SynthesisJournal of medical systems2016
Telemedicine Use in Rural Native American Communities in the Era of the ACA: a Systematic Literature Review.
Synthesis in Journal of medical systems, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 104 citations in OpenAlex.
- An investigation into telemedicine utilization for refugee mental health: a systematic review.Globalization and health · 2025Pooled it
- Using telehealth consultations for healthcare provision to patients from non-Indigenous racial/ethnic minorities: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2022Pooled it
- Adherence to Electronic Health Tools Among Vulnerable Groups: Systematic Literature Review and Meta-Analysis.Journal of medical Internet research · 2020Pooled it
- Outcomes for implementation of virtual mental health care for rural native veterans.Journal of behavioral medicine · 2026Article
- Rural-Urban and Racial-Ethnic Differences in Tele-Behavioral Health Access for Medicaid Beneficiaries.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Care coordination and communication for Native American patients with cancer.The oncologist · 2026Article
- Use of telehealth did not mitigate persistent disparities in prenatal care access among American Indian women in North Dakota.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Scoping review of telehealth use by Indigenous populations from Australia, Canada, New Zealand, and the United States.Journal of telemedicine and telecare · 2024Article
- Review
- Pediatric Primary Care Telemedicine: Perspectives from English- and Spanish-Speaking Medicaid Enrollees.Telemedicine reports · 2024Article
- Race and Sex Disparities in Lower Extremity Total Joint Arthroplasty: A Retrospective Database Study.Cureus · 2023Article
- Understanding virtual primary healthcare with Indigenous populations: a rapid evidence review.BMC health services research · 2023Review
- Health equity related challenges and experiences during the rapid implementation of virtual care during COVID-19: a multiple case study.International journal for equity in health · 2023Article
- Article
- Pre-pandemic geographic access to hospital-based telehealth for cancer care in the United States.PloS one · 2023Article
- Getting Connected: a Retrospective Cohort Investigation of Video-to-Home Telehealth for Mental Health Care Utilization Among Women Veterans.Journal of general internal medicine · 2022Article
- Challenges and strategies for promoting health equity in virtual care: findings and policy directions from a scoping review of reviews.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Advancing Liver Cancer Prevention for American Indian Populations in Arizona: An Integrative Review.International journal of environmental research and public health · 2022Review
- Assessing Eye Health and Eye Care Needs Among North American Native Individuals.JAMA ophthalmology · 2022Article
- Factors Associated with Arkansans' First Use of Telehealth during the COVID-19 Pandemic.International journal of telemedicine and applications · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Native American communities face serious health disparities and, living in rural areas, often lack regular access to healthcare services as compared to other Americans. Since the early 1970's, telecommunication technology has been explored as a means to address the cost and quality of, as well as access to, healthcare on rural reservations. This systematic review seeks to explore the use of telemedicine in rural Native American communities using the framework of cost, quality, and access as promulgated by the Affordable Care Act of 2010 and urge additional legislation to increase its use in this vulnerable population. As a systematic literature review, this study analyzes 15 peer-reviewed articles from four databases using the themes of cost, quality, and access. The theme of access was referenced most frequently in the reviewed literature, indicating that access to healthcare may be the biggest obstacle facing widespread adoption of telemedicine programs on rural Native American reservations. The use of telemedicine mitigates the costs of healthcare, which impede access to high-quality care delivery and, in some cases, deters prospective patients from accessing healthcare at all. Telemedicine offers rural Native American communities a means of accessing healthcare without incurring high costs. With attention to reimbursement policies, educational services, technological infrastructure, and culturally competent care, telemedicine has the potential to decrease costs, increase quality, and increase access to healthcare for rural Native American patients. While challenges facing the implementation of telemedicine programs exist, there is great potential for it to improve healthcare delivery in rural Native American communities. Public policy that increases funding for programs that help to expand access to healthcare for Native Americans will improve outcomes because of the increase in access.
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Registered trials
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.