Evidence map›Paper›PMID 37091111›Full record

ArticleImplementation research and practice

Economic costs of implementing evidence-based telemedicine outreach for posttraumatic stress disorder in VA.

Edwin S Wong, Suparna Rajan, Chuan-Fen Liu, Leslie A Morland, Jeffrey M Pyne, Fatma Simsek-Duran, Heather S Reisinger, Jane Moeckli, John C Fortney

Open access · goldAbstract read
In one paragraph

Article in Implementation research and practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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 5 institutions in 1 country.

Edwin S WongCenter for Innovation for Veteran-Centered and Value-Driven Care, Puget Sound Health Care System, Seattle, WA.
Suparna RajanCenter for Innovation for Veteran-Centered and Value-Driven Care, Puget Sound Health Care System, Seattle, WA.
Chuan-Fen LiuCenter for Innovation for Veteran-Centered and Value-Driven Care, Puget Sound Health Care System, Seattle, WA.
Leslie A MorlandVA San Diego Healthcare System, San Diego, CA.
Jeffrey M PyneCenter for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, Little Rock, AR.
Fatma Simsek-DuranIowa City VA Health Care System, Iowa City, IA.
Heather S ReisingerCenter for Access & Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA.
Jane MoeckliCenter for Access & Delivery Research and Evaluation, Iowa City VA Health Care System, Iowa City, IA.
John C FortneyCenter for Innovation for Veteran-Centered and Value-Driven Care, Puget Sound Health Care System, Seattle, WA.
Iowa City VA Health Care System · USCenter for Innovation · USUniversity of Washington · USUniversity of Arkansas for Medical Sciences · USVA San Diego Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Telemedicine outreach for posttraumatic stress disorder (TOP) is a virtual evidence-based practice (EBP) involving telephone care management and telepsychology that engages rural patients in trauma-focused psychotherapy. This evaluation examined implementation and intervention costs attributable to deploying TOP from a health system perspective. Methods: Costs were ascertained as part of a stepped wedge cluster randomized trial at five sites within the Veterans Affairs (VA) Healthcare System. All sites initially received a Results: Over the 40-month study period, four of five sites received enhanced implementation. Mean site-level implementation cost per month was $919 (SD = $238) during standard implementation and increased to $1,651 (SD = $460) during enhanced implementation. Mean site-level intervention cost per patient-month was $46 (SD = $28) during standard implementation and $31 (SD = $21) during enhanced implementation. Conclusions: Project findings inform the expected cost of implementing TOP, which represents one factor health systems should consider in the decision to broadly adopt this EBP.

Indexed as

economic evaluationintegrated health systemposttraumatic stress disorderpsychotherapytelemedicine

Identifiers

PMID37091111
PMCPMC9924252
OpenAlexW4289647002

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.