Evidence map›Paper›PMID 41233694›Full record

ArticleJournal of general internal medicine2026

Rural Veteran Perceptions of a Virtual Health Resource Center in a Community-Based Setting.

Leah M Marcotte, Mariah Theis, John Geyer, George Sayre, Mayuree Rao, Kelvin Pho, Eric Gunnink, Ashok Reddy

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Leah M MarcotteDepartment of Medicine, Division of General Internal Medicine, University of Washington, Seattle, WA, USA. leahmar@uw.edu.ORCID http://orcid.org/0000-0003-3130-3525
Mariah TheisCenter for Veteran-Centered and Value-Driven Care, Puget Sound Health Care System, Seattle, WA, USA.
John GeyerDepartment of Medicine, Division of General Internal Medicine, University of Washington, Seattle, WA, USA.
George SayreCenter for Veteran-Centered and Value-Driven Care, Puget Sound Health Care System, Seattle, WA, USA.
Mayuree RaoDepartment of Medicine, Division of General Internal Medicine, University of Washington, Seattle, WA, USA.
Kelvin PhoDepartment of Medicine, Division of General Internal Medicine, University of Washington, Seattle, WA, USA.
Eric GunninkCenter for Veteran-Centered and Value-Driven Care, Puget Sound Health Care System, Seattle, WA, USA.
Ashok ReddyDepartment of Medicine, Division of General Internal Medicine, University of Washington, Seattle, WA, USA.

Funding

Promoting patient portal use among Black women to lower barriers to breast cancer screeningK08CA293156 · NCI · UNIVERSITY OF WASHINGTON · PI Leah Marie Marcotte · 2025 to 2026
$557k
AHRQ HHS K12 HS026369AHRQ HHS K12HS026369NCI NIH HHS K08 CA293156U.S. Department of Veterans Affairs OCC-23-03
6 · The paper itself

Abstract

backgroundVirtual care (VC) services (e.g., telemedicine) could help address transportation barriers to healthcare among rural Veterans. The Veterans Health Administration (VA) Virtual Health Resource Centers (VHRCs) provide in-person and telephone technology support for Veterans to use VC, but few are in rural locations. Our objective was to understand Veteran perceptions of a novel implementation of a rural, community-based VHRC.  

methodsWe conducted our study using an established learning health system model and a rapid qualitative analysis approach to collect and analyze data. Data were abstracted from the VA Corporate Data Warehouse to create a recruitment sample of 200 Veterans with diverse characteristics (i.e., race/ethnicity, gender), half of whom had no video visits within the last 3 years to compare groups across VC use. We developed a semi-structured interview guide using pre-determined constructs from an adapted conceptual model for healthcare access. We conducted interviews virtually. We used template analysis to analyze data.

resultsWe interviewed 28 Veterans; 57% interviewed had used video visits, 27% identified as a race/ethnicity other than non-Hispanic white, and 26% identified as female. Almost all Veterans interviewed said that the proposed site was easy to get to and most viewed VHRC services favorably.  In terms of intervention adaptations, Veterans suggested expanding VHRC services to highly rural communities and on-site add-on services (e.g., labs, EKG) to supplement VC. Veterans also discussed a recently closed VA clinic in the town of the planned implementation and perceived the VHRC as replacement for services lost. 

conclusionRural Veterans were receptive to a community-based implementation of a VHRC alongside a mobile medical unit. This implementation strategy could allow for expanded clinical services, mobile services to highly rural sites, and address services lost from a recent clinic closure. Our findings could help guide rural VHRC and innovative digital access services implementation broadly.

Indexed as

PerceptionRural Health ServicesRural PopulationTelemedicineVeteransAdultAgedDigital HealthFemaleHealth Services AccessibilityHumansMaleMiddle AgedUnited StatesUnited States Department of Veterans Affairsdigital accessrural healthcarevirtual care

Identifiers

PMID41233694
PMCPMC13262893

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.