Evidence map›Paper›PMID 37988140›Full record

ArticleJMIR rehabilitation and assistive technologies2023

Clinicians' Perspective on Implementing Virtual Hospital Care for Low Back Pain: Qualitative Study.

Alla Melman, Simon P Vella, Rachael H Dodd, Danielle M Coombs, Bethan Richards, Eileen Rogan, Min Jiat Teng, Chris G Maher, Narcyz Ghinea, Gustavo C Machado

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR rehabilitation and assistive technologies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Alla Melman *Sydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Camperdown, Australia.ORCID https://orcid.org/0000-0003-3726-1477
Simon P Vella *Sydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Camperdown, Australia.ORCID https://orcid.org/0000-0003-1267-3782
Rachael H Dodd *The Daffodil Centre, Faculty of Medicine and Health, a joint venture between The University of Sydney and Cancer Council New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0002-8080-6359
Danielle M Coombs *Sydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Camperdown, Australia.ORCID https://orcid.org/0000-0003-0005-7851
Bethan Richards *Sydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Camperdown, Australia.ORCID https://orcid.org/0000-0002-9249-8808
Eileen Rogan *Canterbury Hospital, Sydney, Australia.ORCID https://orcid.org/0009-0003-4059-4085
Min Jiat Teng *Sydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Camperdown, Australia.ORCID https://orcid.org/0000-0003-4948-0335
Chris G Maher *Sydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Camperdown, Australia.ORCID https://orcid.org/0000-0002-1628-7857
Narcyz Ghinea *Department of Philosophy, Macquarie University, Sydney, Australia.ORCID https://orcid.org/0000-0002-1457-7252
Gustavo C Machado *Sydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Camperdown, Australia.ORCID https://orcid.org/0000-0002-8544-0448
The University of Sydney · AUCancer Council NSW · AUCanterbury Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlternate "hospital avoidance" models of care are required to manage the increasing demand for acute inpatient beds. There is currently a knowledge gap regarding the perspectives of hospital clinicians on barriers and facilitators to a transition to virtual care for low back pain. We plan to implement a virtual hospital model of care called "Back@Home" and use qualitative interviews with stakeholders to develop and refine the model.

objectiveWe aim to explore clinicians' perspectives on a virtual hospital model of care for back pain (Back@Home) and identify barriers to and enablers of successful implementation of this model of care.

methodsWe conducted semistructured interviews with 19 purposively sampled clinicians involved in the delivery of acute back pain care at 3 metropolitan hospitals. Interview data were analyzed using the Theoretical Domains Framework.

resultsA total of 10 Theoretical Domains Framework domains were identified as important in understanding barriers and enablers to implementing virtual hospital care for musculoskeletal back pain. Key barriers to virtual hospital care included patient access to videoconferencing and reliable internet, language barriers, and difficulty building rapport. Barriers to avoiding admission included patient expectations, social isolation, comorbidities, and medicolegal concerns. Conversely, enablers of implementing a virtual hospital model of care included increased health care resource efficiency, clinician familiarity with telehealth, as well as a perceived reduction in overmedicalization and infection risk.

conclusionsThe successful implementation of Back@Home relies on key stakeholder buy-in. Addressing barriers to implementation and building on enablers is crucial to clinicians' adoption of this model of care. Based on clinicians' input, the Back@Home model of care will incorporate the loan of internet-enabled devices, health care interpreters, and written resources translated into community languages to facilitate more equitable access to care for marginalized groups.

Indexed as

backbarrierbarrierscare modele-HealtheHealthenablerenablersfacilitatorfacilitatorshealthcare deliveryhealth services researchimplementationinterviewinterviewslow back painmodel of carepainqualitativeremote careserviceservice deliveryservicestelehealthtelemedicinevirtual carevirtual hospital

Identifiers

PMID37988140
PMCPMC10698644
OpenAlexW4388861804

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.