Evidence map›Paper›PMID 31340022›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

Advancing health equity and access using telemedicine: a geospatial assessment.

Saif Khairat, Timothy Haithcoat, Songzi Liu, Tanzila Zaman, Barbara Edson, Robert Gianforcaro, Chi-Ren Shyu

Abstract read
In one paragraph

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 87 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 3 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

87 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Teledermatology in Atopic Dermatitis: A Systematic Review.Journal of cutaneous medicine and surgery
    Pooled it
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  16. Community-Level Internet Connectivity and Utilization of Maternal Telehealth.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2025
    Article
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  18. Observational
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  20. Review

27 more citing papers are in PubMed but not listed here.

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.

Saif KhairatSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Timothy HaithcoatMU Informatics Institute, University of Missouri, Columbia, Missouri, USA.
Songzi LiuSchool of Information and Library Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Tanzila ZamanCarolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Barbara EdsonVirtual Care Center, UNC Healthcare, Chapel Hill, North Carolina, USA.
Robert GianforcaroVirtual Care Center, UNC Healthcare, Chapel Hill, North Carolina, USA.
Chi-Ren ShyuMU Informatics Institute, University of Missouri, Columbia, Missouri, USA.

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
Massive and Complex Data Analytics Pre-Doctoral Training in One HealthT32LM012410 · NLM · UNIVERSITY OF MISSOURI-COLUMBIA · PI SHYU, CHI-REN · 2016 to 2020
$1.2M
NCATS NIH HHS UL1 TR002489NLM NIH HHS T32 LM012410
6 · The paper itself

Abstract

introductionHealth disparity affects both urban and rural residents, with evidence showing that rural residents have significantly lower health status than urban residents. Health equity is the commitment to reducing disparities in health and in its determinants, including social determinants.

objectiveThis article evaluates the reach and context of a virtual urgent care (VUC) program on health equity and accessibility with a focus on the rural underserved population. MATERIALS AND

methodsWe studied a total of 5343 patient activation records and 2195 unique encounters collected from a VUC during the first 4 quarters of operation. Zip codes served as the analysis unit and geospatial analysis and informatics quantified the results.

resultsThe reach and context were assessed using a mean accumulated score based on 11 health equity and accessibility determinants calculated for each zip code. Results were compared among VUC users, North Carolina (NC), rural NC, and urban NC averages.

conclusionsThe study concluded that patients facing inequities from rural areas were enabled better healthcare access by utilizing the VUC. Through geospatial analysis, recommendations are outlined to help improve healthcare access to rural underserved populations.

Indexed as

Ambulatory CareHealthcare DisparitiesHealth EquityHealth Services AccessibilityTelemedicineGeography, MedicalHumansNorth CarolinaRural Health ServicesVulnerable Populationsgeospatialhealth accesshealth disparitiessocial determinatesTelemedicine

Identifiers

PMID31340022
PMCPMC6696489

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.