ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2021
Evaluating Telehealth Adoption and Related Barriers Among Hospitals Located in Rural and Urban Areas.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
67 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Telehealth-guided provider-to-provider communication to improve rural health: A systematic review.Journal of telemedicine and telecare · 2024Pooled it
- Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies.Annals of family medicinePooled it
- Geographic Disparities in Access to Broadband, Ambulance Services, and Health Care and Implications for Telehealth.JAMA health forum · 2026Article
- AI Software Among Commercially Insured Populations: Cross-Sectional Study of Patient and Plan Characteristics.JMIR formative research · 2026Article
- Healthcare unplugged: Disparities in broadband internet and health facility access among US counties.PLOS digital health · 2026Article
- Clinician Decision-Making Around Offering Home Video Telehealth Visits: Qualitative Study.JMIR formative research · 2026Article
- A Qualitative Exploration of the Drivers of Rural Hospital Participation in a Technical Assistance Program.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Impact of State Telemedicine Policies on Substance Use Disorder Treatment During the COVID-19 Pandemic.Journal of general internal medicine · 2026Article
- Healthcare for People With Diabetes in Pregnancy: A National Survey Comparing Metropolitan and Rural Care Delivery in Australia.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Mortality Trends from Acute MI with Underlying CKD in the US from 1999 to 2020: A Cross-Sectional Analysis of the CDC WONDER Database.International urology and nephrology · 2026Article
- A Frontline Worker's Take on Hybrid Care Implementation in the Hospital Setting.Journal of medical Internet research · 2026Article
- Role of telemedicine in bridging the healthcare gap: application of the hub and spokes model in the Hohoe Municipality, Ghana.Frontiers in digital health · 2026Article
- Evaluation of a rural telerheumatology service in the Gilgit-Baltistan region of Pakistan: patient and physician experience.Clinical rheumatology · 2026Review
- Geographic and Policy Factors Influence Telehealth Availability for Substance Use Disorder Treatment.The journal of behavioral health services & research · 2026Article
- Implementing virtual diabetes self-management education in two health systems (VIDA): a mixed-methods pilot study.Frontiers in clinical diabetes and healthcare · 2026Article
- Trends in Dementia Associated Mortality among Patients with Underlying Stroke: A Nationwide Retrospective Analysis (1999-2023).Journal of epidemiology and global health · 2025Article
- Early adoption of telehealth/remote patient monitoring and hospital revenue changes during COVID-19.Journal of telemedicine and telecare · 2025Article
- Operational challenges and adaptive leadership in emergency departments in the United States of America: a mixed-methods analysis.BMC emergency medicine · 2025Article
- Review
- Schizophrenia, Bipolar, or Major Depressive Disorder and Postacute Sequelae of COVID-19.JAMA network open · 2025Article
7 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
purposeTo assess telehealth adoption among hospitals located in rural and urban areas, and identify barriers related to enhanced telehealth capabilities in the areas of patient engagement and health information exchange (HIE) capacity with external providers and community partners.
methodsWe used the 2018 American Hospital Association (AHA) Annual Survey and IT Supplement Survey. We applied state fixed effects multivariate analyses and Oaxaca decomposition to estimate the variation of outcomes of interest by hospital geographies.
findingsOur research showed substantial differences in telehealth adoption among hospitals located in rural, micropolitan, and metropolitan areas, where adoption rates increase with urbanicity. Rural hospitals were least likely to have telehealth systems with patient engagement capabilities such as the ability to view their health information online and electronically transmit medical information to a third party. They were also the least likely to report that clinical information was available electronically from outside providers. Our model explained 65% of the rural/urban difference in telehealth adoption, 55% of the number of telehealth services adopted, and 43%-49% of the rural/urban difference in telehealth barriers.
conclusionFindings demonstrated significant barriers to telehealth use among hospitals located in rural and urban areas. For rural hospitals, barriers include lack of HIE capacity among health care providers in the community, and lack of patient engagement capability.
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