{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T15:18:52Z","timestamp":1776698332402,"version":"3.51.2"},"reference-count":45,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T00:00:00Z","timestamp":1610928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Individuals with spinal cord injuries and disorders (SCI\/D) require frequent interdisciplinary health care to address impairments in mobility, autonomic function, and secondary complications. Telehealth has the capacity to substantially transform health care delivery and improve care by increasing access and communication. However, relatively little is known about telehealth use in this specific population. Here we attempt to fill part of this gap.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the frequency and characteristics associated with telehealth use in Veterans with SCI\/D.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional, descriptive project.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Veterans Health Administration (VHA) facilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 15\u2009028 Veterans living with SCI\/D who received services from the VHA SCI\/D System of Care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>Not applicable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome Measures<\/jats:title><jats:p>Frequency and characteristics associated with VHA telehealth utilization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 15\u2009028 Veterans with SCI\/D included in the evaluation, 17% used some form of telehealth in VHA Fiscal Year (FY)2017. Veterans older than 65\u2009years of age had lower odds (odds ratio [OR]\u2009=\u20090.88, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05, confidence interval [CI] 0.80\u20100.98) of using telehealth. Being Caucasian (OR\u2009=\u20091.29, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01, CI 1.09\u20101.52), living in rural areas (OR\u2009=\u20091.16, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01, CI 1.05\u20101.28), living greater distances away from the VHA (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01 for all distances), and being in priority group 8, meaning that Veterans have higher copayment requirements (OR\u2009=\u20091.46, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001, CI 1.19\u20101.81), were all significantly associated with greater odds of telehealth use. The most frequent types of telehealth used were real\u2010time clinical video and store\u2010and\u2010forward between a provider and patient within the same hub network.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There are opportunities to increase telehealth adoption in the SCI\/D arena. The findings from this project highlight which Veterans are currently using telehealth services, as well as gaps regarding telehealth adoption in this population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12515","type":"journal-article","created":{"date-parts":[[2020,10,24]],"date-time":"2020-10-24T11:45:56Z","timestamp":1603539956000},"page":"1094-1103","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Characterization of Telehealth Use in Veterans With Spinal Cord Injuries and Disorders"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7985-5815","authenticated-orcid":false,"given":"Maya N.","family":"Hatch","sequence":"first","affiliation":[{"name":"Spinal Cord Injury\/Disorder Center Long Beach Veterans Affairs (VA) Medical Center  Long Beach CA USA"},{"name":"Physical Medicine &amp; Rehabilitation Department UC Irvine School of Medicine  Irvine CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachael N.","family":"Martinez","sequence":"additional","affiliation":[{"name":"Edward Hines Jr. Department of VA Hospital Center of Innovation for Complex Chronic Healthcare  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bella","family":"Etingen","sequence":"additional","affiliation":[{"name":"Edward Hines Jr. Department of VA Hospital Center of Innovation for Complex Chronic Healthcare  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget","family":"Cotner","sequence":"additional","affiliation":[{"name":"Rehabilitation Outcomes Research Section, Research Service James A. Haley VA Medical Center  Tampa FL USA"},{"name":"Department of Anthropology University of South Florida  Tampa FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy P.","family":"Hogan","sequence":"additional","affiliation":[{"name":"Center for Healthcare Organization and Implementation Research Edith Norse Rogers Memorial VA Hospital  Bedford MA USA"},{"name":"Division of Health Informatics and Implementation Science, Department of Population and Quantitative Health Sciences University of Massachusetts Medical School  Worcester MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itala M.","family":"Wickremasinghe","sequence":"additional","affiliation":[{"name":"U.S. Department of Veterans Affairs Spinal Cord Injuries and Disorders System of Care Program Office  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Sippel","sequence":"additional","affiliation":[{"name":"U.S. Department of Veterans Affairs Spinal Cord Injuries and Disorders System of Care Program Office  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Edward Hines Jr. Department of VA Hospital Center of Innovation for Complex Chronic Healthcare  Chicago IL USA"},{"name":"Institute for Healthcare Studies, Feinberg School of Medicine Northwestern University  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,18]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Christopher and Dana Reeve Foundation One Degree of Separation(2009).https:\/\/www.ncart.us\/uploads\/userfiles\/files\/one-degree-of-separation.pdf"},{"key":"e_1_2_6_3_1","unstructured":"National Spinal Cord Injury Statistical Center (NSCISC) Spinal Cord Injury (SCI) Facts and Figures at a Glance(2015).https:\/\/www.nscisc.uab.edu\/Public\/Facts%202015.pdf."},{"key":"e_1_2_6_4_1","unstructured":"NSCIS\u2010Facts and Figures \u2010 2018.https:\/\/www.nscisc.uab.edu\/Public\/Facts%20and%20Figures%20-%202018.pdf."},{"key":"e_1_2_6_5_1","unstructured":"Department of Veterans Affairs VA research on Spinal Cord Injury.https:\/\/www.research.va.gov\/topics"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2010.11.0220"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101629"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2011.608150"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2013.91"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2012.712196"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNN.0000000000000341"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2010.05.016"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0032047"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1310\/sci2004-289"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2011.182"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.15353\/cjds.v3i3.174"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2004.06.033"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2014.972593"},{"key":"e_1_2_6_19_1","unstructured":"Department of Veterans Affairs VHA Handbook 1176.01\u2010SCI&D System of Care(2011).http:\/\/vaww.sci.va.gov."},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2009.081002"},{"key":"e_1_2_6_21_1","first-page":"729492","article-title":"A modeled analysis of telehealth methods for treating pressure ulcers after spinal cord injury","volume":"2012","author":"Smith MW","year":"2012","journal-title":"Int J Telemed Appl."},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.06.012"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/phr\/116.S1.94"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2009.08.0117"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2008.0021"},{"key":"e_1_2_6_26_1","unstructured":"Department of Veterans Affairs VA Telehealth Services Fact Sheet(2018).https:\/\/www.va.gov\/anywheretoanywhere\/Telehealth_Services_factsheet.PDF."},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.4.423"},{"key":"e_1_2_6_28_1","first-page":"45","article-title":"Barriers to telemedicine implementation. 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