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Record W4361857341 · doi:10.2196/40358

Strategies to Bridge Equitable Implementation of Telehealth

2023· article· en· W4361857341 on OpenAlexvenueno aff
Allison M. Gustavson, Allison A. Lewinski, Ellen E. Fitzsimmons‐Craft, Gloria D. Coronado, Sarah Linke, Denalee O’Malley, Alyce S. Adams, Russell E. Glasgow, Lisa M. Klesges

Bibliographic record

VenueInteractive Journal of Medical Research · 2023
Typearticle
Languageen
FieldMedicine
TopicTelemedicine and Telehealth Implementation
Canadian institutionsnot available
FundersNational Center for Advancing Translational SciencesOffice of Behavioral and Social Sciences ResearchNational Institute of Diabetes and Digestive and Kidney DiseasesNational Cancer InstituteAgency for Healthcare Research and QualityNational Institutes of HealthPatient-Centered Outcomes Research InstituteRobert E. Leet and Clara Guthrie Patterson TrustNational Institute of Mental HealthHealth Services Research and DevelopmentU.S. Department of Veterans Affairs
KeywordsTelehealthSoftware deploymentEquity (law)BusinessPandemicUnintended consequencesCoronavirus disease 2019 (COVID-19)Bridge (graph theory)Quality (philosophy)Process managementPublic relationsComputer scienceTelemedicineMedicinePolitical scienceHealth care

Abstract

fetched live from OpenAlex

During the COVID-19 pandemic, the rapid scaling of telehealth limited the extent to which proactive planning for equitable implementation was possible. The deployment of telehealth will persist in the postpandemic era, given patient preferences, advances in technologies, growing acceptance of telehealth, and the potential to overcome barriers to serve populations with limited access to high-quality in-person care. However, aspects and unintended consequences of telehealth may leave some groups underserved or unserved, and corrective implementation plans that address equitable access will be needed. The purposes of this paper are to (1) describe equitable implementation in telehealth and (2) integrate an equity lens into actionable equitable implementation.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.009
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.702
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0090.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.190
GPT teacher head0.600
Teacher spread0.410 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations21
Published2023
Admission routes1
Has abstractyes

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