Evidence map›Paper›PMID 35698186›Full record

ArticleBMC health services research2022

Behavioral healthcare organizations' experiences related to use of telehealth as a result of the COVID-19 pandemic: an exploratory study.

Abby Kisicki, Sara Becker, Michael Chaple, David H Gustafson, Bryan J Hartzler, Nora Jacobson, Ann A Murphy, Stephanie Tapscott, Todd Molfenter

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

9 authors at 6 institutions in 1 country.

Abby KisickiCenter for Health Enhancement Systems Studies, University of Wisconsin-Madison, 1513 University Ave., WI, 53706, Madison, USA. kisicki@wisc.edu.
Sara BeckerCenter for Alcohol and Addictions Studies, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA.
Michael ChapleDivision On Substance Use Disorders, New York State Psychiatric Institute, Columbia University Irving Medical Center, 1051 Riverside Drive, New York, NY, 10032, USA.
David H GustafsonCenter for Health Enhancement Systems Studies, University of Wisconsin-Madison, 1513 University Ave., WI, 53706, Madison, USA.
Bryan J HartzlerAlcohol & Drug Abuse Institute, University of Washington, 1107 NE 45th Street, Suite 120, Seattle, WA, 98105, USA.
Nora JacobsonInstitute for Clinical and Translational Research, Community Academic Partnerships Program, University of Wisconsin-Madison School of Nursing, 701 Highland Ave, Madison, WI, 53705, USA.
Ann A MurphyDepartment of Psychiatric Rehabilitation and Counseling Professions, Rutgers, The State University of New Jersey, 675 Hoes Lane West, Piscataway, NJ, 08854, USA.
Stephanie TapscottDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, 1518 Clifton Rd., Atlanta, GA, 30322, USA.
Todd MolfenterCenter for Health Enhancement Systems Studies, University of Wisconsin-Madison, 1513 University Ave., WI, 53706, Madison, USA.
University of Wisconsin–Madison · USBrown University · USColumbia University · USEmory University · USRutgers, The State University of New Jersey · USUniversity of Washington · US

Funding

SAMHSA HHS H79SM081733SAMHSA HHS H79SM081774SAMHSA HHS H79SM081783SAMHSA HHS R01DS044159SAMHSA HHS UR1TI080201SAMHSA HHS UR1TI080209SAMHSA HHS UR1TI082504
6 · The paper itself

Abstract

backgroundDue to the COVID-19 pandemic, healthcare providers were forced to shift many services quickly from in-person to virtual, including substance use disorder (SUD) and mental health (MH) treatment services. This led to a sharp increase in telehealth services, with health systems seeing patients virtually at hundreds of times the rate as before the onset of the COVID-19 pandemic. By analyzing qualitative data about SUD and MH care organizations' experiences using telehealth, this study aims to elucidate emergent themes related to telehealth use by the front-line behavioral health workforce.

methodsThis study uses qualitative data from large-scale web surveys distributed to SUD and MH organizations between May and August 2020. At the end of these surveys, the following question was posed in free-response form: "Is there anything else you would like to say about use of telehealth during or after the COVID-19 pandemic?" Respondents were asked to answer on behalf of their organizations. The 391 responses to this question were analyzed for emergent themes using a conventional approach to content analysis.

resultsThree major themes emerged: COVID-specific experiences with telehealth, general experiences with telehealth, and recommendations to continue telehealth delivery. Convenience, access to new populations, and lack of commute were frequently cited advantages of telehealth, while perceived ineffectiveness of and limited access to technology were frequently cited disadvantages. Also commonly mentioned was the relaxation of reimbursement regulations. Respondents supported continuation of relaxed regulations, increased institutional support, and using a combination of telehealth and in-person care in their practices.

conclusionsThis study advanced our knowledge of how the behavioral health workforce experiences telehealth delivery. Further longitudinal research comparing treatment outcomes of those receiving in-person and virtual services will be necessary to undergird organizations' financial support, and perhaps also legislative support, for virtual SUD and MH services.

Indexed as

COVID-19Mental Health ServicesSubstance-Related DisordersTelemedicineHealth WorkforceHumansPandemicsMental healthQualitative researchReimbursementSubstance use disorderTelehealthVirtual services

Identifiers

PMID35698186
PMCPMC9189799
OpenAlexW4282825912

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.