Evidence map›Paper›PMID 37020792›Full record

ArticleJournal of health care for the poor and underserved2021

Clinician experience with telemedicine at a safety-net hospital network during COVID-19: a cross-sectional survey.

Anjana E Sharma, Elaine C Khoong, Malini A Nijagal, Courtney R Lyles, George Su, Triveni DeFries, Urmimala Sarkar, Delphine Tuot

Open access · bronzeAbstract read
In one paragraph

Article in Journal of health care for the poor and underserved, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
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  11. Telehealth experiences of providers and patients who use augmentative and alternative communication.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  12. 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

8 authors at 2 institutions in 2 countries.

Anjana E SharmaCenter for Excellence in Primary Care, Dept of Family and Community Medicine, UCSF (University of California San Francisco) School of Medicine and the UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital (CVP).
Elaine C KhoongDivision of General Internal Medicine, UCSF School of Medicine, and CVP.
Malini A NijagalDepartment of Obstetrics, Gynecology and Reproductive Sciences, ZSFG and UCSF.
Courtney R LylesDivision of General Internal Medicine, UCSF School of Medicine, and CVP.
George SuDivision of Pulmonary and Critical Care, ZSFG and the Department of Medicine, UCSF School of Medicine.
Triveni DeFriesCenter for Excellence in Primary Care, Dept of Family and Community Medicine, UCSF (University of California San Francisco) School of Medicine and the UCSF Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital (CVP).
Urmimala SarkarDivision of General Internal Medicine, UCSF School of Medicine, and CVP.
Delphine TuotDivision of General Internal Medicine, UCSF School of Medicine, and CVP.
Center for Excellence in Education · USUniversity of Zimbabwe-University of California San Francisco · ZW

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Tissue-Specific Insulin Resistance in Obstructive Sleep Apnea: Role of HypoxiaR01DK117953 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRYSTAL, ANDREW D, SCHWARZ, JEAN-MARC · 2018 to 2023
$4.0M
Pulmonary Specialist-Health Coach Consult (PuSHCon) model to improve access to specialist consultation and receipt of recommended evidence-based care for vulnerable patients with COPD and asthmaR01HL143366 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SU, GEORGE, WILLARD-GRACE, RACHEL · 2019 to 2022
$3.1M
UCSF Career Development Program in Implementation Research in Heart and Lung DiseasesK12HL138046 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BIBBINS-DOMINGO, KIRSTEN, CATTAMANCHI, ADITHYA · 2017 to 2021
$2.9M
Improving Survivorship Care for Diverse Cancer Patients Cared for in Safety-net SettingsK24CA212294 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SARKAR, URMIMALA · 2017 to 2021
$831k
NCATS NIH HHS KL2 TR001870NCI NIH HHS K24 CA212294NHLBI NIH HHS K12 HL138046NHLBI NIH HHS R01 HL143366NIDDK NIH HHS R01 DK117953
6 · The paper itself

Abstract

Objective: The COVID-19 pandemic prompted unprecedented expansion of telemedicine services. We sought to describe clinician experiences providing telemedicine to publicly-insured, low-income patients during COVID-19. Methods: Online survey of ambulatory clinicians in an urban safety-net hospital system, conducted May 28 2020-July 14 2020. Results: Among 311 participants (response rate 48.3%), 34.7% (N=108/311) practiced in primary/urgent care, 37.0% (N=115/311) medical specialty and 7.7% (N=24/311) surgical clinics. 87.8% (273/311) had conducted telephone visits, 26% (81/311) video. Participants reported observing both technical and non-technical patient barriers. Clinicians reported concerns about the diagnostic safety of telephone (58.9%, 129/219) vs video (35.3%, 24/68). However, clinician comfort with telemedicine was high (89.3% (216/242) for telephone, 91.0% (61/67) for video), with many clinicians (220/239 or 92.1% telephone, 60/66 or 90.9% video) planning to continue telemedicine after COVID-19. Conclusions: Clinicians in a safety-net healthcare system report high comfort with and intention to continue telemedicine after the pandemic, despite patient challenges and safety concerns.

Indexed as

ambulatory carehealthcare deliverysafety-net hospitalsTelemedicinevulnerable populations

Identifiers

PMID37020792
PMCPMC8428653
OpenAlexW3167622435

What OpenQuestion holds

Textmetadata
LicenceTDM
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.