Evidence map›Paper›PMID 38289373›Full record

ArticleJournal of medical systems2024

Adoption and Sustained Use of Primary Care Video Visits Among Veterans with VA Video-Enabled Tablets.

Zainub Dhanani, Jacqueline M Ferguson, James Van Campen, Cindie Slightam, Leonie Heyworth, Donna M Zulman

Abstract read
In one paragraph

Article in Journal of medical systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

6 authors.

Zainub DhananiDepartment of Health Policy, Stanford University School of Medicine, 290 Campus Dr, Stanford, CA, 94305, USA. zdhanani@stanford.edu.
Jacqueline M FergusonCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, CA, USA.
James Van CampenCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, CA, USA.
Cindie SlightamCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, CA, USA.
Leonie HeyworthDepartment of Veterans Affairs Central Office, Office of Connected Care/Telehealth, Washington, DC, USA.
Donna M ZulmanCenter for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, CA, USA.

Funding

Enhancing Veterans' Access to Care through Video Telehealth TabletsI50HX002782 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI ZULMAN, DONNA MICHELLE · 2020 to 2021
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HSRD VA I50 HX002782U.S. Department of Veterans Affairs Quality Enhancement Research Initiative (QUERI) PEI 18-205
6 · The paper itself

Abstract

In 2020, the U.S. Department of Veterans Affairs (VA) expanded an initiative to distribute video-enabled tablets to Veterans with limited virtual care access. We examined patient characteristics associated with adoption and sustained use of video-based primary care among Veterans. We conducted a retrospective cohort study of Veterans who received VA-issued tablets between 3/11/2020-9/10/2020. We used generalized linear models to evaluate the sociodemographic and clinical factors associated with video-based primary care adoption (i.e., likelihood of having a primary care video visit) and sustained use (i.e., rate of video care) in the six months after a Veteran received a VA-issued tablet. Of the 36,077 Veterans who received a tablet, 69% had at least one video-based visit within six months, and 24% had a video-based visit in primary care. Veterans with a history of housing instability or a mental health condition, and those meeting VA enrollment criteria for low-income were significantly less likely to adopt video-based primary care. However, among Veterans who had a video visit in primary care (e.g., those with at least one video visit), older Veterans, and Veterans with a mental health condition had more sustained use (higher rate) than younger Veterans or those without a mental health condition. We found no differences in adoption of video-based primary care by rurality, age, race, ethnicity, or low/moderate disability and high disability priority groups compared to Veterans with no special enrollment category. VA's tablet initiative has supported many Veterans with complex needs in accessing primary care by video. While Veterans with certain social and clinical challenges were less likely to have a video visit, those who adopted video telehealth generally had similar or higher rates of sustained use. These patterns suggest opportunities for tailored interventions that focus on needs specific to initial uptake vs. sustained use of video care.

Indexed as

VeteransHumansLinear ModelsPrimary Health CareRetrospective StudiesTabletsUnited StatesTabletsHealth care accessTabletsTelemedicineVeteransVideo-based care

Identifiers

PMID38289373
PMCPMC13404241

What OpenQuestion holds

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Registered trials

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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.