Evidence map›Paper›PMID 38951473›Full record

ArticleCJEM2024

Healthcare workers' perspectives on a prescription phone program to meet the health equity needs of patients in the emergency department: a qualitative study.

Kathryn Hodwitz, Galo F Ginocchio, Tali Fedorovsky, Hannah Girdler, Brielle Bossin, Clara Juando-Prats, Evelyn Dell, Andrea Somers, Jennifer Hulme

Abstract readMulticenter Study
In one paragraph

Article in CJEM, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Barriers to and Facilitators of Technology Adoption in Emergency Departments: A Comprehensive Review.International journal of environmental research and public health · 2025
    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.

Kathryn HodwitzApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Galo F GinocchioEinstein Lab, Department of Psychology, University of Toronto, Toronto, ON, Canada.
Tali FedorovskyTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Hannah GirdlerCentre for Global Equity in Emergency Medicine, University Health Network, Toronto, ON, Canada.
Brielle BossinEmergency Department, St. Michael's Hospital, Toronto, ON, Canada.
Clara Juando-PratsApplied Health Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Evelyn DellMichael's Hospital, University of Toronto, Toronto, ON, Canada.
Andrea SomersUniversity Health Network, Toronto, ON, Canada.
Jennifer HulmeUniversity Health Network, Toronto General Hospital, Toronto, ON, Canada. jennifer.hulme@uhn.ca.ORCID 0000-0001-9825-9069

Funding

St. Michael's Hospital Foundation AHSC AFP Innovation Fund AwardUniversity Health Network AHSC AFP Innovation Fund Award
6 · The paper itself

Abstract

objectivesPeople experiencing homelessness and marginalization face considerable barriers to accessing healthcare services. Increased reliance on technology within healthcare has exacerbated these inequities. We evaluated a hospital-based prescription phone program aimed to reduce digital health inequities and improve access to services among marginalized patients in Emergency Departments. We examined the perceived outcomes of the program and the contextual barriers and facilitators affecting outcomes.

methodsWe conducted a constructivist qualitative program evaluation at two urban, academic hospitals in Toronto, Ontario. We interviewed 12 healthcare workers about their perspectives on program implementation and outcomes and analyzed the interview data using reflexive thematic analysis.

resultsOur analyses generated five interrelated program outcomes: building trust with patients, facilitating independence in healthcare, bridging sectors of care, enabling equitable care for marginalized populations, and mitigating moral distress among healthcare workers. Participants expressed that phone provision is critical for adequately serving patients who face barriers to accessing health and social services, and for supporting healthcare workers who often lack resources to adequately serve these patients. We identified key contextual enablers and challenges that may influence program outcomes and future implementation efforts.

conclusionsOur findings suggest that providing phones to marginalized patient populations may address digital and social health inequities; however, building trusting relationships with patients, understanding the unique needs of these populations, and operating within a biopsychosocial model of health are key to program success.

Indexed as

Cell PhoneEmergency Service, HospitalHealth EquityAdultAttitude of Health PersonnelFemaleHealth PersonnelHealth Services AccessibilityHumansIll-Housed PersonsMaleMiddle AgedOntarioProgram EvaluationQualitative ResearchDigital health inequitiesDisadvantaged populationsDischarge planningEmergency medicineHealth equityProgram evaluationQualitative research

Identifiers

PMID38951473
PMCPMC11335851

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.