Evidence map›Paper›PMID 38252237›Full record

ReviewJournal of general internal medicine2024

Research Priorities to Expand Virtual Care Access for Patients in the Veterans Affairs Health Care System.

Charlie M Wray, Ursula Myers, Cindie Slightam, Navid Dardashti, Leonie Heyworth, Allison Lewinski, Peter Kaboli, Thomas Edes, Kevin Trueman, Donna M Zulman

Open access · hybridAbstract readReview
In one paragraph

Review 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

7 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

10 authors at 6 institutions in 1 country.

Charlie M WrayDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA. Charlie.Wray@ucsf.edu.
Ursula MyersCharleston Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
Cindie SlightamVA Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
Navid DardashtiDepartment of Veterans Affairs, New York Harbor, NY, USA.
Leonie HeyworthDepartment of Veterans Affairs Central Office, Office of Connected Care/Telehealth, Washington, DC, USA.
Allison LewinskiCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, USA.
Peter KaboliVeterans Rural Health Resource Center-Iowa City, VA Office of Rural Health, and Center for Access and Delivery Research and Evaluation (CADRE) at the Iowa City VA Healthcare System, Iowa City, IA, USA.
Thomas EdesOffice of Geriatrics & Extended Care, Department of Veterans Affairs, Washington, DC, USA.
Kevin TruemanDepartment of Veterans Affairs, Independence, OH, USA.
Donna M ZulmanVA Center for Innovation to Implementation (Ci2i), Menlo Park, CA, USA.
Center for Innovation · USDurham VA Health Care System · USRalph H. Johnson VA Medical Center · USUniversity of California, San Francisco · USUniversity of Iowa · USVA NY Harbor Healthcare System · 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 IK2 HX003139Quality Enhancement Research Initiative PEI 18-205U.S. Department of Veterans Affairs 18-234U.S. Department of Veterans Affairs CIN 13-410U.S. Department of Veterans Affairs COR 20-199U.S. Department of Veterans Affairs HX003576U.S. Department of Veterans Affairs IK2HX003139-01A2
6 · The paper itself

Abstract

The rapid expansion of virtual care is driving demand for equitable, high-quality access to technologies that are required to utilize these services. While the Department of Veterans Affairs (VA) is seen as a national leader in the implementation of telehealth, there remain gaps in evidence about the most promising strategies to expand access to virtual care. To address these gaps, in 2022, the VA's Health Services Research and Development service and Office of Connected Care held a "state-of-the-art" (SOTA) conference to develop research priorities for advancing the science, clinical practice, and implementation of virtual care. One workgroup within the SOTA focused on access to virtual care and addressed three questions: (1) Based on the existing evidence about barriers that impede virtual care access in digitally vulnerable populations, what additional research is needed to understand these factors? (2) Based on the existing evidence about digital inclusion strategies, what additional research is needed to identify the most promising strategies? and (3) What additional research beyond barriers and strategies is needed to address disparities in virtual care access? Here, we report on the workgroup's discussions and recommendations for future research to improve and optimize access to virtual care. Effective implementation of these recommendations will require collaboration among VA operational leadership, researchers, Human Factors Engineering experts and front-line clinicians as they develop, implement, and evaluate the spread of virtual care access strategies.

Indexed as

TelemedicineVeteransDelivery of Health CareHealth Services ResearchHumansUnited StatesUnited States Department of Veterans AffairsVeterans Healthhealth services accessibilitytelemedicineVeterans Health Administrationvirtual care

Identifiers

PMID38252237
PMCPMC10937889
OpenAlexW4391108301

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.