ArticleJournal of the American Medical Informatics Association : JAMIA2021
Virtual care expansion in the Veterans Health Administration during the COVID-19 pandemic: clinical services and patient characteristics associated with utilization.
Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 158 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
158 citing papers in PubMed, 3 syntheses or guidelines pooled it, 261 citations in OpenAlex.
- Patient perspectives on telehealth access among people experiencing homelessness: a rapid review.International journal for equity in health · 2026Pooled it
- COVID-19 in the homeless population: a scoping review and meta-analysis examining differences in prevalence, presentation, vaccine hesitancy and government response in the first year of the pandemic.BMC infectious diseases · 2023Pooled it
- Modality and terminology changes for behavioral health service delivery during the COVID-19 pandemic: a systematic review.Frontiers in psychiatry · 2023Pooled it
- Mobile and Web-Based Partnered Intervention to Improve Remote Access to Pain and Posttraumatic Stress Disorder Symptom Management: Recruitment and Attrition in a Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Clinician Experiences With Tele-Emergency Care: Qualitative Study.Journal of medical Internet research · 2026Article
- Healthcare System Resilience and Adaptation: A 6-Year Analysis of Heart Failure Care in the Veterans Affairs System.Circulation. Heart failure · 2026Article
- Temporal Trends and Sociodemographic Differences in Telemedicine Utilization, 2019-2024.Journal of general internal medicine · 2026Article
- Clinician Decision-Making Around Offering Home Video Telehealth Visits: Qualitative Study.JMIR formative research · 2026Article
- The telehealth engagement measure: a proportions-based measure of care delivered via video and phone for research, clinical, and policy assessments.JAMIA open · 2026Article
- Telemental Healthcare and HIV Care: A National Study of US Veterans with HIV during COVID-19.AIDS and behavior · 2026Article
- The Effect of Veteran Race and Socioeconomic Status on Enrollment in Remote Patient Monitoring for Hypertension: Retrospective Observational Cross-Sectional Study.Journal of medical Internet research · 2026Observational
- Primary Care Continuity and Utilization Patterns for Veterans With Homeless Experience.JAMA network open · 2026Observational
- Primary Care by Telehealth and Care Quality in the Veterans Health Administration.JAMA network open · 2026Article
- National Trends in Telehealth Utilization, 2020-2023: Post-Pandemic Trends from the Medical Expenditure Panel Survey.Healthcare (Basel, Switzerland) · 2026Article
- Willingness for video visits for non-emergent health issues, mental health, or specialty visits.Frontiers in digital health · 2026Article
- Understanding the value of virtual care technologies: development of a framework in the veterans health administration.Frontiers in digital health · 2026Article
- Article
- Machine learning predicts diabetes risk in high-risk populations: analysis of National Health and Nutrition Examination Survey data.Archives of medical science : AMS · 2026Article
- Health care access from the rural perspective: A narrative review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Review
- Offering in-home video visits: a descriptive national survey of interprofessional clinicians across Veterans Health Administration.Frontiers in digital health · 2026Article
98 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe the shift from in-person to virtual care within Veterans Affairs (VA) during the early phase of the COVID-19 pandemic and to identify at-risk patient populations who require greater resources to overcome access barriers to virtual care. MATERIALS AND
methodsOutpatient encounters (N = 42 916 349) were categorized by care type (eg, primary, mental health, etc) and delivery method (eg, in-person, video). For 5 400 878 Veterans, we used generalized linear models to identify patient sociodemographic and clinical characteristics associated with: 1) use of virtual (phone or video) care versus no virtual care and 2) use of video care versus no video care between March 11, 2020 and June 6, 2020.
resultsBy June, 58% of VA care was provided virtually compared to only 14% prior. Patients with lower income, higher disability, and more chronic conditions were more likely to receive virtual care during the pandemic. Yet, Veterans aged 45-64 and 65+ were less likely to use video care compared to those aged 18-44 (aRR 0.80 [95% confidence interval (CI) 0.79, 0.82] and 0.50 [95% CI 0.48, 0.52], respectively). Rural and homeless Veterans were 12% and 11% less likely to use video care compared to urban (0.88 [95% CI 0.86, 0.90]) and nonhomeless Veterans (0.89 [95% CI 0.86, 0.92]). DISCUSSION: Veterans with high clinical or social need had higher likelihood of virtual service use early in the COVID-19 pandemic; however, older, homeless, and rural Veterans were less likely to have video visits, raising concerns for access barriers. CONCLUSIONS AND RELEVANCE: While virtual care may expand access, access barriers must be addressed to avoid exacerbating disparities.
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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.