Evidence map›Paper›PMID 31404707›Full record

ReviewAcademic pediatrics

Connected Subspecialty Care: Applying Telehealth Strategies to Specific Referral Barriers.

Kristin N Ray, Jeremy M Kahn

Abstract readReview
In one paragraph

Review in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

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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

2 authors.

Kristin N RayDepartment of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh of UPMC (KN Ray), Pittsburgh, Pa. Electronic address: Kristin.Ray@chp.edu.
Jeremy M KahnDepartment of Health Policy and Management, University of Pittsburgh Graduate School of Public Health (JM Kahn), Pittsburgh, Pa; Department of Critical Care Medicine, CRISMA Center, University of Pittsburgh School of Medicine (JM Kahn), Pittsburgh, Pa.

Funding

Optimizing Pediatric Subspecialty Care Through Telemedicine and e-ConsultationsK23HD088642 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N · 2017 to 2020
$520k
NICHD NIH HHS K23 HD088642
6 · The paper itself

Abstract

Nearly a quarter of families of children with need of subspecialty care report difficulty accessing that care. Telehealth is a method to overcome barriers to subspecialty care. However, improving access to subspecialty care through telehealth requires granular identification of specific subspecialty barriers and recognition of the strengths and limitations of each telehealth strategy for addressing identified barriers. Focusing on each sequential step in subspecialty referrals and potential associated barriers, we summarize specific telehealth and technology-enabled strategies to improve access to subspecialty care, including electronic consultations, live interactive telemedicine, store-and-forward telemedicine, tele-mentoring, patient portals, and remote patient monitoring. Intentionally selecting telehealth strategies to target specific subspecialty referral barriers may avoid risks from misapplication of telehealth, may more clearly elevate equitable access as an essential goal within telehealth initiatives, and may also lead to synergistic use of strategies that overcome sequential barriers.

Indexed as

Health Services AccessibilityPediatricsPhysicians, Primary CareReferral and ConsultationSpecializationTelemedicineChildDelivery of Health CareHumansMentoringMonitoring, AmbulatoryPatient PortalsRemote Consultationaccessconsultationreferraltelehealthtelemedicine

Identifiers

PMID31404707
PMCPMC6944761

What OpenQuestion holds

Textmetadata
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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.