Evidence map›Paper›PMID 26969534›Full record

ArticleJournal of the American Medical Directors Association2016

Nursing Home Provider Perceptions of Telemedicine for Reducing Potentially Avoidable Hospitalizations.

Julia Driessen, Andro Bonhomme, Woody Chang, David A Nace, Dio Kavalieratos, Subashan Perera, Steven M Handler

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
11.5field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  11. Article
  12. Innovation Through Regulation: COVID-19 and the Evolving Utility of Telemedicine.Journal of the American Medical Directors Association · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Nursing Home Provider Perceptions of Telemedicine for Providing Specialty Consults.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2018
    Article
  17. Article
  18. Prevailing Opinions on Connected Health in Austria: Results from an Online Survey.International journal of environmental research and public health · 2016
    Article
  19. 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

7 authors at 2 institutions in 1 country.

Julia DriessenDepartment of Health Policy and Management, University of Pittsburgh, Pittsburgh, PA; Department of Biomedical Informatics, School of Medicine, University of Pittsburgh, Pittsburgh, PA.
Andro BonhommeUniversity of Pittsburgh Medical Center, Pittsburgh, PA.
Woody ChangDepartment of Medicine, University of Pittsburgh Medical Center-Medical Education, Pittsburgh, PA.
David A NaceDivision of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
Dio KavalieratosDivision of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
Subashan PereraDivision of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA; Department of Biostatistics, University of Pittsburgh, Pittsburgh, PA.
Steven M HandlerDepartment of Biomedical Informatics, School of Medicine, University of Pittsburgh, Pittsburgh, PA; Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA. Electronic address: handlersm@upmc.edu.
University of Pittsburgh · USUniversity of Pittsburgh Medical Center · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Patient-Centered Outcomes Research (PCOR) Scholars ProgramK12HS022989 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAPOOR, WISHWA N · 2014 to 2018
$3.9M
Enhancing the Detection and Management of Adverse Drug Events in the Nursing HomeR01HS018721 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HANDLER, STEVEN MARK · 2010 to 2013
$2.0M
Building a Novel Antibiotic Stewardship intervention for nursing homesR18HS022465 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI CRNICH, CHRISTOPHER J · 2014 to 2016
$1.5M
Improving Outcomes of UTI in LTC Facilities: The IOU StudyR18HS023779 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NACE, DAVID A. · 2015 to 2017
$1.4M
INTEGRATING PALLIATIVE CARE WITH DISEASE MANAGEMENT TO IMPROVE OUTCOMES AMONG PATIENTS WITH ADVANCED HEART FAILURE: INTERVENTIONAL RESEARCH CAREER DEVELOPMENTK01HL133466 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAVALIERATOS, DIONYSIOS · 2016 to 2019
$527k
AHRQ HHS K12 HS022989AHRQ HHS R01 HS018721AHRQ HHS R18 HS022465AHRQ HHS R18 HS023779NCATS NIH HHS L30 TR001226NHLBI NIH HHS K01 HL133466NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

objectivePotentially avoidable hospitalizations (PAHs) of nursing home (NH) residents are common, costly, and can have significant economic consequences. Telemedicine has been shown to reduce emergency department and hospitalization of NH residents, yet adoption has been limited and little is known about provider's perceptions and desired functionality for a telemedicine program. The goal of this study was to survey a nationally representative sample of NH physicians and advanced practice providers to quantify provider perceptions and desired functionality of telemedicine in NHs to reduce PAHs. DESIGN/SETTING/PARTICIPANTS/MEASUREMENT: We surveyed physicians and advanced practice providers who attended the 2015 AMDA-The Society for Post-Acute and Long-Term Care Medicine Annual Conference about their perceptions of telemedicine and desired attributes of a telemedicine program for managing acute changes of condition associated with PAHs.

resultsWe received surveys from 435 of the 947 conference attendees for a 45.9% response rate. Providers indicated strong agreement with the potential for telemedicine to improve timeliness of care and fill existing service gaps, while disagreeing most with the ideas that telemedicine would reduce care effectiveness and jeopardize resident privacy. Responses indicated clear preferences for the technical requirements of such a program, such as high-quality audio and video and inclusion of an electronic stethoscope, but with varying opinions about who should be performing the consults.

conclusionAmong NH providers, there is a high degree of confidence in the potential for a telemedicine solution to PAHs in NHs, as well as concrete views about features of such a solution. Such consensus could be used to drive an approach to telemedicine for PAHs in NHs that retains the theoretical strengths of telemedicine and reflects the needs of facilities, providers, and patients. Further research is needed to objectively study the impact of successful telemedicine implementations on patient, provider, and economic outcomes.

Indexed as

Attitude of Health PersonnelHospitalizationNursing HomesPatient ReadmissionTelemedicineAdvanced Practice NursingAgedFemaleHumansMalePhysiciansSurveys and QuestionnairesUnited Stateshospitalizationhospital readmissionNursing homestelehealthtelemedicine

Identifiers

PMID26969534
PMCPMC4884506
OpenAlexW2294876383

What OpenQuestion holds

Textmetadata
LicenceTDM
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.