ArticleAcademic pediatrics2020
Telemedicine and Outpatient Subspecialty Visits Among Pediatric Medicaid Beneficiaries.
Article in Academic pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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
23 citing papers in PubMed.
- Telemedicine for new immigrant children in the US: a tool for equity or another layer of disparity?Frontiers in pediatrics · 2026Review
- Virtually the same, but remotely different: health professionals, parents and children's experiences of remote out-patient consultations.Rheumatology (Oxford, England) · 2025Article
- Telehealth, medical decisions and new health inequality in China.BMC public health · 2025Article
- Funding the future: safeguarding pediatric health equity through CMS and CHIP.Frontiers in public health · 2025Review
- Geographic disparities in telemedicine mental health use by applying three way ANOVA on Medicaid claims population data.BMC health services research · 2024Article
- More than One Divide: A Multilevel View of the Digital Determinants of Health.The Journal of pediatrics · 2024Article
- Agreement between parent-report and EMR height, weight, and BMI among rural children.Frontiers in nutrition · 2024Article
- Pediatric Primary Care Telemedicine: Perspectives from English- and Spanish-Speaking Medicaid Enrollees.Telemedicine reports · 2024Article
- Scheduled and attended pediatric primary care telemedicine appointments during COVID-19.Pediatric research · 2023Article
- Perceived Usefulness of Increased Telemedicine Use by Pediatric Subspecialists: A National Survey.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022Article
- Disparities in Telemedicine Utilization for Urology Patients During the COVID-19 Pandemic.Urology · 2022Review
- Use of Telehealth Across Pediatric Subspecialties Before and During the COVID-19 Pandemic.JAMA network open · 2022Article
- Preoperative virtual video visits only: a convenient option that should be offered to caregivers beyond the pandemic.World journal of pediatric surgery · 2022Article
- COVID-19 and Pediatric Gastroenterology.Pediatric clinics of North America · 2021Review
- Applying Telemedicine to Multidisciplinary Pediatric Inflammatory Bowel Disease Care.Children (Basel, Switzerland) · 2021Article
- Growth and changes in the pediatric medical subspecialty workforce pipeline.Pediatric research · 2021Article
- Telehealth in Multiple Sclerosis Clinical Care and Research.Current neurology and neuroscience reports · 2021Review
- Pediatric Subspecialty Adoption of Telemedicine Amidst the COVID-19 Pandemic: An Early Descriptive Analysis.Frontiers in pediatrics · 2021Article
- Growth of Ambulatory Virtual Visits and Differential Use by Patient Sociodemographics at One Urban Academic Medical Center During the COVID-19 Pandemic: Retrospective Analysis.JMIR medical informatics · 2020Article
- Reimbursement patterns and user experiences in pediatric allergy home telehealth.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveLive interactive telemedicine is increasingly covered by state Medicaid programs, but whether telemedicine is improving equity in utilization of subspecialty care is not known. We examined patterns of telemedicine use for outpatient pediatric subspecialty care within the state Medicaid programs.
methodsWe identified children ≤17 years old in 2014 Medicaid Analysis eXtract data for 12 states. We identified telemedicine-using and telemedicine-nonusing medical and surgical subspecialists. Among children cared for by telemedicine-using subspecialists, we assessed child and subspecialist characteristics associated with any telemedicine visit using logistic regression with subspecialist-level random effects. Among children cared for by telemedicine-using and nonusing subspecialists, we compared visit rates across child characteristics by assessing negative binomial regression interaction terms.
resultsOf 12,237,770 pediatric Medicaid beneficiaries, 2,051,690 (16.8%) had ≥1 subspecialist visit. Of 42,695 subspecialists identified, 146 (0.3%) had ≥1 telemedicine claim. Among children receiving care from telemedicine-using subspecialists, likelihood of any telemedicine use was increased for rural children (odds ratio [OR] 10.4, 95% confidence interval [CI] 6.3-17.1 compared to large metropolitan referent group) and those >90 miles from the subspecialist (OR 13.4, 95% CI 10.2-17.7 compared to 0-30 mile referent group). Compared to children receiving care from telemedicine-nonusing subspecialists, matched children receiving care from telemedicine-using subspecialists had larger differences in visit rates by distance to care, county rurality, ZIP code median income, and child race/ethnicity (P < .001 for interaction terms).
conclusionsChildren in rural communities and at distance to subspecialists had increased likelihood of telemedicine use. Use overall was low, and results indicated that early telemedicine policies and implementation did not close disparities in subspecialty visit rates by child geographic and sociodemographic characteristics.
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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.