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. 2023 May 15;12:e40358. doi: 10.2196/40358

Table 1.

Guide to questions that promote bridging solutions for equitable implementation of telehealth.

Bridging issues for future exploration Question for future research
Population
  • Patients who do not use, or minimally use, telehealth in health care delivery

  • Patients who experience challenges to health and wellness due to sociodemographic factors

  • Patients who experience intersecting health and sociodemographic factors


  • What is the impact of (age, sex, race/ethnicity) on telehealth reach?

  • What are the factors of patients who do not (receive, sustain, engage in) telehealth?

  • What (resources such as interpreters, accessible devices) are necessary for equitable implementation of telehealth?

  • What structural factors (eg, racism) impact the equitable use of telehealth in a population?

Setting
  • Community-based health settings

  • Outpatient settings (eg, community-based clinics, large health care systems, small health care settings, rural clinics)

  • Primary care or specialty settings

  • What contextual factors influence equitable delivery of telehealth at the (person, provider, health care system) level?

  • What factors promote or hinder equitable implementation of (telehealth modality) at the (setting) level?

  • In what ways does (setting) impact the delivery and receipt of (telehealth modality)?

  • How does the implementation of telehealth differ by local or national (policy, available infrastructure)?

  • How does adaptation of (telehealth modality) interventions differ by setting?


Outcomes
  • Patient-centered outcomes

  • Acceptability of telehealth (eg, access, use, sustainment)

  • Patient and clinician satisfaction

  • Harms and unintended consequences (eg, missed diagnoses, nonengagement of certain groups or individuals)


  • How are outcomes culturally or contextually defined in telehealth use?

  • How do patient-reported outcomes differ by (patient characteristic, subgroup)?

  • What patient-reported outcomes differ by (patient characteristic, subgroup)?