ArticleJournal of the American Geriatrics Society2021
Barriers to telehealth access among homebound older adults.
Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 2 of them syntheses that pooled it.
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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
100 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Facilitators of and Barriers to Accessing Hospital Medical Specialty Telemedicine Consultations During the COVID-19 Pandemic: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Technological advances and digital solutions to improve quality of life in older adults with chronic obstructive pulmonary disease: a systematic review.Aging clinical and experimental research · 2023Pooled it
- Experiences of Older Adults, Physiotherapists, and Aged Care Staff in the TOP UP Telephysiotherapy Program: Interview Study of the TOP UP Interventions.JMIR aging · 2024Trial
- Evaluation of Hybrid-Virtual Home Visits for Comprehensive Geriatric Management: A Quality Improvement Project.Journal of general internal medicine · 2026Article
- Trends in Telehealth Use and Changes in Associated Disparities: 2022-2024 HINTS.Journal of general internal medicine · 2026Article
- Acceptability and Usability of Telemedicine for Older Veterans in a Pilot Sample: Mixed Methods Study.JMIR formative research · 2026Article
- A Multidimensional Digital Health Platform to Support Intrinsic Capacity and Healthy Aging: Pilot Feasibility Study.JMIR aging · 2026Article
- Complete Digital Disconnection as a Prognostic Marker of Mortality or Residential-Care Transition in Older Adults With Cardiovascular Risk: A Nationally Representative Cohort Study.Research square · 2026Article
- Telehealth Use Among Older Adults Receiving Home- and Community-Based Services: Cross-Sectional Analysis Using the National Core Indicators-Aging and Disabilities Survey.JMIR human factors · 2026Article
- Student-Facilitated, Enhanced Telehealth Home Care for Older Adults and People with Disabilities.Journal of general internal medicine · 2026Article
- Feasibility of telephone-based telemedicine for gynecologic oncology follow-up in Brazil's public health system: a descriptive pilot study.Clinics (Sao Paulo, Brazil) · 2026Article
- A longitudinal analysis of overall and telehealth addiction treatment utilization three years after pandemic-related policy changes.Journal of substance use and addiction treatment · 2026Article
- Patient and Clinician Perspectives on Expanding Telehealth Use for Older Adults Across the Cancer Control Continuum: Mixed Methods Study.JMIR cancer · 2026Article
- The lived experiences with "online booking, offline service" home nursing care service from the perspectives of nurses and patients/family caregivers: a qualitative interview study.Frontiers in public health · 2026Article
- Article
- Telemedicine: a substitute or complement for home-based medical care? the experience of Medicare enrollees with dementia.Health affairs scholar · 2025Article
- Equity by Design - Using Digital Technology To Overcome Cardiovascular Health Disparities.Current cardiology reports · 2025Review
- Implementation of Telehealth Among Older People: A Challenge and Opportunity for Latin America and the Caribbean-A Literature Review.Healthcare (Basel, Switzerland) · 2025Review
- Differences in Challenges to Using Telehealth Among Older Adult Video and Telephone Users With Frailty: Retrospective Observational Study.Journal of medical Internet research · 2025Observational
- Real-World Comparison of Telemonitoring Versus Conventional Care in Patients With Chronic Obstructive Pulmonary Disease and Those With Asthma-Impact on Clinical Outcomes and Patient Characteristics: Retrospective Cohort Study.Journal of medical Internet research · 2025Observational
40 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
5 authors.
Funding
Abstract
BACKGROUND/
objectivesTo identify major barriers to video-based telehealth use among homebound older adults.
designCross-sectional survey.
settingA large home-based primary care (HBPC) program in New York City (NYC) serving 873 homebound patients living in the community.
participantsSixteen primary care physicians. MEASUREMENTS: An 11-item assessment of provider perceptions of patients' experience with and barriers to telehealth.
resultsAccording to physicians in the HBPC program, more than one-third (35%) of homebound patients (mean age of 82.7; 46.6% with dementia; mean of 4 comorbidities/patient) engaged in first-time video-based telehealth encounters between April and June 2020 during the first COVID-19 surge in NYC. The majority (82%) required assistance from a family member and/or paid caregiver to complete the visit. Among patients who had not used telehealth, providers deemed 27% (n = 153) "unable to interact over video" for reasons including cognitive or sensory impairment and 14% lacked access to a caregiver to assist them with technology. Physicians were not knowledgeable of their patients' internet connectivity, ability to pay for cellular plans, or video-capable device access.
conclusionThe COVID-19 pandemic resulted in a large and dramatic shift to video-based telehealth use in home-based primary care. However, 4 months into the pandemic a majority of patients had not participated in a video-based telehealth encounter due to a number of barriers. Patients lacking caregiver support to assist with technology may benefit from novel approaches such as the deployment of community health workers to assist with device setup. Physicians may not be able to identify potentially modifiable barriers to telehealth use among their patients, highlighting the need for better systematic data collection before targeted interventions to increase video-based telehealth use.
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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.