ArticleBMC health services research2024
Strengthening rural healthcare outcomes through digital health: qualitative multi-site case study.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Action Planning for Reducing Sugar-Sweetened Beverage Intake in Appalachian Adults: Longitudinal Process Evaluation of a Digital Behavioral Health Intervention.JMIR mHealth and uHealth · 2026Trial
- An exploratory survey of barriers and enablers of AI adoption in rural and urban dental practices in Mecklenburg-Western Pomerania, Germany.Scientific reports · 2026Article
- Training needs and curricular priorities for managing multimorbidity in Spanish primary care: findings from a national exploratory online survey.BMC primary care · 2026Article
- The Flow of Healthcare Information in Rural and Remote Settings: A Qualitative Approach.Journal of evaluation in clinical practice · 2026Article
- Article
- Digital twin virtual hospitals and rural health disparities: a six-country comparative study (2018-2024).Frontiers in public health · 2026Article
- Co-Design of a Digital Health Platform for Chronic Disease Management in Rural Settings Using a Person-Centered, Collaborative-Care Model: Protocol for a 3-Phase Mixed Methods Study.JMIR research protocols · 2025Article
- Qualitative Evaluation of an Online Technology to Support Rural Caregivers of People with Dementia.Geriatrics (Basel, Switzerland) · 2025Article
- Parkinson's Disease in Australia: Evaluation of Regional Differences and Health-Related Quality of Life.The Australian journal of rural health · 2025Article
- Bridging gaps in dementia care across southeastern Europe: Regional challenges, cross-border innovation, and implementation barriers.Journal of public health research · 2025Article
- Evaluating digital maturity in public health systems: a statewide cross-sectional analysis of digital public health capacity in Missouri.Frontiers in public health · 2025Article
- The coupling coordination between digital village construction and rural healthcare service efficiency in China: dynamic evolution, spatial difference and driving factors.Frontiers in public health · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundRural populations experience ongoing health inequities with disproportionately high morbidity and mortality rates, but digital health in rural settings is poorly studied. Our research question was: How does digital health influence healthcare outcomes in rural settings? The objective was to identify how digital health capability enables the delivery of outcomes in rural settings according to the quadruple aims of healthcare: population health, patient experience, healthcare costs and provider experience.
methodsA multi-site qualitative case study was conducted with interviews and focus groups performed with healthcare staff (n = 93) employed in rural healthcare systems (n = 10) in the state of Queensland, Australia. An evidence-based digital health capability framework and the quadruple aims of healthcare served as classification frameworks for deductive analysis. Theoretical analysis identified the interrelationships among the capability dimensions, and relationships between the capability dimensions and healthcare outcomes.
resultsSeven highly interrelated digital health capability dimensions were identified from the interviews: governance and management; information technology capability; people, skills, and behaviours; interoperability; strategy; data analytics; consumer centred care. Outcomes were directly influenced by all dimensions except strategy. The interrelationship analysis demonstrated the influence of strategy on all digital health capability dimensions apart from data analytics, where the outcomes of data analytics shaped ongoing strategic efforts.
conclusionsThe study indicates the need to coordinate improvement efforts targeted across the dimensions of digital capability, optimise data analytics in rural settings to further support strategic decision making, and consider how consumer-centred care could influence digital health capability in rural healthcare services. Digital transformation in rural healthcare settings is likely to contribute to the achievement of the quadruple aims of healthcare if transformation efforts are supported by a clear, resourced digital strategy that is fit-for-purpose to the nuances of rural healthcare delivery.
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