ArticleHealth expectations : an international journal of public participation in health care and health policy2016
'It was like he was in the room with us': patients' and carers' perspectives of telemedicine in acute stroke.
Article in Health expectations : an international journal of public participation in health care and health policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Communication Strategies to Promote Patient Engagement in Telemedicine: Systematic Review.Journal of medical Internet research · 2026Pooled it
- Challenges and recommendations in the implementation of audiovisual telemedicine communication: a systematic review.Korean journal of medical education · 2024Pooled it
- Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review.Implementation science : IS · 2018Pooled it
- The importance of "being seen": a qualitative interview study of patient and clinician experiences of virtual and face-to-face TIA clinics in one region of England.BMC health services research · 2026Article
- Navigating the Boundaries of Teleconsultation-Capabilities, Limitations, and Pathways for Improvement: Qualitative Study of the Experiences of Patients With Stroke.Journal of medical Internet research · 2025Article
- Translational framework for implementation evaluation and research: implementation strategies derived from normalization process theory.Implementation science : IS · 2025Article
- Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review.Journal of clinical medicine · 2024Review
- Ethical, Legal, Organisational and Social Issues of Teleneurology: A Scoping Review.International journal of environmental research and public health · 2023Article
- Telemedicine during COVID-19 Crisis and in Post-Pandemic/Post-Vaccine World-Historical Overview, Current Utilization, and Innovative Practices to Increase Utilization.Healthcare (Basel, Switzerland) · 2022Article
- Scale-up of prevention programmes: sustained state-wide use of programme delivery software is explained by normalised self-organised adoption and non-adoption.Implementation science : IS · 2022Article
- Provider Communication and Telepresence Enhance Veteran Satisfaction With Telestroke Consultations.Stroke · 2021Article
- "I'm Not Feeling Like I'm Part of the Conversation" Patients' Perspectives on Communicating in Clinical Video Telehealth Visits.Journal of general internal medicine · 2020Article
- The Use of Patient-Facing Teleconsultations in the National Health Service: Scoping Review.JMIR medical informatics · 2020Article
- Article
- Integrating acute stroke telemedicine consultations into specialists' usual practice: a qualitative analysis comparing the experience of Australia and the United Kingdom.BMC health services research · 2017Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundTelemedicine can facilitate delivery of thrombolysis in acute stroke. The aim of this qualitative study was to explore patients' and carers' views of their experiences of using a stroke telemedicine system in order to contribute to the development of reliable and acceptable telemedicine systems and training for health-care staff.
methodWe recruited patients who had, and carers who were present at, recent telemedicine consultations for acute stroke in three hospitals in NW England. Semi-structured interviews were conducted using an interview guide based on normalization process theory (NPT). Thematic analysis was undertaken.
resultsWe conducted 24 interviews with 29 participants (16 patients; 13 carers). Eleven interviews pertained to 'live' telemedicine assessments (at the time of admission); nine had mock-up telemedicine assessments (within 48 h of admission); four had both assessments. Using the NPT domains as a framework for analysis, factors relating to coherence (sense making) included people's knowledge and understanding of telemedicine. Cognitive participation (relational work) included interaction between staff and with patients and carers. Issues relating to collective action (operational work) included information exchange and support, and technical matters. Findings relating to reflexive monitoring (appraisal) included positive and negative impressions of the telemedicine process, and emotional reactions.
conclusionAlthough telemedicine was well accepted by many participants, its use added an additional layer of complexity to the acute stroke consultation. The 'remote' nature of the consultation posed challenges for some patients. These issues may be ameliorated by clear information for patients and carers, staff interpersonal skills, and teamworking.
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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.