Evidence map›Paper›PMID 31199332›Full record

ArticleJMIR mHealth and uHealth2019

Factors Determining Patients' Choice Between Mobile Health and Telemedicine: Predictive Analytics Assessment.

Saif Khairat, Songzi Liu, Tanzila Zaman, Barbara Edson, Robert Gianforcaro

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Patient Experiences with Virtual Nursing: A Qualitative Survey.Studies in health technology and informatics · 2025
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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

5 authors.

Saif KhairatCarolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID 0000-0002-8992-2946
Songzi LiuSchool of Information and Library Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID 0000-0003-2428-3247
Tanzila ZamanCarolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID 0000-0001-9204-7305
Barbara EdsonUNC Health Care, Chapel Hill, NC, United States.ORCID 0000-0002-5738-2068
Robert GianforcaroUNC Health Care, Chapel Hill, NC, United States.ORCID 0000-0002-5536-8094

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe solution to the growing problem of rural residents lacking health care access may be found in the use of telemedicine and mobile health (mHealth). Using mHealth or telemedicine allows patients from rural or remote areas to have better access to health care.

objectiveThe objective of this study was to understand factors influencing the choice of communication medium for receiving care, through the analysis of mHealth versus telemedicine encounters with a virtual urgent clinic.

methodsWe conducted a postdeployment evaluation of a new virtual health care service, Virtual Urgent Clinic, which uses mHealth and telemedicine modalities to provide patient care. We used a multinomial logistic model to test the significance and predictive power of a set of features in determining patients' preferred method of telecare encounters-a nominal outcome variable of two levels (mHealth and telemedicine).

resultsPostdeployment, 1403 encounters were recorded, of which 1228 (87.53%) were completed with mHealth and 175 (12.47%) were telemedicine encounters. Patients' sex (P=.004) and setting (P<.001) were the most predictive determinants of their preferred method of telecare delivery, with significantly small P values of less than .01. Pearson chi-square test returned a strong indication of dependency between chief concern and encounter mediums, with an extremely small P<.001. Of the 169 mHealth patients who responded to the survey, 154 (91.1%) were satisfied by their encounter, compared with 31 of 35 (89%) telemedicine patients.

conclusionsWe studied factors influencing patients' choice of communication medium, either mHealth or telemedicine, for a virtual care clinic. Sex and geographic location, as well as their chief concern, were strong predictors of patients' choice of communication medium for their urgent care needs. This study suggests providing the option of mHealth or telemedicine to patients, and suggesting which medium would be a better fit for the patient based on their characteristics.

Indexed as

Choice BehaviorAdolescentAdultChildChild, PreschoolFemaleHealth Services AccessibilityHumansLogistic ModelsMaleMiddle AgedNorth CarolinaPatientsRural PopulationSurveys and QuestionnairesTelemedicinemHealthpredictive analyticstelemedicineurgent care

Identifiers

PMID31199332
PMCPMC6592402

What OpenQuestion holds

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LicenceCC BY
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.