Evidence map›Paper›PMID 37914909›Full record

ArticleJournal of general internal medicine2024

Overcoming Obstacles: Barriers to Virtual Care Use Among Video-Enabled Tablet Recipients in the Veterans Health Administration.

Charlie M Wray, Jacqueline M Ferguson, Liberty Greene, Ashley Griffin, James Van Campen, Amy Mj O'Shea, Cindie Slightam, Donna M Zulman

Open access · hybridAbstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Charlie M WrayDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA. Charlie.Wray@ucsf.edu.ORCID 0000-0001-9203-2031
Jacqueline M FergusonVA Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
Liberty GreeneVA Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
Ashley GriffinVA Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
James Van CampenVA Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
Amy Mj O'SheaThe Center for Access and Delivery Research and Evaluation (CADRE, Iowa City VA Healthcare System, Iowa City, IA, USA.
Cindie SlightamVA Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
Donna M ZulmanVA Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
Center for Innovation · USSan Francisco VA Medical Center · USUniversity of Iowa · US

Funding

Improving Access Through Targeted Delivery of TelemedicineIK2HX003139 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI WRAY, CHARLIE M · 2021 to 2025
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HSRD VA CIN 13-412HSRD VA IK2 HX003139
6 · The paper itself

Abstract

introductionThe Veterans Health Administration (VHA) distributes video-enabled tablets to individuals with barriers to accessing care. Data suggests that many tablets are under-used. We surveyed Veterans who received a tablet to identify barriers that are associated with lower use, and evaluated the impact of a telephone-based orientation call on reported barriers and future video use.

methodsWe used a national survey to assess for the presence of 13 barriers to accessing video-based care, and then calculated the prevalence of the barriers stratified by video care utilization in the 6 months after survey administration. We used multivariable modeling to examine the association between each barrier and video-based care use and evaluated whether a telephone-based orientation modified this association.

resultsThe most prevalent patient-reported barriers to video-based care were not knowing how to schedule a visit, prior video care being rescheduled/canceled, and past problems using video care. Following adjustment, individuals who reported vision or hearing difficulties and those who reported that video care does not provide high-quality care had a 19% and 12% lower probability of future video care use, respectively. Individuals who reported no interest in video care, or did not know how to schedule a video care visit, had an 11% and 10% lower probability of being a video care user, respectively. A telephone-based orientation following device receipt did not improve the probability of being a video care user. DISCUSSION: Barriers to engaging in virtual care persist despite access to video-enabled devices. Targeted interventions beyond telephone-based orientation are needed to facilitate adoption and engagement in video visits.

Indexed as

TelemedicineVeteransHumansSurveys and QuestionnairesTabletsVeterans HealthTabletshealth services accesstelemedicineveterans health administrationvirtual care

Identifiers

PMID37914909
PMCPMC10973323
OpenAlexW4388125809

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.