Evidence map›Paper›PMID 37247963›Full record

ArticleBMJ open2023

Benefits, challenges and sustainability of digital healthcare for NHS Wales: a qualitative study.

Gemma Johns, Bethan Whistance, Anna Burhouse, Sara Khalil, Megan Whistance, Saiba Ahuja, Mike Ogonovsky, Alka Ahuja

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Sustainability practices made easy.Eye (London, England) · 2025
    Review
  2. Review
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

8 authors.

Gemma JohnsInformatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK gemma.johns3@wales.nhs.uk.ORCID 0000-0001-9823-4822
Bethan WhistanceInformatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK.
Anna BurhouseDirector of Quality Development RUBIS. Qi Northumbria Healthcare NHS Foundation Trust, The Health Foundation, London, UK.
Sara KhalilInformatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK.
Megan WhistanceInformatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK.
Saiba AhujaInformatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK.
Mike OgonovskyInformatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK.
Alka AhujaInformatics, Technology Enabled Care Cymru, Aneurin Bevan Health Board, Gwent, UK.ORCID 0000-0003-2658-2021

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDigital healthcare in the UK was adopted out of necessity rather than choice during the COVID-19 pandemic. However, as we move forward, UK governments and healthcare services have acknowledged its evident benefits for patients, staff and the National Health Service (NHS), and are keen to sustain its improvements in the long term.

objectiveTo understand the benefits, challenges and sustainability of a future-proof digital healthcare.

designA semi-structured interview study was conducted.

settingIn NHS services in Wales, UK.

participantsWith clinical and non-clinical staff across a mix of clinical specialties. OUTCOME MEASURES: Semi-structured interviews were conducted to address benefits, challenges and sustainability of a national video consulting (VC) service, and thematically coded using a quantification method of qualitative work.

resultsA total of 203 interviews were conducted and 3 dominant domains emerged, with 7 themes and 26 categories. LIMITATIONS: It is important to acknowledge that these findings were captured during a pandemic.

conclusionsNHS Wales has demonstrated that currently there are an equal measure of benefits and challenges to a national digital healthcare. However, with ongoing government and service support, improvement and evaluation, it has potential for a sustainable digital future, in which the benefits can outweigh the challenges.

Indexed as

COVID-19State MedicineDelivery of Health CareHumansPandemicsQualitative ResearchWalesCOVID-19Health informaticsInformation technologyQUALITATIVE RESEARCHTelemedicine

Identifiers

PMID37247963
PMCPMC10230334

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.