Evidence map›Paper›PMID 25919585›Full record

ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2015

Optimizing Telehealth Strategies for Subspecialty Care: Recommendations from Rural Pediatricians.

Kristin N Ray, Jill R Demirci, Debra L Bogen, Ateev Mehrotra, Elizabeth Miller

Open access · greenAbstract read
In one paragraph

Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Telemedicine Utilization Among Transgender and Gender-Diverse Adolescents Before and After the COVID-19 Pandemic.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
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  16. Situation Analysis for Promotion of Hot-Lines: An Experience from Iran.International journal of preventive medicine · 2020
    Article
  17. Article
  18. Article
  19. Article
  20. Family Perspectives on Telemedicine for Pediatric Subspecialty Care.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Kristin N Ray1 Department of Pediatrics, University of Pittsburgh School of Medicine , Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Jill R Demirci1 Department of Pediatrics, University of Pittsburgh School of Medicine , Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Debra L Bogen1 Department of Pediatrics, University of Pittsburgh School of Medicine , Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Ateev Mehrotra2 Department of Healthcare Policy and Medicine, Harvard Medical School , Boston, Massachusetts.
Elizabeth Miller1 Department of Pediatrics, University of Pittsburgh School of Medicine , Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania.
Children's Hospital of Pittsburgh · USUniversity of Pittsburgh · USRAND Corporation · US

Funding

Patient-Centered Outcomes Research (PCOR) Scholars ProgramK12HS022989 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAPOOR, WISHWA N · 2014 to 2018
$3.9M
Tailoring Clinical Interventions for Adolescent Relationship AbuseK24HD075862 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MILLER, ELIZABETH · 2014 to 2018
$872k
Preventing Perceived Insufficient Milk: Development of a Text Message-Based InterK99NR015106 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEMIRCI, JILL RADTKE · 2014 to 2015
$175k
AHRQ HHS 1K12HS022989-01AHRQ HHS K12 HS022989NICHD NIH HHS K24 HD075862NINR NIH HHS K99 NR015106PHS HHS T32HP22240
6 · The paper itself

Abstract

backgroundTelehealth offers strategies to improve access to subspecialty care for children in rural communities. Rural pediatrician experiences and preferences regarding the use of these telehealth strategies for children's subspecialty care needs are not known. We elicited rural pediatrician experiences and preferences regarding different pediatric subspecialty telehealth strategies. MATERIALS AND

methodsSeventeen semistructured telephone interviews were conducted with rural pediatricians from 17 states within the United States. Interviewees were recruited by e-mails to a pediatric rural health listserv and to rural pediatricians identified through snowball sampling. Themes were identified through thematic analysis of interview transcripts. Institutional Review Board approval was obtained.

resultsRural pediatricians identified several telehealth strategies to improve access to subspecialty care, including physician access hotlines, remote electronic medical record access, electronic messaging systems, live video telemedicine, and telehealth triage systems. Rural pediatricians provided recommendations for optimizing the utility of each of these strategies based on their experiences with different systems. Rural pediatricians preferred specific telehealth strategies for specific clinical contexts, resulting in a proposed framework describing the complementary role of different telehealth strategies for pediatric subspecialty care. Finally, rural pediatricians identified additional benefits associated with the use of telehealth strategies and described a desire for telehealth systems that enhanced (rather than replaced) personal relationships between rural pediatricians and subspecialists.

conclusionsRural pediatricians described complementary roles for different subspecialty care telehealth strategies. Additionally, rural pediatricians provided recommendations for optimizing individual telehealth strategies. Input from rural pediatricians will be crucial for optimizing specific telehealth strategies and designing effective telehealth systems.

Indexed as

PediatriciansAttitude of Health PersonnelChildChild Health ServicesElectronic Health RecordsFemaleHealth Services AccessibilityHotlinesHumansInterviews as TopicMalePractice Patterns, Physicians'Rural Health ServicesSpecializationUnited Statescommunicationcoordinationelectronic medical recordpediatricianphysician access hotlineruralsubspecialtytelehealthtelemedicine

Identifiers

PMID25919585
PMCPMC4855729
OpenAlexW1976606266

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.