Evidence map›Paper›PMID 39614686›Full record

ArticleJournal of primary care & community health

Identifying Factors Associated With Variation in Telemental Health Delivery at Federally Qualified Health Centers.

Brianna Lombardi, Connor Sullivan, Maria Gaiser, Lisa de Saxe Zerden, Evan Galloway, Brad Wright

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Brianna LombardiUniversity of North Carolina at Chapel Hill, Department of Family Medicine, School of Medicine, Chapel Hill, NC, USA.ORCID 0000-0003-3146-496X
Connor SullivanUniversity of North Carolina at Chapel Hill, Cecil G. Sheps Center for Health Services Research, Chapel Hill, NC, USA.
Maria GaiserUniversity of North Carolina at Chapel Hill, Cecil G. Sheps Center for Health Services Research, Chapel Hill, NC, USA.ORCID 0000-0001-7463-9454
Lisa de Saxe ZerdenUniversity of North Carolina at Chapel Hill, School of Social Work, Chapel Hill, NC, USA.
Evan GallowayUniversity of North Carolina at Chapel Hill, Cecil G. Sheps Center for Health Services Research, Chapel Hill, NC, USA.
Brad WrightUniversity of South Carolina, Arnold School of Public Health, Columbia, SC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 accelerated federally qualified health centers' use of telemental health. However, factors associated with telemental health service delivery remain unclear. We examined telemental health delivery by clinician type and mental health workforce composition across the U.S. to understand how staffing and other organizational characteristics are related to telemental health delivery at health centers.

methodsUsing data from the 2021 Uniform Data System, we characterized the proportion of mental health care delivered via elemental (i.e., virtual visits) at health centers in the U.S. that received HRSA grant funding (n = 1,270) overall and by state and clinician type. Then, we conducted multivariate beta regression analyses to assess the proportion of mental health visits delivered via telemental health at health centers as a function of mental health workforce composition, while adjusting for health center size, patient mix, and state.

resultsIn 2021, health centers delivered 43% of their mental health visits via telemental health, with significant variation by state and clinician type. On average, the proportion of mental health visits delivered via telemental health was greater among psychiatrists (61%,

conclusionsAccess to telemental health varies by state and across health centers based on mental health workforce composition. Future work is needed to examine funding and workforce strategies to increase telemental health service availability.

Indexed as

COVID-19Mental Health ServicesTelemedicineHumansMental Health TeletherapySARS-CoV-2United Statesbehavioral healthCommunity Health Centershealth centerstelehealthtelemedicineworkforce

Identifiers

PMID39614686
PMCPMC11607761

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.