Evidence map›Paper›PMID 36345235›Full record

ArticleHealth services research2023

Variation in initial and continued use of primary, mental health, and specialty video care among Veterans.

Jacqueline M Ferguson, Charlie M Wray, Josephine Jacobs, Liberty Greene, Todd H Wagner, Michelle C Odden, Jeremy Freese, James Van Campen, Steven M Asch, Leonie Heyworth and 1 more

Abstract read
In one paragraph

Article in Health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Telehealth Use and Health Equity for Mental Health and Substance Use Disorder During the COVID-19 Pandemic: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Pooled it
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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

11 authors.

Jacqueline M FergusonCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA.ORCID 0000-0003-0027-387X
Charlie M WrayDepartment of Medicine, University of California San Francisco, San Francisco, California, USA.
Josephine JacobsHealth Economics Resource Center, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA.ORCID 0000-0003-0366-2985
Liberty GreeneCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA.
Todd H WagnerCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA.
Michelle C OddenGeriatric Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA.
Jeremy FreeseDepartment of Sociology, Stanford University, Stanford, California, USA.
James Van CampenCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA.
Steven M AschCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA.
Leonie HeyworthOffice of Connected Care/Telehealth, Department of Veterans Affairs Central Office, Washington, DC, USA.
Donna M ZulmanCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA.ORCID 0000-0001-8904-2810

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Helping VA optimize its long-term care servicesIK2HX002860 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI JOSEPHINE JACOBS · 2020 to 2026
–
Improving Access Through Targeted Delivery of TelemedicineIK2HX003139 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI WRAY, CHARLIE M · 2021 to 2025
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HSRD VA IK2 HX002860HSRD VA IK2 HX003139NCATS NIH HHS UL1 TR003142
6 · The paper itself

Abstract

objectiveTo identify which Veteran populations are routinely accessing video-based care. DATA SOURCES AND STUDY

settingNational, secondary administrative data from electronic health records at the Veterans Health Administration (VHA), 2019-2021. STUDY

designThis retrospective cohort analysis identified patient characteristics associated with the odds of using any video care; and then, among those with a previous video visit, the annual rate of video care utilization. Video care use was reported overall and stratified into care type (e.g., primary, mental health, and specialty video care) between March 10, 2020 and February 28, 2021. DATA COLLECTION: Veterans active in VA health care (>1 outpatient visit between March 11, 2019 and March 10, 2020) were included in this study. PRINCIPAL

findingsAmong 5,389,129 Veterans in this evaluation, approximately 27.4% of Veterans had at least one video visit. We found differences in video care utilization by type of video care: 14.7% of Veterans had at least one primary care video visit, 10.6% a mental health video visit, and 5.9% a specialty care video visit. Veterans with a history of housing instability had a higher overall rate of video care driven by their higher usage of video for mental health care compared with Veterans in stable housing. American Indian/Alaska Native Veterans had reduced odds of video visits, yet similar rates of video care when compared to White Veterans. Low-income Veterans had lower odds of using primary video care yet slightly elevated rates of primary video care among those with at least one video visit when compared to Veterans enrolled at VA without special considerations.

conclusionsVariation in video care utilization patterns by type of care identified Veteran populations that might require greater resources and support to initiate and sustain video care use. Our data support service specific outreach to homeless and American Indian/Alaska Native Veterans.

Indexed as

MedicineVeteransDelivery of Health CareHumansMental HealthRetrospective StudiesUnited StatesUnited States Department of Veterans AffairsVeterans Healthaccess to careCOVID-19delivery of health caredisparitiestelemedicineVeterans

Identifiers

PMID36345235
PMCPMC10012228

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.