[Beyond benefit evaluation: Considering the unintended consequences of telehealth].

H Alami, M-P Gagnon, A Côté, C N Kostović, M A Ag Ahmed, M A Samri, J-P Fortin

Abstract readEnglish Abstract

In one paragraph

Article in Ethics, medicine, and public health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it

0cells of the map it votes in

2citing 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

2 citing papers in PubMed.

Methodology for a Series of Rapid Reviews on Virtual Care in Rehabilitation, Reviewing Its Advantages and Challenges to Inform Best Practices.Clinics and practice · 2024
Article
Telemedicine perceptions and experiences of socially vulnerable households during the early stages of the COVID-19 pandemic: a qualitative study.CMAJ open
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

7 authors.

H AlamiDépartement de gestion, d'évaluation et de politique de santé, école de santé publique de l'université de Montréal, Montréal, QC, Canada.

M-P GagnonCentre de recherche en santé durable VITAM, Québec, QC, Canada.

A CôtéCentre de recherche en santé durable VITAM, Québec, QC, Canada.

C N KostovićInstitut national d'excellence en santé et services sociaux (INESSS), Montréal, QC, Canada.

M A Ag AhmedChaire de recherche sur les maladies chroniques en soins de première ligne, université de Sherbrooke, Chicoutimi, QC, Canada.

M A SamriCentre de recherche en santé durable VITAM, Québec, QC, Canada.

J-P FortinCentre de recherche en santé durable VITAM, Québec, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Telehealth is seen as a key lever in health policy choices. However, many challenges remain in terms of its successful integration into clinical practices. To date, many telehealth initiatives are struggling to move beyond the pilot project stage. This is partly due to a culture of innovation that is mainly focused on the expected benefits of the technology and less on the changes and transformations it can generate. Telehealth is used in health care organizations with complex social dynamics, to say the least. Its introduction has unintended consequences that can affect patients, communities, professionals, organizations, health systems and society as a whole. The aim of this article is to discuss some of the unintended consequences of using telehealth in health care organizations and systems.

Indexed as

Health facilitiesHealth policyHealth systemsTelehealth

Identifiers

PMID33015274

DOI10.1016/j.jemep.2020.100596

PMCPMC7522630

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.