Evidence map›Paper›PMID 36302573›Full record

ArticleBMJ open2022

General practice perspective on the use of telehealth during the COVID-19 pandemic in Australia using an Action Research approach: a qualitative study.

Rae-Anne Hardie, Judith Thomas, Julie Li, Christopher Pearce, A Georgiou

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rae-Anne HardieCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University Faculty of Medicine Health and Human Sciences, Sydney, New South Wales, Australia rae-anne.hardie@mq.edu.au.ORCID 0000-0003-4868-4045
Judith ThomasCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University Faculty of Medicine Health and Human Sciences, Sydney, New South Wales, Australia.
Julie LiCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University Faculty of Medicine Health and Human Sciences, Sydney, New South Wales, Australia.
Christopher PearceCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University Faculty of Medicine Health and Human Sciences, Sydney, New South Wales, Australia.
A GeorgiouCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University Faculty of Medicine Health and Human Sciences, Sydney, New South Wales, Australia.ORCID 0000-0002-7619-3668

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTelehealth has emerged as a viable and safe mode of care delivery in Australia during the COVID-19 pandemic. However, electronic general practice data reveal differences in uptake and consultation mode, which we hypothesise may be due to potential barriers impacting on quality of care. We aimed to identify the benefits and barriers of telehealth use in general practice, using an 'Action Research' approach involving general practitioners (GPs) and general practice stakeholders.

designQualitative focus group performed within a broader Action Research methodology.

settingA focus group was held in August 2021, with general practice participants from Victoria, Australia.

participantsThe study consisted of a purposive sample of 11 participants, including GPs (n=4), representatives from three primary health networks (n=4) and data custodian representatives (n=3) who were part of a project stakeholder group guided by an Action Research approach.

methodsSemistructured interview questions were used to guide focus group discussions via videoconference, which were recorded and transcribed verbatim for analysis. The transcript was analysed using an inductive thematic approach.

resultsEmerging themes included evolution of telehealth, barriers to telehealth (privacy, eligibility, technology, quality of care, sociodemographic and residential aged care barriers) and benefits of telehealth (practice, quality of care, sociodemographic and residential aged care benefits).

conclusionThe findings highlight a range of barriers to telehealth that impact general practice, but also provide justification for the continuation and development of telehealth. These results provide important context to support data-driven population-based findings on telehealth uptake. They also highlight areas of quality improvement for the enhancement of telehealth as a valuable tool for routine general practice patient care.

Indexed as

COVID-19General PracticeTelemedicineAgedHumansPandemicsQualitative ResearchVictoriaCOVID-19PRIMARY CARETelemedicine

Identifiers

PMID36302573
PMCPMC9620525

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Registered trials

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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.