Evidence map›Paper›PMID 34919208›Full record

ArticleJournal of general internal medicine2022

Delivering Urgent Care Using Telemedicine: Insights from Experienced Clinicians at Academic Medical Centers.

Natalie Laub, Anish K Agarwal, Catherine Shi, Arianna Sjamsu, Krisda Chaiyachati

Open access · hybridAbstract read
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
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

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Clinician Experiences With Tele-Emergency Care: Qualitative Study.Journal of medical Internet research · 2026
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  6. Usability and Feasibility of an in-Home Remote Exam Device in Children with Medical Complexity During the COVID-19 Pandemic.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
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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

5 authors at 4 institutions in 1 country.

Natalie LaubDivision of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. laubn@email.chop.edu.ORCID 0000-0002-1605-5140
Anish K AgarwalPenn Medicine Center for Health Care Innovation, Philadelphia, PA, USA.
Catherine ShiPenn Medicine Center for Health Care Innovation, Philadelphia, PA, USA.
Arianna SjamsuNew York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.
Krisda ChaiyachatiPenn Medicine Center for Health Care Innovation, Philadelphia, PA, USA.
Penn Center for AIDS Research · USChildren's Hospital of Philadelphia · USHospital of the University of Pennsylvania · USNew York Institute of Technology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCare delivered using telemedicine has been steadily growing in the USA but represented a small fraction of overall visits before the COVID-19 pandemic as few clinicians had been providing care using telemedicine. Understanding how experienced clinicians have practiced telemedicine can help guide today's exponential adoption of telemedicine.

objectiveThe objective of this study was to explore barriers and facilitators to providing effective, high-quality urgent care using telemedicine ("tele-urgent care") from the perspective of clinicians experienced in telemedicine. APPROACH: We conducted semi-structured interviews between July 2018 and March 2019 of clinicians who had been providing tele-urgent care services to patients as a part of their routine clinical practice. Themes were identified using content analysis with a constant comparative coding approach. KEY

resultsAmong the 20 clinicians interviewed, the majority were female (90%) and nurse practitioners (65%). We identified four themes related to barriers and facilitators to providing effective, high-quality tele-urgent care. Workplace factors such as a strong information technology (IT) infrastructure, real-time IT support, an electronic health record, and a collegial work environment, often virtual, were necessary standards. Communication and exam techniques from in-person encounters were adapted to tele-urgent care including active listening skills and teaching patients to conduct specific exam maneuvers virtually. The convenience of tele-urgent care should be preserved to support improvements in access to care. Finally, patients and clinicians occasionally had mismatched expectations about what could or would be provided during a tele-urgent care encounter. Managing the added tension that can occur during a telemedicine encounter was important.

conclusionAs telemedicine becomes an integral part of the care continuum, incorporating and accounting for these key insights when we train and support clinicians will be necessary to provide effective, high-quality care to patients in the future.

Indexed as

COVID-19TelemedicineAcademic Medical CentersAmbulatory CareFemaleHumansMalePandemicsSARS-CoV-2provider experiencestelemedicineurgent care

Identifiers

PMID34919208
PMCPMC8680069
OpenAlexW4200029006

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.