Evidence map›Paper›PMID 35675839›Full record

ArticleApplied clinical informatics2022

An Evidence-Based Roadmap for the Provision of More Equitable Telemedicine.

Ryan Jelinek, Deepti Pandita, Mark Linzer, Jeremy Bikah Bi Nguema Engoang, Holly Rodin

Open access · bronzeAbstract read
In one paragraph

Article in Applied clinical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. AMIA's Focus on Diversity, Equity, and Inclusion.Applied clinical informatics · 2022
    Article
  8. 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

5 authors at 2 institutions in 1 country.

Ryan JelinekDepartment of Medicine, Hennepin Healthcare, and University of Minnesota, Minneapolis, Minnesota, United States.
Deepti PanditaDepartment of Medicine, Hennepin Healthcare, and University of Minnesota, Minneapolis, Minnesota, United States.
Mark LinzerDepartment of Medicine, Hennepin Healthcare, and University of Minnesota, Minneapolis, Minnesota, United States.
Jeremy Bikah Bi Nguema EngoangAnalytics Center of Excellence, Hennepin Healthcare, Minneapolis, Minnesota, United States.
Holly RodinAnalytics Center of Excellence, Hennepin Healthcare, Minneapolis, Minnesota, United States.
Hennepin Healthcare Research Institute · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDuring the coronavirus disease 2019 pandemic, as a safety-net organization with a substantial percentage of patients of color and with limited English proficiency (LEP), we were wary of furthering health disparities in our community. We analyzed gaps in telemedicine (telephone and video) delivery in our communities, quantified the effects of our tests of change, and began the process of accumulating evidence to create a road map for other organizations.

methodsWe leveraged Lean problem-solving strategies to identify modifiable gaps across multiple domains that could inhibit equity in telemedicine. We implemented tests of change across domains of community engagement, technology, education, and access. We observed the proportion of telemedicine encounters across races and languages between April and November, 2020. Regression analyses tested the impact of race and language on telemedicine controlling for age, gender, insurance, and time.

resultsSeveral rounds of changes and enhancements were associated with changes in telemedicine use of +5.5% (

conclusionOur roadmap to improve equitable delivery of telemedicine was associated with a significant improvement in telemedicine use among certain minority populations. Most populations of color used telephone more often than video. This preference changed over time and with equity-focused changes in telemedicine delivery.

Indexed as

COVID-19TelemedicineHispanic or LatinoHumansPandemicsTelephone

Identifiers

PMID35675839
PMCPMC9179235
OpenAlexW4281735211

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.