Evidence map›Paper›PMID 31095051›Full record

ArticleMedical care2019

Addressing Rural Geographic Disparities Through Health IT: Initial Findings From the Health Information National Trends Survey.

Melinda Krakow, Bradford W Hesse, April Oh, Vaishali Patel, Robin C Vanderpool, Paul B Jacobsen

Abstract read
In one paragraph

Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Evaluating Telehealth Adoption and Related Barriers Among Hospitals Located in Rural and Urban Areas.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021
    Article
  13. Article
  14. Article
  15. Riding the Wave of Digital Transformation in Behavioral Medicine.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020
    Review
  16. Advancing Rural Cancer Control Research: National Cancer Institute Efforts to Identify Gaps and Opportunities.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    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

6 authors at 3 institutions in 1 country.

Melinda KrakowNational Cancer Institute, Bethesda, MD.
Bradford W HesseNational Cancer Institute, Bethesda, MD.
April OhNational Cancer Institute, Bethesda, MD.
Vaishali PatelOffice of the National Coordinator for Health IT, Washington, DC.
Robin C VanderpoolUniversity of Kentucky College of Public Health, Lexington, KY.
Paul B JacobsenNational Cancer Institute, Bethesda, MD.
National Cancer Institute · USOffice of the National Coordinator for Health Information Technology · USUniversity of Kentucky · US

Funding

Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

backgroundRural communities experience disparate rates of chronic diseases and face distinct challenges in gaining access to health care. Increasing the reach of the US health information and communication technology infrastructure can support rural health by overcoming geographic and temporal health care barriers.

objectivesThe goal of the study is to establish statistically valid point estimates for the use of health information technology within rural versus urban populations, and to understand the degree to which structural factors may account for the overall variance in the use of these technologies.

methodsData from the National Cancer Institute's 2017 Health Information National Trends Survey were used to estimate prevalence of Health IT engagement across rural and urban populations and model factors influencing use of online medical records.

resultsRural residents reported similar rates of providers maintaining electronic health records and offering access to online medical records. However, rural residents with provider-maintained records were less likely to receive a provider recommendation to use online medical records and were subsequently less likely to actually access records. Observed differences in online medical record use were accounted for by variance in Internet access, access to a regular health care provider, and whether providers encouraged patients to use online records.

conclusionsFindings shed light on structural opportunities for overcoming geographic and temporal barriers to Health IT and extending the benefits of digital health information technologies to underserved populations.

Indexed as

Electronic Health RecordsAdultAgedHumansInternetMaleMedical InformaticsMiddle AgedRural PopulationSurveys and QuestionnairesUrban PopulationVulnerable Populations

Identifiers

PMID31095051
PMCPMC13537228
OpenAlexW2945248601

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.