{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T14:51:52Z","timestamp":1776091912920,"version":"3.50.1"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"New York Presbyterian Digital Health Outcomes Research Institute"},{"DOI":"10.13039\/100006093","name":"Patient Centered Outcome Research Institute","doi-asserted-by":"crossref","award":["PCORI- HS-2019C2-17373"],"award-info":[{"award-number":["PCORI- HS-2019C2-17373"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Evaluate the impact of community tele-paramedicine (CTP) on patient experience and satisfaction relative to community-level indicators of health disparity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>This mixed-methods study evaluates patient-reported satisfaction and experience with CTP, a facilitated telehealth program combining in-home paramedic visits with video visits by emergency physicians. Anonymous post-CTP visit survey responses and themes derived from directed content analysis of in-depth interviews from participants of a randomized clinical trial of mobile integrated health and telehealth were stratified into high, moderate, and low health disparity Community Health Districts (CHD) according to the 2018 New York City (NYC) Community Health Survey.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 232 CTP patients, 55% resided in high or moderate disparity CHDs but accounted for 66% of visits between April 2019 and October 2021. CHDs with the highest proportion of CTP visits were more adversely impacted by social determinants of health relative to the NYC average. Satisfaction surveys were completed in 37% of 2078 CTP visits between February 2021 and March 2023 demonstrating high patient satisfaction that did not vary by community-level health disparity. Qualitative interviews conducted with 19 patients identified differing perspectives on the value of CTP: patients in high-disparity CHDs expressed themes aligned with improved health literacy, self-efficacy, and a more engaged health system, whereas those from low-disparity CHDs focused on convenience and uniquely identified redundancies in at-home services.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This mixed-methods analysis suggests CTP bridges the digital health divide by facilitating telehealth in communities negatively impacted by health disparities.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocae007","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T09:51:08Z","timestamp":1706176268000},"page":"875-883","source":"Crossref","is-referenced-by-count":13,"title":["Bridging the digital health divide\u2014patient experiences with mobile integrated health and facilitated telehealth by community-level indicators of health disparity"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3141-3089","authenticated-orcid":false,"given":"Brock","family":"Daniels","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Weill Cornell Medicine , New York, NY 10065, United States"},{"name":"Department of Population Health Sciences, Weill Cornell Medicine , New York, NY 10065, United States"}]},{"given":"Christina","family":"McGinnis","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Weill Cornell Medicine , New York, NY 10065, United States"}]},{"given":"Leah Shafran","family":"Topaz","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences, Weill Cornell Medicine , New York, NY 10065, United States"}]},{"given":"Peter","family":"Greenwald","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Weill Cornell Medicine , New York, NY 10065, United States"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6264-6320","authenticated-orcid":false,"given":"Meghan Reading","family":"Turchioe","sequence":"additional","affiliation":[{"name":"Columbia University School of Nursing , New York, NY 10032, United States"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4238-9902","authenticated-orcid":false,"given":"Ruth Marie Masterson","family":"Creber","sequence":"additional","affiliation":[{"name":"Columbia University School of Nursing , New York, NY 10032, United States"}]},{"given":"Rahul","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Weill Cornell Medicine , New York, NY 10065, United States"}]}],"member":"286","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"issue":"5","key":"2024040320015591300_ocae007-B1","first-page":"e204-5","article-title":"Bridging the digital divide in health care","volume":"1","author":"Makri","year":"2019","journal-title":"Lancet Digit Health"},{"issue":"2","key":"2024040320015591300_ocae007-B2","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1177\/1090198114547815","article-title":"The digital health divide: evaluating online health information access and use among older adults","volume":"42","author":"Hall","year":"2015","journal-title":"Health Educ Behav"},{"issue":"5","key":"2024040320015591300_ocae007-B3","first-page":"856","article-title":"Has the digital health divide widened? 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