ArticleBMC health services research2017
Integrating acute stroke telemedicine consultations into specialists' usual practice: a qualitative analysis comparing the experience of Australia and the United Kingdom.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 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.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Theories Informing eHealth Implementation: Systematic Review and Typology Classification.Journal of medical Internet research · 2021Pooled it
- Understanding Clinicians' Adoption of Mobile Health Tools: A Qualitative Review of the Most Used Frameworks.JMIR mHealth and uHealth · 2020Pooled it
- Social, Organizational, and Technological Factors Impacting Clinicians' Adoption of Mobile Health Tools: Systematic Literature Review.JMIR mHealth and uHealth · 2020Pooled 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
- Hospital doctors' attitudes to the adoption, implementation and utilisation of digital virtual consultations.Journal of public health research · 2025Article
- Factors Impacting the Adoption and Potential Reimbursement of a Virtual Reality Tool for Pain Management in Switzerland: Qualitative Case Study.JMIR human factors · 2024Article
- Testing the Validity and Reliability of a Standardized Virtual Examination for Concussion.Neurology. Clinical practice · 2024Article
- Ethical considerations in prevention and management of non-communicable diseases: a narrative review.Journal of medical ethics and history of medicine · 2024Review
- Ethical, Legal, Organisational and Social Issues of Teleneurology: A Scoping Review.International journal of environmental research and public health · 2023Article
- A mixed-method study on the provision of remote consultations for non-communicable disease patients during the first wave of the COVID-19 pandemic in Latvia: lessons for the future.BMC health services research · 2022Article
- Telemedicine remote controlled stroke evaluation and treatment, the experience of radiographers, paramedics and junior doctors in a novel rural stroke management team.BMC health services research · 2021Article
- Building cohesion in distributed telemedicine teams: findings from the Department of Veterans Affairs National Telestroke Program.BMC health services research · 2021Article
- Elaborating Models of eHealth Governance: Qualitative Systematic Review.Journal of medical Internet research · 2020Review
- Stroke and Telerehabilitation: A Brief Communication.JMIR rehabilitation and assistive technologies · 2020Article
- The Use of Patient-Facing Teleconsultations in the National Health Service: Scoping Review.JMIR medical informatics · 2020Article
- Article
Corrections and comments
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Authors and funding
17 authors at 7 institutions in 2 countries.
Funding
Abstract
backgroundStroke telemedicine can reduce healthcare inequities by increasing access to specialists. Successful telemedicine networks require specialists adapting clinical practice to provide remote consultations. Variation in experiences of specialists between different countries is unknown. To support future implementation, we compared perceptions of Australian and United Kingdom specialists providing remote acute stroke consultations.
methodsSpecialist participants were identified using purposive sampling from two new services: Australia's Victorian Stroke Telemedicine Program (n = 6; 2010-13) and the United Kingdom's Cumbria and Lancashire telestroke network (n = 5; 2010-2012). Semi-structured interviews were conducted pre- and post-implementation, recorded and transcribed verbatim. Deductive thematic and content analysis (NVivo) was undertaken by two independent coders using Normalisation Process Theory to explore integration of telemedicine into practice. Agreement between coders was M = 91%, SD = 9 and weighted average κ = 0.70.
resultsCross-cultural similarities and differences were found. In both countries, specialists described old and new consulting practices, the purpose and value of telemedicine systems, and concerns regarding confidence in the assessment and diagnostic skills of unknown colleagues requesting telemedicine support. Australian specialists discussed how remote consultations impacted on usual roles and suggested future improvements, while United Kingdom specialists discussed system governance, policy and procedures.
conclusionAustralian and United Kingdom specialists reported telemedicine required changes in work practice and development of new skills. Both groups described potential for improvements in stroke telemedicine systems with Australian specialists more focused on role change and the United Kingdom on system governance issues. Future research should examine if cross-cultural variation reflects different models of care and extends to other networks.
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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.