Evidence map›Paper›PMID 39883478›Full record

ArticleJournal of primary care & community health

Overcoming Hesitancy and Barriers to Care with Integration of Telemedicine in a Free Student-run Health Clinic.

Vikki A Krysov, Michelle E Balshin, Elijah N Azar, Karina Cernioglo, David Perekopskiy, Altynay T Nurpeissova, Lucy Zhonglu Shi

Abstract readEvaluation Study
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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Vikki A KrysovUniversity of California, Davis School of Medicine, Sacramento, CA, USA.ORCID 0009-0007-5026-0475
Michelle E BalshinA.T. Still University School of Osteopathic Medicine, Mesa, AZ, USA.ORCID 0009-0001-4503-1180
Elijah N AzarUniversity of California, Davis, Davis, CA, USA.ORCID 0009-0009-9887-0859
Karina CerniogloUniversity of California, Davis School of Medicine, Sacramento, CA, USA.ORCID 0000-0003-4715-9580
David PerekopskiyUniversity of California, Davis School of Medicine, Sacramento, CA, USA.
Altynay T NurpeissovaUniversity of California, Davis, Davis, CA, USA.ORCID 0009-0005-2818-5574
Lucy Zhonglu ShiUniversity of California, Davis, Division of Hospital Medicine, Sacramento, CA, USA.ORCID 0000-0002-9100-6760

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNadezhda Clinic is a free student-run health clinic that provides culturally sensitive primary care services to the underserved Russian-speaking population of the greater Sacramento area. At the onset of the COVID-19 pandemic, the clinic suspended in-person services and solely offered telemedicine visits. Most patients were hesitant to utilize telemedicine due to poor technological literacy, privacy concerns, and a preference for in-person care.

objectiveThis quality improvement project aimed to evaluate whether the implementation of culturally sensitive telemedicine services and outreach strategies would help address patient hesitancy and barriers to care.

methodsSuccessful implementation of telemedicine was dependent on building trust with the community, providing multilingual technological assistance, and offering personalized support. Some measures that were reviewed in order to assess this included comparison of patient demographics, clinic attendance, and distance reached between in-person and telemedicine services.

resultsTelemedicine implementation was associated with increased clinic attendance rates with a no-show rate as low as 13% when compared to in-person services with a no-show rate of 20%. Telehealth services also enabled the clinic to reach patients in rural areas up to 120 miles away.

conclusionsWith the implementation of a culturally sensitive telemedicine protocol, Nadezhda Clinic achieved greater patient retention rates and reached patients at further distances, suggesting an overall reduction in hesitancy and barriers to care. Free clinics offering telemedicine are critical to further address healthcare disparities in marginalized communities.

Indexed as

Culturally Competent CarePatient Acceptance of Health CarePrimary Health CareStudent Run ClinicTelemedicineAccess to Primary CareAdolescentAdultAgedCaliforniaFemaleHumansMaleMiddle AgedQuality ImprovementYoung Adultculturally sensitive careprimary carestudent-run free clinictelehealthtelemedicineunderserved

Identifiers

PMID39883478
PMCPMC11783495

What OpenQuestion holds

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LicenceCC BY-NC
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.