Crossing the digital divide: A veteran affairs program to distribute video-enabled devices to patients in a supportive housing program

• Main Authors: Heyworth, L. (Author), Hu, J. (Author), Slightam, C. (Author), Van Campen, J. (Author), Wray, C.M (Author), Zulman, D.M (Author)
• Format: Article
• Language: English
• Published: Oxford University Press 2022
• Subjects: health services accessibility; telemedicine; Veterans Health Administration
• Online Access: View Fulltext in Publisher

 Objective: Evaluate an initiative to distribute video-enabled tablets and cell phones to individuals enrolled in Veterans Health Affairs supportive housing program during the COVID-19 pandemic. Materials and Methods: In September 2020, individuals in the Veteran Health Affairs (VA) Housing and Urban Development-VA Supportive Housing (HUD-VASH) program were offered either a video-enabled tablet or cellphone to support their communication and health care engagement needs. We examined sociodemographic and clinical characteristics of device recipients, and compared engagement in in-person, telephone, and video-based visits (categorized as primary care, specialty care, rehabilitation, HUD-VASH, mental health care, and other) for 6 months prior to (March 1, 2020-August 31, 2020) and following (September 1, 2020-July 30, 2021) device receipt. Results: In total, 5127 Veterans received either a tablet (n = 4454) or a cellphone (n = 673). Compared to the 6 months prior to device receipt, in the 6 months following receipt, in-person and video engagement increased by an average of 1.4 visits (8%) and 3.4 visits (125%), respectively, while telephone engagement decreased (-5.2 visits; -27%). Both tablet and cellphone recipients had increased in-person visits (+1.3 visits [8%] and +2.1 visits [13%], respectively); while tablet users had a substantially larger increase in video-based engagement (+3.2 visits [+110%] vs. +0.9 [+64%]). Similar trends were noted across all assessed types of care. Discussion: Providing video-enabled devices to Veterans in a supportive housing program may facilitate engagement in health care. Conclusions and Relevance: VA's device distribution program offers a model for expanding access to health-related technology and telemedicine to individuals in supportive housing programs. © 2022 Published by Oxford University Press on behalf of the American Medical Informatics Association 2022.