{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:16:02Z","timestamp":1788995762014,"version":"build-2803163510"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"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":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Loss to follow-up and decreased access to timely care have health consequences that often lead to increased emergency service utilization for benign, treatable, and preventable conditions. As such, significant medical intervention is necessary. Specifically in the District of Columbia (DC), the health of Medicaid beneficiaries of Wards 7 and 8, overwhelmingly underserved communities, necessitates alternative means for more accessible, convenient, and consistent care, which can be achieved by integrating telemedicine services into current care modalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Utilizing survey responses from the pre-COVID-19 pandemic, we identified a need for a community-based telemedicine service centered at the Pennsylvania Avenue Baptist Church, designing a threefold project to build knowledge, capacity, and to test feasibility. To build knowledge, we assessed demographics, telemedicine knowledge, current and past telemedicine use, health care utilization, access and improvement issues, telemedicine layperson utilization, and opinions and desire for telemedicine services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 223 responses were gathered from residents residing in Wards 7 and 8 as well as in the neighboring DC communities. An array of data results demonstrates that integrating telemedicine services into community care centers ultimately satisfies identifiable needs in DC\u2019s low-income communities for mental health resources, better coordination of care, more convenient and culturally attuned care, and greater health literacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Integrating telemedicine services into community care centers satisfies the need to decrease costs of care and improve the access and quality of care. Effective evaluation strategies and outcome measures that indicate benefits beyond cost savings could provide useful information on how to integrate sustainable telehealth systems in health care delivery models.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2024.0315","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T06:22:36Z","timestamp":1731478956000},"page":"287-309","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Understanding Barriers to Access and Opportunities for Telemedicine in Underserved Urban Communities"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2753-3865","authenticated-orcid":false,"given":"Joseph-Kevin","family":"Igwe","sequence":"first","affiliation":[{"name":"Department of Medicine, Baylor College of Medicine, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caylynn","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Medicine, Georgetown University, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugo","family":"Alaribe","sequence":"additional","affiliation":[{"name":"Caribbean Medical University, Des Plaines, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ngozi","family":"Okorafor","sequence":"additional","affiliation":[{"name":"Department of Medicine, Baylor College of Medicine, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neal","family":"Outland","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Georgia, Athens, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deandrea","family":"Nwokeofor-Laz","sequence":"additional","affiliation":[{"name":"Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onyinye","family":"Okonma","sequence":"additional","affiliation":[{"name":"Morehouse School of Medicine, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4696-6922","authenticated-orcid":false,"given":"Neal","family":"Sikka","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"e_1_3_7_2_2","unstructured":"Bowser M Nesbitt LS Watson J et al. Government of the District of Columbia. District of Columbia Health Systems Plan [Internet]. Department of Health Office of the Director: Washington DC; 2017. Available from: https:\/\/doh.dc.gov\/sites\/default\/files\/dc\/sites\/doh\/publication\/attachments\/DC%20Health%20Systems%20Plan%202017.pdf [Last accessed: December11 2023]."},{"key":"e_1_3_7_3_2","unstructured":"Qlarant. Medicaid Managed Care 2017 Annual Technical Report [Internet]. District of Columbia Department of Health Care Finance: Washington DC; 2018. Available from: https:\/\/dhcf.dc.gov\/sites\/default\/files\/dc\/sites\/dhcf\/publication\/attachments\/FY%202017%20Annual%20Technical%20Report_FINAL.pdf [Last accessed: November11 2023]."},{"key":"e_1_3_7_4_2","unstructured":"Cirruzzo C. New Ward 8 Urgent Care Opens in Effort to Expand Health Care Access [Internet]. Axios Washington D.C; 2022. Available from: https:\/\/www.axios.com\/local\/washington-dc\/2022\/10\/11\/new-urgent-care-dc-ward-8 [Last accessed: December10 2023]."},{"key":"e_1_3_7_5_2","unstructured":"Nirappil F. In Last-Ditch Effort D.C. Sues to try to keep Providence Hospital open [Internet]. The Washington Post; 2018. Available from: https:\/\/www.washingtonpost.com\/local\/dc-politics\/at-providence-patients-and-staff-confront-partial-closure-of-dcs-oldest-hospital\/2018\/12\/14\/941f7c3a-ffbf-11e8-862a-b6a6f3ce8199_story.html [Last accessed: December11 2023]."},{"key":"e_1_3_7_6_2","unstructured":"Carrasco M. Providence Hospital shuts down emergency services [Internet]. NBC4 Washington; 2019. 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Moving Health Care Upstream Nemours Children\u2019s Health System; 2018. Available from: https:\/\/www.phi.org\/thought-leadership\/policy-leadership-for-health-care-transformation-formalizing-our-commitment-to-communities\/ [Last accessed: November21 2023]."},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303077"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.2196\/43604"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/00333549221123575"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.22153"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2023.0009"},{"key":"e_1_3_7_16_2","first-page":"1357633X2312022","article-title":"Declining trends in telehealth utilization in the ongoing COVID-19 pandemic","author":"Shilane D","year":"2023","unstructured":"Shilane D, , Lu TH. Declining trends in telehealth utilization in the ongoing COVID-19 pandemic. 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