Geomapping Telehealth Access to Developmental-Behavioral Pediatrics

Soares, Neelkamal; Johnson, Andrew O.; Patidar, Nitish

doi:10.1089/tmj.2012.0226

Cited by 26 publications

(22 citation statements)

References 19 publications

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“…This study, which included 132 patients and 257 telemedicine consultations, found that telemedicine consultative services resulted in an average mileage cost savings of $86.13 [5]. In a third study, the University of Kentucky developmentalbehavioral pediatrics telemedicine program used geographic information systems to determine a median distance and time savings of 63.8 miles and 66.8 minutes, respectively, for each visit as a result of the use of telemedicine [21].…”

Section: Discussionmentioning

confidence: 99%

Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants

et al. 2017

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“…Because ZIP codes do not correspond exactly to county borders, we mapped locations and calculated distances using the centroid methodology that assigns the residence at the geographic center of the ZIP code within a particular county. 19 The centroid approach is a commonly accepted methodology 19, 20 to locate participants in a particular county, in this case allowing comparisons to other studies employing county-based classifications. 12 For all county-level analysis, Missouri counties were categorized as urban or rural based on rural-urban continuum codes that classify counties based on adjacency to a metropolitan statistical area.…”

Section: Methodsmentioning

confidence: 99%

“…Although straight-line distance approximations are known to underestimate actual travel, they never overestimate distance traveled and are commonly used in geographic studies. 20 …”

Section: Methodsmentioning

confidence: 99%

A Persistent Disparity: Smoking in Rural Sexual and Gender Minorities

et al. 2015

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Purpose Sexual and gender minorities (SGM) smoke cigarettes at higher rates than the general population. Historically, research in SGM health issues was conducted in urban populations and recent population-based studies seldom have sufficient SGM participants to distinguish urban from rural. Given that rural populations also tend to have a smoking disparity, and that many SGM live in rural areas, it is vitally important to understand the intersection of rural residence, SGM identity, and smoking. This study analyzes the patterns of smoking in urban and rural SGM in a large sample. Methods We conducted an analysis of 4280 adult participants in the Out, Proud, and Healthy project with complete data on SGM status, smoking status, and zip code. Surveys were conducted at 6 Missouri Pride Festivals and online in 2012. Analysis involved descriptive and bivariate methods, and multivariable logistic regression. We used GIS mapping to demonstrate the dispersion of rural SGM participants. Results SGM had higher smoking proportion than the non-SGM recruited from these settings. In the multivariable model, SGM identity conferred 1.35 times the odds of being a current smoker when controlled for covariates. Rural residence was not independently significant, demonstrating the persistence of the smoking disparity in rural SGM. Mapping revealed widespread distribution of SGM in rural areas. Conclusion The SGM smoking disparity persists among rural SGM. These communities would benefit from continued research into interventions targeting both SGM and rural tobacco control measures. Recruitment at Pride Festivals may provide a venue for reaching rural SGM for intervention.

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“…A nationwide GIS analysis of VHA SCAN-ECHO across all specialties visualized coverage of mentee sites [6]. A regional U.S. telehealth program was evaluated using GIS and demonstrated substantial travel savings associated with telehealth visits compared with hypothetical inperson visits [8].…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, distance from the nearest specialty care provider has been shown to be a barrier in multiple studies. However, prior spatial evaluations of technology-based healthcare programs have been limited to summaries of miles saved and maps of participating clinics [8][9].…”

Section: Introductionmentioning

confidence: 99%

Implementation of telementoring for pain management in Veterans Health Administration: Spatial analysis

et al. 2016

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Abstract-In 2011, the Veterans Health Administration (VHA) implemented a pilot telementoring program across seven healthcare networks called the Specialty Care Access Network-Extension for Community Healthcare Outcomes (SCAN-ECHO) for pain management. A VHA healthcare network is a group of hospitals and clinics administratively linked in a geographic area. We created a series of county-level maps in one network displaying (1) the location of Veterans with chronic pain, (2) VHA sites (i.e., coordinating center, other medical centers, outpatient clinics), (3) proportion of Veterans being seen in-person at pain specialty clinics, and (4) proportion of Veterans with access to a primary care provider participating in Pain SCAN-ECHO. We calculated the geodesic distance from Veterans' homes to nearest VHA pain specialty care clinics. We used logistic regression to determine the association between distance and Pain SCAN-ECHO primary care provider participation. Mapping showed counties closer to the Pain SCAN-ECHO coordinating center had a higher rate of Veterans whose providers participated in Pain SCAN-ECHO than those further away. Regression models within networks revealed wide heterogeneity in the reach of Pain SCAN-ECHO to Veterans with low spatial access to pain care. Using geographic information systems can reveal the spatial reach of technology-based healthcare programs and inform future expansion.

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Geomapping Telehealth Access to Developmental-Behavioral Pediatrics

Cited by 26 publications

References 19 publications

Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants

Impact of a University-Based Outpatient Telemedicine Program on Time Savings, Travel Costs, and Environmental Pollutants

A Persistent Disparity: Smoking in Rural Sexual and Gender Minorities

Implementation of telementoring for pain management in Veterans Health Administration: Spatial analysis

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