{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T18:11:12Z","timestamp":1780337472039,"version":"3.54.1"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"5","funder":[{"name":"US Department of Veterans Affairs Quality Enhancement Research Initiative","award":["PEI 18-205"],"award-info":[{"award-number":["PEI 18-205"]}]},{"DOI":"10.13039\/100019294","name":"VA\u2019s Office of Rural Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019294","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Some health conditions and life experiences can create disclosure costs (ie, anticipated social costs of care-seeking), suppressing care-seeking in ways that logistical access alone cannot resolve. Digital infrastructure enabling telehealth access holds promise for reaching these populations because remote access reduces the visibility of care-seeking. Yet, device access remains a barrier, with little evidence on whether internet-enabled device distribution programs can expand care for high-disclosure-cost populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using an event study and difference-in-differences framework, this study exploits the Department of Veterans Affairs\u2019 (VA's) escalated distribution of video-enabled tablets during the COVID-19 pandemic to identify the impact of closing the digital divide on continuity of virtual mental health care among female veterans with a history of military sexual trauma and examines variation in impact by clinician characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Tablet recipients experienced a 27% increase in continuity of care and attended 2.5 more psychotherapy visits per year for both general mental health and trauma-related concerns. Effects were larger among patients matched with female or female-serving clinicians, suggesting that device access and clinician characteristics may work together to facilitate care for trauma survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings suggest that public investment in digital infrastructure paired with intentional, preference-honoring patient\u2013provider matching may expand mental health care access for patients whose barriers extend beyond logistics to the visibility of care-seeking.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/haschl\/qxag066","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T12:38:05Z","timestamp":1774096685000},"source":"Crossref","is-referenced-by-count":0,"title":["Tablets and telehealth: expanding care reach by closing the digital 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