ArticleBMC health services research2016
Facilitating telemedicine project sustainability in medically underserved areas: a healthcare provider participant perspective.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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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
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A cross-sector systematic review and synthesis of knowledge on telemedicine interventions in chronic wound management-Implications from a system perspective.International wound journal · 2023Pooled it
- Built to last? The sustainability of healthcare system improvements, programmes and interventions: a systematic integrative review.BMJ open · 2020Pooled it
- Feasibility and acceptability of pediatric expert teleconsultation during critical ambulance transports: a pilot randomized controlled simulation trial.Resuscitation plus · 2026Article
- Digital health and rural health workforce retention: mapping workforce retention pathways.European journal of public health · 2026Article
- Remote Management of Patients With Heart Failure in Medically Underserved Areas.JACC. Advances · 2026Article
- Hospital doctors' attitudes to the adoption, implementation and utilisation of digital virtual consultations.Journal of public health research · 2025Article
- Exploring the sustainability of virtual care interventions: A scoping review.PLOS digital health · 2025Article
- Evaluating the feasibility, adoption, cost-effectiveness, and sustainability of telemedicine interventions in managing COVID-19 within low-and-middle-income countries (LMICs): A systematic review.PLOS digital health · 2025Article
- Digitally-mediated coordination in healthcare: the effects of teleconsultation on doctor-to-doctor relational coordination.BMC health services research · 2024Article
- Factors Influencing Telehealth Implementation and Use in Frontier Critical Access Hospitals: Qualitative Study.JMIR formative research · 2021Article
- District nurses' views on and experiences with a telemedicine educational programme in palliative care.Scandinavian journal of caring sciences · 2020Article
- The geographic alignment of primary care Health Professional Shortage Areas with markers for social determinants of health.PloS one · 2020Article
- Understanding primary care-oncology relationships within a changing healthcare environment.BMC family practice · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVery few telemedicine projects in medically underserved areas have been sustained over time. This research furthers understanding of telemedicine service sustainability by examining teleconsultation projects from the perspective of healthcare providers. Drivers influencing healthcare providers' continued participation in teleconsultation projects and how projects can be designed to effectively and efficiently address these drivers is examined.
methodsCase studies of fourteen teleconsultation projects that were part of two health sciences center (HSC) based telemedicine networks was utilized. Semi-structured interviews of 60 key informants (clinicians, administrators, and IT professionals) involved in teleconsultation projects were the primary data collection method.
resultsTwo key drivers influenced providers' continued participation. First was severe time constraints. Second was remote site healthcare providers' (RSHCPs) sense of professional isolation. Two design steps to address these were identified. One involved implementing relatively simple technology and process solutions to make participation convenient. The more critical and difficult design step focused on designing teleconsultation projects for collaborative, active learning. This learning empowered participating RSHCPs by leveraging HSC specialists' expertise.
conclusionsIn order to increase sustainability the fundamental purpose of teleconsultation projects needs to be re-conceptualized. Doing so requires HSC specialists and RSHCPs to assume new roles and highlights the importance of trust. By implementing these design steps, healthcare delivery in medically underserved areas can be positively impacted.
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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.