ArticleJournal of the American Medical Informatics Association : JAMIA2019
Disconnected: a survey of users and nonusers of telehealth and their use of primary care.
Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis 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
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Translating Value Across Telehealth Stakeholders: A Rapid Review of Telehealth Measurement Evidence and a New Policy Framework to Guide Telehealth Researchers.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024Pooled it
- Applications of human factors approaches and methods to the development of teleconsultations in primary care: a systematic scoping review.BMJ open quality · 2025Article
- To connect or not connect: long-term adoption of video consultations, and reasons for discontinuing use.Journal of telemedicine and telecare · 2025Article
- Telehealth, medical decisions and new health inequality in China.BMC public health · 2025Article
- Telehealth Uptake Among Hispanic People During COVID-19: Retrospective Observational Study.JMIR medical informatics · 2024Article
- Comparing Veterans Preferences and Barriers for Video Visit Utilization Versus In-Person Visits: a Survey of Two VA Centers.Journal of general internal medicine · 2024Article
- Socioeconomic Determinants of Remote Patient Monitoring Implementation Among Rural and Urban Hospitals.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023Article
- Rural patient and provider perceptions of telehealth implemented during the COVID-19 pandemic.BMC health services research · 2023Article
- Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care.Journal of general internal medicine · 2023Article
- The Use of Digital Health Services Among Patients and Citizens Living at Home: Scoping Review.Journal of medical Internet research · 2023Article
- The Impact of COVID-19 on the Prevalence and Perception of Telehealth Use in the Middle East and North Africa Region: Survey Study.JMIR formative research · 2023Article
- Resident Willingness to Participate in Digital Contact Tracing in a COVID-19 Hotspot: Findings From a Detroit Panel Study.JMIR public health and surveillance · 2023Article
- Article
- Transition to telemedicine and its impact on missed appointments in community-based clinics.Annals of medicine · 2022Article
- Virtual care and the influence of a pandemic: Necessary policy shifts to drive digital innovation in healthcare.Healthcare management forum · 2022Article
- Remote Management of Osteoporosis.Current treatment options in rheumatology · 2022Review
- COVID-19 Virtual Care for the Geriatric Population: Exploring Two Sides of the Coin.Gerontology · 2022Review
- Telehealth Adoption Across Neurosurgical Subspecialties at a Single Academic Institution During the COVID-19 Pandemic.World neurosurgery · 2021Article
- Teaching Telemedicine: The Next Frontier for Medical Educators.JMIR medical education · 2021Article
- Physicians' experiences of video consultation with patients at a public virtual primary care clinic: a qualitative interview study.Scandinavian journal of primary health care · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe study sought to assess awareness, perceptions, and value of telehealth in primary care from the perspective of patients. MATERIALS AND
methodsWe conducted a cross-sectional, Web-based survey of adults with access to telehealth services who visited healthcare providers for any of the 20 most-commonly seen diagnoses during telehealth visits. Three groups were studied: registered users (RUs) of telehealth had completed a LiveHealth Online (a health plan telehealth service provider) visit, registered nonusers (RNUs) registered for LiveHealth Online but had not conducted a visit, and nonregistered nonusers (NRNUs) completed neither step.
resultsOf 32 831 patients invited, 3219 (9.8%) responded and 766 met eligibility criteria and completed surveys: 390 (51%) RUs, 117 (15%) RNUs, and 259 (34%) NRNUs. RUs were least likely to have a primary care usual source of care (65.6% vs 78.6% for RNUs vs 80.0% for NRNUs; P < .001). Nearly half (46.8%) of RUs were unable to get an appointment with their doctor, and 34.8% indicated that their doctor's office was closed. Among the 3 groups, RUs were most likely to be employed (89.5% vs 88.9% vs 82.2%; P = .007), have post-high school education (94.4% vs 93.2% vs 86.5%; P = .003), and live in urban areas (81.0% vs 69.2% vs 76.0%; P = .021).
conclusionsTelehealth users reported that they relied on live video for enhanced access and were less connected to primary care than nonusers were. Telehealth may expand service access but risks further fragmentation of care and undermining of the primary care function absent better coordination and information sharing with usual sources of patients' care.
Indexed as
Identifiers
What OpenQuestion holds
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.