{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:01:12Z","timestamp":1787068872228,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIH\/NCATS SPROUT-CTSA Collaborative Telehealth Network","award":["U01TR002626"],"award-info":[{"award-number":["U01TR002626"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Objectives:<\/jats:title>\n                    <jats:p>Telehealth can improve pediatric access to care; however, substantial telehealth disparities continue to persist. Publications describing the implementation of innovative strategies to improve telehealth equity across pediatric health care organizations are limited. We aimed to describe the degree of implementation of telehealth equity interventions, identify facilitators and barriers to their implementation, and develop a quality improvement framework for future implementation efforts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a national survey within the American Academy of Pediatrics\u2019 Supporting Pediatric Research on Outcomes and Utilization of Telehealth network from October to December 2023 to obtain an environmental scan of telehealth equity interventions adopted by pediatric health organizations since the onset of the COVID-19 pandemic. We used descriptive statistics to quantify intervention implementation and employed qualitative template analysis of open-ended responses to design a key driver diagram blueprint to advance pediatric telehealth equity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 134 organizations, members from 13 organizations completed the survey, mostly representing large, urban, academic children\u2019s hospitals. The most commonly implemented interventions included providing devices or internet access within health care facilities, offering on-demand help desk support, and integrating interpreter services within telehealth visit platforms. In contrast, less commonly implemented interventions included expanding broadband access in community settings, soliciting family visit preferences for telehealth versus in-person visits, and ensuring patient privacy during telehealth encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study describes the degree of implementation of telehealth equity interventions among well-resourced pediatric health organizations. Our quality improvement framework provides a foundation for future multicenter, collaborative initiatives aimed at reducing telehealth disparities in pediatric populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627251401520","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T15:19:25Z","timestamp":1764775165000},"page":"280-288","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An Environmental Scan of Interventions Implemented by Pediatric Health Organizations to Improve Telehealth Equity"],"prefix":"10.1177","volume":"32","author":[{"given":"Sarah","family":"Hutcheson","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Coleman","sequence":"additional","affiliation":[{"name":"Department of Pediatric Critical Care, University of North Carolina Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciauna","family":"Tran","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roni","family":"Shechtman","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Chuo","sequence":"additional","affiliation":[{"name":"University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of California at Davis School of Medicine, Sacramento, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sansanee","family":"Craig","sequence":"additional","affiliation":[{"name":"University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA."},{"name":"Department of Biomedical and Health Informatics, Children\u2019s Hospital of Philadelphia; Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzinne","family":"Pak-Gorstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Lurie","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arti D.","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA."},{"name":"Seattle Children\u2019s Research Institute, Seattle, Washington, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2005835"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.5097"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-022-02306-2"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2020.5928"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-047795"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.645236"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.31640"},{"key":"e_1_3_4_9_2","unstructured":"Karimi M Lee EC Couture SJ et al. National survey trends in telehealth use in 2021: Disparities in utilization and audio vs. video services. US Department of Health & Human Services. Available from: https:\/\/aspe.hhs.gov\/sites\/default\/files\/documents\/4e1853c0b4885112b2994680a58af9ed\/telehealth-hps-ib.pdf [Last accessed: November4 2025]."},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.00823"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.05.025"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocy052"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocz023"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-020-00846-z"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-1586"},{"issue":"3","key":"e_1_3_4_16_2","article-title":"Addressing equity in telemedicine for chronic disease management during the Covid-19 pandemic","volume":"1","author":"Nouri S","year":"2020","unstructured":"Nouri S, , Khoong EC, , Lyles CR, et al. Addressing equity in telemedicine for chronic disease management during the Covid-19 pandemic. NEJM Catal Innov Care Deliv, 2020; 1(3).","journal-title":"NEJM Catal Innov Care Deliv"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-022-00663-0"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X221107995"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_4_20_2","volume-title":"Essential Guide to Qualitative Methods in Organizational Research","author":"King N","year":"2004","unstructured":"King N. Essential Guide to Qualitative Methods in Organizational Research. SAGE Publications Ltd; 2004."},{"key":"e_1_3_4_21_2","unstructured":"Institute for Healthcare Improvement. Driver Diagram. 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