Evidence map›Paper›PMID 40964411›Full record

ArticleJournal of Appalachian health2025

Intensive Telemedicine Transitions of Care Clinic: A Prospective Feasibility Study of a Novel Ambulatory Model Serving Appalachian Patients.

Jessica Thayer, Brett Miller, Marcelino Mederos Liriano, Kathryn Hoffman, Gina Baugh, Jenna Sizemore

Abstract read
In one paragraph

Article in Journal of Appalachian health, 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. 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

6 authors.

Jessica ThayerWest Virginia University.
Brett MillerWest Virginia University, School of Medicine.
Marcelino Mederos LirianoWest Virginia University, School of Medicine.
Kathryn HoffmanWest Virginia University.
Gina Baugh
Jenna Sizemore

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Hospital discharge is a complex process plagued with medical errors and poor coordination. Disjointed discharges are detrimental to Appalachian patients with access barriers and multiple chronic diseases. Telehealth is a tool used to improve access within rural Appalachia. To address this high-risk transition period, an interprofessional team deployed telemedicine to improve post-hospital care for Appalachian patients. Purpose: Patients with uncontrolled chronic medical conditions were enrolled into the Intensive Telemedicine Transition of Care Clinic (I-TTC) with a primary outcome of 30-day Emergency Department (ED) presentations and hospital readmissions. Secondary outcomes included improved control of chronic conditions and patient cost savings. Methods: Patients with uncontrolled chronic conditions were given home-monitoring devices and enrolled in the I-TTC post-hospitalization. Telehealth visits were conducted with an interprofessional team comprised of graduate health science students under the supervision of I-TTC physicians. Hospital readmissions, emergency department (ED) presentations, and chronic disease specific measurements were analyzed through retrospective review. Results: Sixteen adult patients participated in the I-TTC pilot study from 2021-2022. At baseline all patients with hypertension were uncontrolled. The average HbA1C of patients with uncontrolled diabetes was 11%. Post-enrollment, 12.5% of patients had a 30-day ED presentation or hospital re-admission. The average HbA1c for those with uncontrolled diabetes was 8.1% after I-TTC intervention. Of the ten patients with uncontrolled blood pressure, six were controlled post-enrollment. The average cohort total cost savings was $3,144.35. Implications: The I-TTC suggests feasibility for an interprofessional team utilizing telemedicine in achieving control of chronic medical conditions through improved access to ambulatory healthcare.

Indexed as

Appalachiainterprofessional carerural healthtelemedicinetransitions of care

Identifiers

PMID40964411
PMCPMC12440305

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.