Evidence map›Paper›PMID 35187571›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Challenges and strategies for promoting health equity in virtual care: findings and policy directions from a scoping review of reviews.

Suman Budhwani, Jamie Fujioka, Tyla Thomas-Jacques, Kristina De Vera, Priyanka Challa, Ryan De Silva, Kaitlin Fuller, Simone Shahid, Sophie Hogeveen, Shivani Chandra and 3 more

Open access · greenAbstract readScoping Review
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
12.8field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Article
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  11. Review
  12. Equity by design principles for digital health interventions.International journal for equity in health · 2025
    Article
  13. Review
  14. Article
  15. Article
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  17. Article
  18. Digital health equity frameworks and key concepts: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  19. Review
  20. 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

13 authors at 3 institutions in 1 country.

Suman BudhwaniWomen's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada.ORCID 0000-0002-6043-149X
Jamie FujiokaWomen's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada.
Tyla Thomas-JacquesWomen's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada.
Kristina De VeraInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Priyanka ChallaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Ryan De SilvaWomen's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada.
Kaitlin FullerUniversity of Toronto Libraries, University of Toronto, Toronto, Ontario, Canada.
Simone ShahidWomen's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada.
Sophie HogeveenWomen's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada.
Shivani ChandraWomen's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada.
R Sacha BhatiaDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Emily SetoInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
James ShawWomen's College Hospital Institute for Health System Solutions and Virtual Care, Toronto, Ontario, Canada.
Women's College Hospital · CAUniversity of Toronto · CAUniversity Health Network · CA

Funding

Ontario Ministry of Health
6 · The paper itself

Abstract

objectiveWe sought to understand and synthesize review-level evidence on the challenges associated with accessibility of virtual care among underserved population groups and to identify strategies that can improve access to, uptake of, and engagement with virtual care for these populations. MATERIALS AND

methodsA scoping review of reviews was conducted (protocol available at doi: 10.2196/22847). A total of 14 028 records were retrieved from MEDLINE, EMBASE, CINAHL, Scopus, and Epistemonikos databases. Data were abstracted, and challenges and strategies were identified and summarized for each underserved population group and across population groups.

resultsA total of 37 reviews were included. Commonly occurring challenges and strategies were grouped into 6 key thematic areas based on similarities across communities: (1) the person's orientation toward health-related needs, (2) the person's orientation toward health-related technology, (3) the person's digital literacy, (4) technology design, (5) health system structure and organization, and (6) social and structural determinants of access to technology-enabled care. We suggest 4 important directions for policy development: (1) investment in digital health literacy education and training, (2) inclusive digital health technology design, (3) incentivizing inclusive digital health care, and (4) investment in affordable and accessible infrastructure. DISCUSSION AND

conclusionChallenges associated with accessibility of virtual care among underserved population groups can occur at the individual, technological, health system, and social/structural determinant levels. Although the policy approaches suggested by our review are likely to be difficult to achieve in a given policy context, they are essential to a more equitable future for virtual care.

Indexed as

Health EquityHealth LiteracyDelivery of Health CareHumansPolicyReview Literature as Topichealth equityscoping reviewsocial determinants of healthtelemedicinevirtual care

Identifiers

PMID35187571
PMCPMC9006706
OpenAlexW4212821862

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.