Evidence map›Paper›PMID 40374180›Full record

Observational studyHealth services research2025

Site-Level Differences in the Provision of Telemental Health Care Within the Department of Veterans Affairs.

Samantha L Connolly, Rebecca A Raciborski, Hassen Abdulkerim, Jennifer L Sullivan, Leonie K Heyworth, Kendra R Weaver, Lisa C Eisele, Stephanie L Shimada, Jan A Lindsay, Timothy P Hogan and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Health services research, 2025. 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. Observational
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

11 authors.

Samantha L ConnollyCenter for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-1007-5626
Rebecca A RaciborskiVA Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas, USA.ORCID https://orcid.org/0000-0002-4135-9074
Hassen AbdulkerimCenter for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA.
Jennifer L SullivanCenter of Innovation on Transformative Health Systems Research to Improve Veteran Equity and Independence, VA Providence Healthcare System, Providence, Rhode Island, USA.ORCID https://orcid.org/0000-0003-2906-2232
Leonie K HeyworthVeterans Health Administration Office of Connected Care, Office of Digital Health, Washington, DC, USA.
Kendra R WeaverClinical Operations, Veterans Health Administration Office of Mental Health, Washington, DC, USA.
Lisa C EiseleVA New England Healthcare System, Boston, Massachusetts, USA.
Stephanie L ShimadaCenter for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.ORCID https://orcid.org/0000-0002-6517-5122
Jan A LindsayVA South Central Mental Illness Research, Education and Clinical Center, Houston, Texas, USA.
Timothy P HoganCenter for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, Massachusetts, USA.
Christopher J MillerCenter for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-8695-6833

Funding

HSRD VA IK2 HX003427U.S. Department of Veterans Affairs VA HSR&D CDA-22-012U.S. Department of Veterans Affairs VA HSR&D COR 20-199U.S. Department of Veterans Affairs VA HSR&D QUE 20-026
6 · The paper itself

Abstract

objectiveTo examine site-level differences in telemental health use within the Department of Veterans Affairs (VA). Findings aim to identify barriers to telemental health use to improve access to care. STUDY SETTING AND

design122 VA facilities were classified into three groups: sites with higher levels of in-person (n = 55), video (n = 40), and phone mental health (MH) care (n = 27). We used Pearson's chi-squared and F-tests to assess for group differences on organizational characteristics and patient population variables. DATA SOURCES AND ANALYTIC SAMPLE: This was an observational study using VA administrative data from July 2021 to October 2022; analyses were conducted from June 2024 to March 2025. PRINCIPAL

findingsSites in the video group tended to be larger, high-complexity, urban facilities that served more women, younger patients, and patients with greater broadband access. Sites in the in-person group served more patients of lower socioeconomic status and treated the highest percentage of rural patients. The phone group served the next highest percentage of rural patients, followed by the video group.

conclusionsLarger, higher-complexity sites may have stronger telehealth infrastructures, and urban areas have stronger broadband connectivity to support video visits. Smaller, rural sites may benefit from targeted support to increase video use.

Indexed as

Health Services AccessibilityMental Health ServicesTelemedicineUnited States Department of Veterans AffairsAdultAgedFemaleHumansMaleMental Health TeletherapyMiddle AgedUnited StatesVeteranshealth systemsmental healthtelehealthveterans

Identifiers

PMID40374180
PMCPMC12461135

What OpenQuestion holds

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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.