{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T08:02:18Z","timestamp":1789545738305,"version":"build-2803163510"},"reference-count":21,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>\n                    People experiencing homelessness (PEH) encounter barriers to health care, increasing their vulnerability to illness, hospitalization, and death. Telehealth can improve access to health care, but its use in PEH has been insufficiently evaluated. Needs assessment surveys completed by clients at an urban drop-in center for PEH (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200963) showed mental (58.7%) and physical (52.4%) health challenges were common, as was emergency department (ED) use (75.9%,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200954). Surveys collected after in-person and telehealth clinical visits showed patient satisfaction was &gt;90% for both visit types (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009125, 44.0% telehealth and 56.0% in person). Without access to telehealth visits, 29.1% of patients would have gone to the ED and 38.2% would not have gotten care. Providers (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200993, 69.6% telehealth and 30.4% in person) were more likely to agree\/strongly agree they made a positive impact on patients' health through telehealth (92.2%) than in person (71.4%) (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.019). Telehealth is a feasible and potentially cost-effective method to increase access to health care and reduce health outcome disparities in PEH.\n                  <\/jats:p>","DOI":"10.1089\/tmj.2021.0127","type":"journal-article","created":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T17:16:55Z","timestamp":1627060615000},"page":"851-858","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["A Telehealth Initiative to Overcome Health Care Barriers for People Experiencing Homelessness"],"prefix":"10.1177","volume":"27","author":[{"given":"Cristin S.","family":"Adams","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marty S.","family":"Player","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole R.","family":"Berini","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Perkins","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerome","family":"Fay","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Layne","family":"Walker","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Echo","family":"Buffalo","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Roach","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa A.","family":"Diaz","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,8,6]]},"reference":[{"key":"e_1_3_4_2_2","first-page":"634","article-title":"Care of the homeless: An overview","volume":"89","author":"Maness D","year":"2014","unstructured":"Maness D, , Khan M. Care of the homeless: An overview. Am Fam Physician, 2014; 89:634\u2013640.","journal-title":"Am Fam Physician"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.2.200"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-007-0115-1"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.5.778"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/003335491012500308"},{"key":"e_1_3_4_7_2","unstructured":"Sun R Karaca Z Wong HS. Characteristics of homeless individuals using emergency department services in 2014. HCUP Statistical Brief #229. October 2017. Agency for Healthcare Research and Quality Rockville MD. Available at www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb229Homeless-ED-Visits-2014.pdf (last Accessed October4 2020)."},{"key":"e_1_3_4_8_2","unstructured":"Using Telehealth to Expand Access to Essential Health Services during the COVID-19 Pandemic. Available at https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/telehealth.html (last Accessed September14 2020)."},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-020-02299-z"},{"key":"e_1_3_4_10_2","unstructured":"American Medical Association. Physicians' motivations and requirements for adopting digital health Adoption and attitudinal shifts from. 2016. to 2019. February 2020. Available at https:\/\/www.ama-assn.org\/system\/files\/2020-02\/ama-digital-health-study.pdf (last Accessed September21 2020)."},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2009.003003"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2095"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/juaf.12310"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2015.1033117"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0329"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.1096"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2724"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301623"},{"key":"e_1_3_4_19_2","unstructured":"Kahle RW Diedrich C Bradley R. Charleston YOUth Count Street Canvassing Study: A report of youth age 25 and under experiencing homelessness in Charleston County SC. Available at https:\/\/riley.cofc.edu\/About%20the%20Riley%20Center\/CYC%20Canvassing%20Full%20Report%2003.8.19.pdf (last Accessed June1 2020)."},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16649531"},{"key":"e_1_3_4_21_2","unstructured":"U.S. Census Bureau. 2018. Uninsured Rate in the United States. September 26 2019. Available at https:\/\/www.census.gov\/library\/visualizations\/interactive\/2018-uninsured-rate.html (last Accessed April1 2020)."},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijpp.12321"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2021.0127","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2021.0127","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2021.0127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:30:54Z","timestamp":1777588254000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2021.0127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":21,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1089\/tmj.2021.0127"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2021.0127","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}