among Adults 53.6%*** All adults Race/ethnicity White^ Black Hispanic/Latinx Other Health insurance coverage ESI^ Public Nongroup Uninsured Urban/rural residence Lives in MSA^ Does not live in MSA Health status Excellent/very good^ Good Fair/poor Chronic Condition(s) None^ One Multiple URBAN INSTITUTE Source: Urban Institute Coronavirus Tracking Survey, wave 2. Notes: ESI is employer-sponsored insurance. MSA is metropolitan statistical area. “Other” is adults who are not Hispanic/Latinx, Black, or white and adults identifying as more than one race. The survey was conducted September 11 through 28, 2020, and 91 percent of respondents completed the survey by September 17. */**/*** Estimates differ significantly from the reference group (^) at the 0.10/0.05/0.01 level, using two-tailed t-tests. 4 | Telehealth and Unmet Health Care Needs During the Pandemic visit. Those in fair or poor health were 23.0 percentage points more likely to have used telehealth than those in excellent or very good health (50.4 percent versus 27.4 percent), and those with multiple chronic conditions were 32.5 percentage points more likely to have used telehealth than those without any chronic conditions (53.6 percent versus 21.1 percent). Telehealth use also varied by race and ethnicity. Black adults (38.6 percent) and Hispanic/Latinx adults (37.7 percent) were more likely to have used telehealth than white adults (30.6 percent). This difference is consistent with findings from a survey of nonelderly adults in California conducted by the California Health Care Foundation and NORC at the University of Chicago (Joynt, Catterson, and Rabinowitz 2020). Adults living outside metropolitan areas were less likely to have used telehealth than adults living in metropolitan areas (24.0 versus 34.5 percent). In addition, adults with public insurance coverage were more likely to have used telehealth (45.4 percent) and uninsured adults were less likely to have used telehealth (14.7 percent) than adults with ESI (34.0 percent). The difference in telehealth use between those with public insurance and those with ESI is not statistically significant after adjusting for other characteristics (data not shown). Satisfaction with Telehealth Most adults who had a telehealth visit were very or somewhat satisfied with their most recent visit (78.2 percent), and this varied by health status (figure 2). Adults in excellent or very good health were more likely to be very or somewhat satisfied than adults in fair or poor health (83.2 percent versus 68.0 percent). Figure 2. Share of Adults Ages 18 to 64 Satisfied with Their Most Recent Telehealth Visit, Overall and by Selected Characteristics, September 20% All adults Race/ethnicity White^ Black Hispanic/Latinx Health insurance coverage ESI^ Public Urban/rural residence Lives in MSA Health status Excellent/very good^ Good Fair/poor Chronic condition(s) None^ One Multiple URBAN INSTITUTE Source: Urban Institute Coronavirus Tracking Survey, wave 2. Notes: ESI is employer-sponsored insurance. MSA is metropolitan statistical area. Estimates reflect the share of respondents who had a telehealth visit and were “very satisfied” or “somewhat satisfied” with their most recent visit. Black and white adults are not Hispanic/Latinx. Sample sizes were too small to report satisfaction with telehealth for some subgroups (adults with nongroup coverage, the uninsured, those not residing in MSAs, adults identifying as more than one race, and adults who are not Hispanic/Latinx, Black, or white). The survey was conducted September 11 through 28, 2020, and 91 percent of respondents completed the survey by September 17. */**/*** Estimates differ significantly from the reference group (^) at the 0.10/0.05/0.01 level, using two-tailed t-tests. 5 | Telehealth and Unmet Health Care Needs During the Pandemic Wanting Telehealth but Not Getting It Overall, 6.3 percent of adults reported wanting a telehealth visit to talk about their own health but not having one since the