Overcoming Obstacles : Barriers to Virtual Care Use Among Video-Enabled Tablet Recipients in the Veterans Health Administration
© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply..
INTRODUCTION: The Veterans Health Administration (VHA) distributes video-enabled tablets to individuals with barriers to accessing care. Data suggests that many tablets are under-used. We surveyed Veterans who received a tablet to identify barriers that are associated with lower use, and evaluated the impact of a telephone-based orientation call on reported barriers and future video use.
METHODS: We used a national survey to assess for the presence of 13 barriers to accessing video-based care, and then calculated the prevalence of the barriers stratified by video care utilization in the 6 months after survey administration. We used multivariable modeling to examine the association between each barrier and video-based care use and evaluated whether a telephone-based orientation modified this association.
RESULTS: The most prevalent patient-reported barriers to video-based care were not knowing how to schedule a visit, prior video care being rescheduled/canceled, and past problems using video care. Following adjustment, individuals who reported vision or hearing difficulties and those who reported that video care does not provide high-quality care had a 19% and 12% lower probability of future video care use, respectively. Individuals who reported no interest in video care, or did not know how to schedule a video care visit, had an 11% and 10% lower probability of being a video care user, respectively. A telephone-based orientation following device receipt did not improve the probability of being a video care user.
DISCUSSION: Barriers to engaging in virtual care persist despite access to video-enabled devices. Targeted interventions beyond telephone-based orientation are needed to facilitate adoption and engagement in video visits.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:39 |
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| Enthalten in: |
Journal of general internal medicine - 39(2024), 4 vom: 25. März, Seite 549-556 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Wray, Charlie M [VerfasserIn] |
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| Links: |
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| Themen: |
Health services access |
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| Anmerkungen: |
Date Completed 28.03.2024 Date Revised 31.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s11606-023-08468-x |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM364068027 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply. | ||
| 520 | |a INTRODUCTION: The Veterans Health Administration (VHA) distributes video-enabled tablets to individuals with barriers to accessing care. Data suggests that many tablets are under-used. We surveyed Veterans who received a tablet to identify barriers that are associated with lower use, and evaluated the impact of a telephone-based orientation call on reported barriers and future video use | ||
| 520 | |a METHODS: We used a national survey to assess for the presence of 13 barriers to accessing video-based care, and then calculated the prevalence of the barriers stratified by video care utilization in the 6 months after survey administration. We used multivariable modeling to examine the association between each barrier and video-based care use and evaluated whether a telephone-based orientation modified this association | ||
| 520 | |a RESULTS: The most prevalent patient-reported barriers to video-based care were not knowing how to schedule a visit, prior video care being rescheduled/canceled, and past problems using video care. Following adjustment, individuals who reported vision or hearing difficulties and those who reported that video care does not provide high-quality care had a 19% and 12% lower probability of future video care use, respectively. Individuals who reported no interest in video care, or did not know how to schedule a video care visit, had an 11% and 10% lower probability of being a video care user, respectively. A telephone-based orientation following device receipt did not improve the probability of being a video care user | ||
| 520 | |a DISCUSSION: Barriers to engaging in virtual care persist despite access to video-enabled devices. Targeted interventions beyond telephone-based orientation are needed to facilitate adoption and engagement in video visits | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a health services access | |
| 650 | 4 | |a telemedicine | |
| 650 | 4 | |a veterans health administration | |
| 650 | 4 | |a virtual care | |
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| 700 | 1 | |a Ferguson, Jacqueline M |e verfasserin |4 aut | |
| 700 | 1 | |a Greene, Liberty |e verfasserin |4 aut | |
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| 700 | 1 | |a Van Campen, James |e verfasserin |4 aut | |
| 700 | 1 | |a O'Shea, Amy Mj |e verfasserin |4 aut | |
| 700 | 1 | |a Slightam, Cindie |e verfasserin |4 aut | |
| 700 | 1 | |a Zulman, Donna M |e verfasserin |4 aut | |
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