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In the potential outcomes framework, if the hospital patient i visits has adopted telemedicine, the observed mediator (t PA use) under the treatment condition T=1 is denoted as Mi(1), which further influences the observed outcome Yi(1,Mi(1)). Then, the potential outcome (under the treatment condition T=1) without telemedicine is represented as Yi(0,Mi(0)). For T=0, the opposite occurs for the observed mediator Mi(0) and the outcome Yi(0,Mi(0)).
J Med Internet Res 2025;27:e72315
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