Evidence map›Paper›PMID 36561900›Full record

ArticlePublic health action2022

Using digital chatbots to close gaps in healthcare access during the COVID-19 pandemic.

C Tzelios, C Contreras, B Istenes, A Astupillo, L Lecca, K Ramos, L Ramos, K Roca, J T Galea, M Tovar and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Public health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Building EVA (Journal of medical Internet research · 2026
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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

12 authors at 5 institutions in 2 countries.

C TzeliosHarvard Medical School, Boston, MA, USA.
C ContrerasSocios En Salud-Sucursal Perú, Lima, Perú.
B IstenesPartners In Health, Boston, MA, USA.
A AstupilloSocios En Salud-Sucursal Perú, Lima, Perú.
L LeccaSocios En Salud-Sucursal Perú, Lima, Perú.
K RamosSocios En Salud-Sucursal Perú, Lima, Perú.
L RamosSocios En Salud-Sucursal Perú, Lima, Perú.
K RocaSocios En Salud-Sucursal Perú, Lima, Perú.
J T GaleaSchool of Social Work, University of South Florida, Tampa, FL, USA.
M TovarSocios En Salud-Sucursal Perú, Lima, Perú.
C D MitnickPartners In Health, Boston, MA, USA.
J PeinadoSocios En Salud-Sucursal Perú, Lima, Perú.
EsSALUD · PEPeruvian University of Applied Sciences · PEHarvard Global Health Institute · USHarvard University · USPartners In Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChatbots have emerged as a first link to care in recent years. The COVID-19 pandemic, and consequent health system disruptions, expanded their use. Socios En Salud (SES) introduced chatbots in Peru, which experienced one of the highest excess COVID mortalities in the world.

methodsSES and the government identified unmet population health needs, which could be amenable to virtual interventions. Chatbots were developed to screen individuals for these conditions; we describe the period of deployment, number of screenings, and number of people who received services.

resultsBetween April 2020 and May 2021, SES deployed nine ChatBots: four for mental health, two for maternal and child health, and three for chronic diseases: breast cancer, hypertension, diabetes mellitus, and obesity. Mental health services were provided to 42,932 people, 99.99% of those offered services. The other ChatBots reached fewer people. Overall, more than 50% of eligible people accepted chatbot-based services. DISCUSSION: ChatBot use was highest for mental health. Chatbots may increase connections between a vulnerable population and health services; this is likely dependent on several factors, including condition, population, and penetration of smart phones. Future research will be critical to understand user experience and preferences and to ensure that chatbots link vulnerable populations to appropriate, high-quality care.

Indexed as

e-healthhealthcare utilizationinnovationmental healthSARS-CoV-19

Identifiers

PMID36561900
PMCPMC9716819
OpenAlexW4310761679

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.