Evidence map›Paper›PMID 28067586›Full record

ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2017

Sociotechnical Perspective on Implementing Clinical Video Telehealth for Veterans with Spinal Cord Injuries and Disorders.

Rachael N Martinez, Timothy P Hogan, Salva Balbale, Keshonna Lones, Barry Goldstein, Christine Woo, Bridget M Smith

Open access · greenAbstract read
In one paragraph

Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  7. Associations Between Telemedicine Use Barriers, Organizational Factors, and Physician Perceptions of Care Quality.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
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  11. Telemedicine Use Among Physiatrists During the Early Phase of the COVID-19 Pandemic and Potential for Future Use.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Article
  12. Article
  13. Current Approaches in Telehealth and Telerehabilitation for Spinal Cord Injury (TeleSCI).Current physical medicine and rehabilitation reports · 2022
    Review
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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.

Rachael N Martinez1 Center of Innovation for Complex Chronic Healthcare , Edward Hines Jr. Veterans Affairs Hospital, U.S. Department of Veterans Affairs, Hines, Illinois.
Timothy P Hogan2 Center for Healthcare Organization and Implementation Research , Edith Nourse Rogers Memorial Veterans Hospital, U.S. Department of Veterans Affairs, Bedford, Massachusetts.
Salva Balbale1 Center of Innovation for Complex Chronic Healthcare , Edward Hines Jr. Veterans Affairs Hospital, U.S. Department of Veterans Affairs, Hines, Illinois.
Keshonna Lones1 Center of Innovation for Complex Chronic Healthcare , Edward Hines Jr. Veterans Affairs Hospital, U.S. Department of Veterans Affairs, Hines, Illinois.
Barry Goldstein5 Spinal Cord Injuries and Disorders System of Care Program Office , U.S. Department of Veterans Affairs, Seattle, Washington.
Christine Woo7 Louis Stokes Cleveland DVAMC , U.S. Department of Veterans Affairs, Cleveland, Ohio.
Bridget M Smith1 Center of Innovation for Complex Chronic Healthcare , Edward Hines Jr. Veterans Affairs Hospital, U.S. Department of Veterans Affairs, Hines, Illinois.
Northwestern University · USUniversity of Washington · US

Funding

Training Grant in Gastrointestinal Physiology and PsychologyT32DK101363 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PANDOLFINO, JOHN E · 2014 to 2018
$1.2M
NIDDK NIH HHS T32 DK101363
6 · The paper itself

Abstract

backgroundReal-time videoconferencing technology such as clinical video telehealth (CVT) offers a means to reach patient populations who face limited access to healthcare. The Veterans Health Administration has invested in CVT to improve care access for U.S. military veterans with spinal cord injuries and disorders (SCI/D); however, no studies have assessed the factors that influence implementation of this technology in clinical practice for individuals with SCI/D.

introductionGuided by a sociotechnical perspective, the purpose of this study was to identify factors that influence implementation of CVT for veterans with SCI/D. MATERIALS AND

methodsWe conducted semistructured telephone interviews with 40 healthcare providers who use CVT to deliver services to veterans with SCI/D.

resultsFactors related to workflow and communication were widely reported as implementation barriers. Coordinating logistics for CVT appointments was challenging, and effective communication between CVT team members across facilities was considered crucial. Providers also cited factors related to technical infrastructure, people, and organizational features, including the need for appropriate equipment, space, personnel, and support for using CVT equipment. DISCUSSION: The implementation of CVT in the care of veterans with SCI/D was influenced by an interrelated set of social and technical factors. Key among them were social factors related to people, workflow, and communication, given that CVT supports healthcare teams interacting remotely in real time.

conclusionsCVT implementation requires teams working together to negotiate a complex, distributed process across multiple sites. Such complexity places a premium on teamwork and communication among healthcare teams before, during, and after a CVT encounter.

Indexed as

VeteransVideoconferencingAdultDelivery of Health CareFemaleForecastingHumansMaleMiddle AgedSpinal Cord InjuriesTelemedicineUnited StatesUnited States Department of Veterans AffairsVeterans Healthcommunicationcoordinationsociotechnical modelspinal cord injuryteamworktelehealthtelemedicineveteran

Identifiers

PMID28067586
PMCPMC5802248
OpenAlexW2592945901

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.