Evidence map›Paper›PMID 38100519›Full record

ReviewPLOS digital health2023

Telehealth and digital health innovations: A mixed landscape of access.

Jimmy Phuong, Patricia Ordóñez, Jerry Cao, Mira Moukheiber, Lama Moukheiber, Anat Caspi, Bonnielin K Swenor, David Kojo N Naawu, Jennifer Mankoff

Abstract readReview
In one paragraph

Review in PLOS digital health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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  14. Review
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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

9 authors.

Jimmy PhuongUW Medicine Research Information Technologies, University of Washington, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0003-0956-8404
Patricia OrdóñezDepartment of Information Systems, University of Maryland Baltimore County, Baltimore, Maryland, United States of America.
Jerry CaoPaul G. Allen School of Computer Science, University of Washington, Seattle, Washington, United States of America.ORCID https://orcid.org/0000-0001-5415-0539
Mira MoukheiberThe Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge, Massachusetts, United States of America.
Lama MoukheiberInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, Massachusetts, United States of America.
Anat CaspiPaul G. Allen School of Computer Science, University of Washington, Seattle, Washington, United States of America.
Bonnielin K SwenorJohns Hopkins Disability Health Research Center, Baltimore, Maryland, United States of America.
David Kojo N NaawuMeharry Medical College School of Medicine, Nashville, Tennessee, United States of America.ORCID https://orcid.org/0000-0002-0470-107X
Jennifer MankoffPaul G. Allen School of Computer Science, University of Washington, Seattle, Washington, United States of America.

Funding

CD2H - The National COVID Cohort Collaborative (N3C) IDeA CTR CollaborationU24TR002306 · NCATS · UNIVERSITY OF COLORADO DENVER · PI CHUTE, CHRISTOPHER G, EICHMANN, DAVID A. · 2017 to 2021
$28.9M
Research Resource for Complex Physiologic SignalsR01EB030362 · NIBIB · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GOLDBERGER, ARY LOUIS · 2020 to 2025
$5.8M
NCATS NIH HHS U24 TR002306NIBIB NIH HHS R01 EB030362
6 · The paper itself

Abstract

In the wake of emergent natural and anthropogenic disasters, telehealth presents opportunities to improve access to healthcare when physical access is not possible. Yet, since the beginning of the COVID pandemic, lessons learned reveal that various populations in the United States do not or cannot adopt telehealth due to inequitable access. We explored the Digital Determinants of Health (DDoHs) for telehealth, characterizing the role of accessibility, broadband connectivity and electrical grids, and patient intersectionality. In addition to its role as an existing Social Determinant of Health, Policies and Laws directly and indirectly affect these DDoHs, making access more complex for marginalized populations. Digital systems lack the flexibility, accessibility, and usability to inclusively provide the essential services patients need in telehealth. We propose the following recommendations: (1) design technology and systems using accessibility and value sensitive design principles; (2) support a range of technologies and settings; (3) support multiple and diverse users; and (4) support clear paths for repair when technical systems fail to meet users' needs. Addressing these requires change not only from providers but also from the institutions providing these systems.

Identifiers

PMID38100519
PMCPMC10723719

What OpenQuestion holds

Textmetadata
LicenceCC0
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.