ArticleJournal of urban health : bulletin of the New York Academy of Medicine2023
Telehealth as a Tool to Improve Access and Reduce No-Show Rates in a Large Safety-Net Population in the USA.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Systematic review and meta-analysis of no show or non-attendance rates among telehealth and in-person models of care.BMC health services research · 2025Pooled it
- Impact of a Telehealth Navigator Intervention on Hypertension Control Among Black Patients Served by Federally Qualified Health Centers.Journal of general internal medicine · 2026Observational
- Implementation outcomes from delivering 'acute-on-demand telehealth services' in primary care: a retrospective observational study.Family medicine and community health · 2026Observational
- Extreme Temperatures and Missed Pediatric Preventive Care Visits.JAMA network open · 2026Article
- The Influence of Structural Factors and Telemedicine on Missed Appointments Among Medicaid-Insured Patients.Journal of racial and ethnic health disparities · 2026Article
- Quality of Life Impact of Velopharyngeal Insufficiency: The Role of Social Determinants of Health.The Laryngoscope · 2026Article
- Review
- Developmental Assessment in Children at Higher Likelihood for Developmental Delays - Comparison of Parent Report and Direct Assessment.Journal of autism and developmental disorders · 2025Article
- Improving Access to Primordial and Primary Stroke Prevention: Global Considerations.Journal of the American Heart Association · 2025Review
- Predicting Missed Appointments in Primary Care: A Personalized Machine Learning Approach.Annals of family medicine · 2025Article
- Prevalence of Social Determinants of Health Risk Factors Among and Their Impact on Viral Suppression, Consistent Visits, and No-Show Rates Among Persons with HIV Who Identify as Hispanic.AIDS and behavior · 2025Article
- Digital Health Technology Use Among Spanish Speakers in the US: A Scoping Review.JAMA network open · 2025Article
- A Qualitative Analysis of Telemedicine Use Among Urban and Rural Patients With Urologic Malignancies.JU open plus · 2025Article
- Economic, Environmental, and Social Value of Virtual Care in Otolaryngology: Sustainability in Quality Improvement Framework.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- Trends in mental health care and telehealth use across area deprivation: An analysis of electronic health records from 2016 to 2024.PNAS nexus · 2025Article
- No-Show Rates at a Plastic Surgery Clinic: Insights From Appalachian Healthcare Systems.Cureus · 2025Article
- Perceptions, facilitators, and barriers of participation for a behavioral weight loss group-based telehealth program for breast cancer survivors: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Closing the gap: addressing telehealth disparities across specialties in the sustained pandemic era.NPJ digital medicine · 2024Article
- Understanding the causes of missingness in primary care: a realist review.BMC medicine · 2024Review
- The effects of a Virtual Fracture Care review protocol on secondary healthcare utilization in trauma patients requiring semi-acute surgery: a retrospective cohort study.Frontiers in digital health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Low-income populations are at higher risk of missing appointments, resulting in fragmented care and worsening disparities. Compared to face-to-face encounters, telehealth visits are more convenient and could improve access for low-income populations. All outpatient encounters at the Parkland Health between March 2020 and June 2022 were included. No-show rates were compared across encounter types (face-to-face vs telehealth). Generalized estimating equations were used to evaluate the association of encounter type and no-show encounters, clustering by individual patient and adjusting for demographics, comorbidities, and social vulnerability. Interaction analyses were performed. There were 355,976 unique patients with 2,639,284 scheduled outpatient encounters included in this dataset. 59.9% of patients were of Hispanic ethnicity, while 27.0% were of Black race. In a fully adjusted model, telehealth visits were associated with a 29% reduction in odds of no-show (aOR 0.71, 95% CI: 0.70-0.72). Telehealth visits were associated with significantly greater reductions in probability of no-show among patients of Black race and among those who resided in the most socially vulnerable areas. Telehealth encounters were more effective in reducing no-shows in primary care and internal medicine subspecialties than surgical specialties or other non-surgical specialties. These data suggest that telehealth may serve as a tool to improve access to care in socially complex patient populations.
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What OpenQuestion holds
Registered trials
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.