Evidence map›Paper›PMID 42489378›Full record

ArticleJACC. Advances2026

Telehealth Utilization and Patient Experiences: Patterns of Social Determinants of Health Among Individuals With Hypertension and Diabetes.

Haoxin Chen, Will Simmons, Malak Abu Hashish, Jiancheng Ye

Abstract read
In one paragraph

Article in JACC. Advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Foundation models for cardiovascular diseases and medicine.European heart journal. Digital health · 2026
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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

4 authors.

Haoxin ChenThe University of Hong Kong, Hong Kong, China.
Will SimmonsWeill Cornell Medicine, Cornell University, New York, New York, USA.
Malak Abu HashishTouro University College of Osteopathic Medicine, Great Falls, Montana, USA.
Jiancheng YeWeill Cornell Medicine, Cornell University, New York, New York, USA; Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA. Electronic address: jiancheng.ye@u.northwestern.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelehealth has become a critical modality for managing chronic diseases like hypertension and diabetes. Understanding utilization patterns, effectiveness, and how social determinants of health (SDOH) influence access is essential for promoting equitable care in diverse populations.

objectivesThe purpose of this study was to evaluate telehealth utilization, effectiveness, and patient satisfaction among individuals with hypertension and/or diabetes, and examine how SDOH relate to telehealth access across sociodemographic groups in the United States.

methodsWe conducted a cross-sectional analysis of the 2022 Health Information National Trends Survey 6. Telehealth use was measured across 14 survey items. Participants were categorized as having diabetes only, hypertension only, or both. Weighted analyses used Taylor series methods with appropriate statistical tests and multiple comparison adjustments.

resultsOf 6,252 respondents, 3,009 met inclusion criteria. Overall telehealth utilization was 43.9%. Participants with both conditions were significantly older, more likely to be retired, and had lower income and education compared to single-condition groups. Telehealth modality differed across groups: the comorbid group had the highest phone-only use (21.4%), while the diabetes-only group had the highest video-only use (21.4%). Telehealth was offered to only 13.2% to 21.5% of participants. No significant differences were found in technical difficulties, perceived care quality, or privacy concerns. SDOH challenges including food insecurity, transportation barriers, and lower education were most concentrated in the comorbid group.

conclusionsDespite bearing the greatest SDOH burden, the comorbid group showed the highest utilization, likely reflecting care burden rather than equitable access, reinforced by disproportionate reliance on phone-only visits. Targeted interventions addressing digital access and SDOH barriers are needed to ensure equitable telehealth delivery.

Indexed as

diabeteshypertensionmultiple chronic conditionssocial determinants of healthtechnology utilizationtelehealth

Identifiers

PMID42489378
PMCPMC13400121

What Socratic holds

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Registered trials

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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.