Trial reportBMC health services research2012
An organisational analysis of the implementation of telecare and telehealth: the whole systems demonstrator.
Trial report in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation Strategies to Enhance the Implementation of eHealth Programs for Patients With Chronic Illnesses: Realist Systematic Review.Journal of medical Internet research · 2019Pooled it
- Interactive telemedicine: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2015Pooled it
- An Approach to Assess Generalizability in Comparative Effectiveness Research: A Case Study of the Whole Systems Demonstrator Cluster Randomized Trial Comparing Telehealth with Usual Care for Patients with Chronic Health Conditions.Medical decision making : an international journal of the Society for Medical Decision Making · 2015Trial
- Trial
- Effect of telehealth on glycaemic control: analysis of patients with type 2 diabetes in the Whole Systems Demonstrator cluster randomised trial.BMC health services research · 2014Trial
- Trial
- Experiences of front-line health professionals in the delivery of telehealth: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Trial
- Impact of telehealth on general practice contacts: findings from the whole systems demonstrator cluster randomised trial.BMC health services research · 2013Trial
- Acute medical units during the first wave of the COVID-19 pandemic: a cross-national exploratory study of impact and responses.Clinical medicine (London, England) · 2021Article
- Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients' homes.BMJ open quality · 2020Article
- Health Care Personnel's Perspective on Potential Electronic Health Interventions to Prevent Hospitalizations for Older Persons Receiving Community Care: Qualitative Study.Journal of medical Internet research · 2020Article
- Electronic Consultation in Primary Care Between Providers and Patients: Systematic Review.JMIR medical informatics · 2019Review
- Exploring the Impact of a Telehealth Care System on Organizational Capabilities and Organizational Performance from a Resource-Based Perspective.International journal of environmental research and public health · 2019Article
- Role of Artificial Intelligence within the Telehealth Domain.Yearbook of medical informatics · 2019Article
- Evaluating a telehealth intervention for urinalysis monitoring in children with neurogenic bladder.Journal of child health care : for professionals working with children in the hospital and community · 2019Article
- Implementing new care models: learning from the Greater Manchester demonstrator pilot experience.BMC family practice · 2018Article
- The Emergence and Unfolding of Telemonitoring Practices in Different Healthcare Organizations.International journal of environmental research and public health · 2018Article
- A Conceptual Measurement Model for eHealth Readiness: a Team Based Perspective.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Article
- Towards a shared service centre for telemedicine: Telemedicine in Denmark, and a possible way forward.Health informatics journal · 2016Article
- 'Massive potential' or 'safety risk'? Health worker views on telehealth in the care of older people and implications for successful normalization.BMC medical informatics and decision making · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundTo investigate organisational factors influencing the implementation challenges of redesigning services for people with long term conditions in three locations in England, using remote care (telehealth and telecare).
methodsCase-studies of three sites forming the UK Department of Health's Whole Systems Demonstrator (WSD) Programme. Qualitative research techniques were used to obtain data from various sources, including semi-structured interviews, observation of meetings over the course programme and prior to its launch, and document review. Participants were managers and practitioners involved in the implementation of remote care services.
resultsThe implementation of remote care was nested within a large pragmatic cluster randomised controlled trial (RCT), which formed a core element of the WSD programme. To produce robust benefits evidence, many aspect of the trial design could not be easily adapted to local circumstances. While remote care was successfully rolled-out, wider implementation lessons and levels of organisational learning across the sites were hindered by the requirements of the RCT.
conclusionsThe implementation of a complex innovation such as remote care requires it to organically evolve, be responsive and adaptable to the local health and social care system, driven by support from front-line staff and management. This need for evolution was not always aligned with the imperative to gather robust benefits evidence. This tension needs to be resolved if government ambitions for the evidence-based scaling-up of remote care are to be realised.
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What OpenQuestion holds
Registered trials
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 OpenQuestion graph.