Evidence map›Paper›PMID 37669481›Full record

ArticleHealth affairs (Project Hope)2023

Choosing Or Losing In Behavioral Health: A Study Of Patients' Experiences Selecting Telehealth Versus In-Person Care.

Jessica Sousa, Andrew Smith, Jessica Richard, Maya Rabinowitz, Pushpa Raja, Ateev Mehrotra, Alisa B Busch, Haiden A Huskamp, Lori Uscher-Pines

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. The Digital Divide and Tele-MOUD: A Qualitative Study of Opioid Community Coalition Perspectives During COVID-19.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2025
    Article
  5. Review
  6. The role and reach of alcohol reduction apps.Health affairs scholar · 2025
    Article
  7. Article
  8. Article
  9. Review
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.

Jessica SousaJessica Sousa (jsousa@rand.org), RAND Corporation, Boston, Massachusetts.
Andrew SmithAndrew Smith, Depression and Bipolar Support Alliance, Chicago, Illinois.
Jessica RichardJessica Richard, RAND Corporation, Arlington, Virginia.
Maya RabinowitzMaya Rabinowitz, RAND Corporation, Boston, Massachusetts.
Pushpa RajaPushpa Raja, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.
Ateev MehrotraAteev Mehrotra, Harvard University and Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Alisa B BuschAlisa B. Busch, Harvard University and McLean Hospital, Belmont, Massachusetts.
Haiden A HuskampHaiden A. Huskamp, Harvard University.
Lori Uscher-PinesLori Uscher-Pines, RAND Corporation, Arlington, Virginia.

Funding

Use of Telemedicine in the Treatment of Mental IllnessR01MH112829 · NIMH · HARVARD MEDICAL SCHOOL · PI HUSKAMP, HAIDEN A., MEHROTRA, ATEEV · 2018 to 2025
$5.8M
NIMH NIH HHS R01 MH112829
6 · The paper itself

Abstract

It is not known how the growth of telehealth has affected patients' choice of visit modalities (telehealth versus in person). In 2023 we conducted a mixed-methods study that paired a nationally representative survey of 2,071 adults (including 571 who used behavioral health services) and semistructured interviews with twenty-six people with depression or bipolar disorder. We explored patients' experiences with visit modality selection and their agency in the decision. Approximately one-third of patients receiving therapy or medication visits reported that their clinicians did not offer both modalities. Thirty-two percent reported that they did not typically receive their preferred modality, and 45 percent did not believe that their clinician considered their modality preferences. Qualitative findings revealed that some clinicians did not elicit patients' modality preferences. Perceived lack of choice affected satisfaction and rapport with clinicians and encouraged some people to seek care elsewhere. These findings highlight trade-offs in policies to preserve patient choice and approaches that clinicians can take to identify and accommodate patients' preferences.

Indexed as

Ambulatory CareBipolar DisorderDepressionTelemedicineAdultAgedFemaleHumansInterviews as TopicMaleMiddle AgedPatient Preference

Identifiers

PMID37669481
PMCPMC10762624

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.