Evidence map›Paper›PMID 40082928›Full record

ArticleBMC health services research2025

Challenges for remote patient monitoring programs in rural and regional areas: a qualitative study.

Joel Fossouo Tagne, Kara Burns, Teresa O'Brein, Wendy Chapman, Portia Cornell, Kit Huckvale, Ishaan Ameen, Jaclyn Bishop, Alison Buccheri, Jodie Reid and 5 more

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Socially Assistive RobotJournal of clinical medicine · 2025
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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

15 authors.

Joel Fossouo TagneCentre for Digital Transformation of Health, University of Melbourne, Level 8 - Melbourne Connect, 700 Swanston St., Melbourne, VIC, 3010, Australia. joel.fossouotagne@unimelb.edu.au.
Kara BurnsCentre for Digital Transformation of Health, University of Melbourne, Level 8 - Melbourne Connect, 700 Swanston St., Melbourne, VIC, 3010, Australia.
Teresa O'BreinCentre for Digital Transformation of Health, University of Melbourne, Level 8 - Melbourne Connect, 700 Swanston St., Melbourne, VIC, 3010, Australia.
Wendy ChapmanCentre for Digital Transformation of Health, University of Melbourne, Level 8 - Melbourne Connect, 700 Swanston St., Melbourne, VIC, 3010, Australia.
Portia CornellCentre for Digital Transformation of Health, University of Melbourne, Level 8 - Melbourne Connect, 700 Swanston St., Melbourne, VIC, 3010, Australia.
Kit HuckvaleCentre for Digital Transformation of Health, University of Melbourne, Level 8 - Melbourne Connect, 700 Swanston St., Melbourne, VIC, 3010, Australia.
Ishaan AmeenWestern District Health Service, Hamilton, Australia.
Jaclyn BishopEast Grampians Health Service, Ararat, Australia.
Alison BuccheriColac Area Health, Colac, Australia.
Jodie ReidBarwon Health, Geelong, Australia.
Anna Wong SheeGrampians Health, Ballarat, Australia.
Marc BudgeBendigo Health, Bendigo, Australia.
Catherine E HugginsInstitute for Health Transformation, Deakin University, Geelong, Australia.
Anna PeetersInstitute for Health Transformation, Deakin University, Geelong, Australia.
Olivia MetcalfCentre for Digital Transformation of Health, University of Melbourne, Level 8 - Melbourne Connect, 700 Swanston St., Melbourne, VIC, 3010, Australia.

Funding

Commonwealth's Medical Research Future Fund (MRFF) through the Rapid Applied Research Translation Grant RARUR000072
6 · The paper itself

Abstract

backgroundAccess to healthcare significantly influences health outcomes, and rural, regional and remote populations face greater challenges in accessing healthcare than urban populations. Digital health tools, such as remote patient monitoring (RPM), have significant potential to address these healthcare challenges, yet there is little research on the facilitators and barriers of RPM in these regions.

aimThis study aims to identify and understand the facilitators and barriers healthcare staff face implementing RPM in rural and regional Australia, with focus on challenges that arose after the onset of the COVID-19 pandemic.

methodsSemi-structured focus groups were conducted with healthcare professionals from publicly funded health services in western rural and regional Victoria, Australia. An open-ended interview guide based on the Consolidated Framework for Implementation Research (CFIR) was used to identify key themes and strategies for effective RPM implementation. The analysis considered barriers and facilitators at micro, meso, and macro levels.

resultsSeveral barriers to RPM implementation were identified across different levels: (1) Micro-Level Factors, such as perceived low digital literacy and language barriers among individuals; (2) Meso-Level Factors, including disparities in IT infrastructure and device availability, limited training opportunities, and the need for enhanced governance within healthcare settings; and (3) Macro-Level Factors, encompassing evolving funding models and the reliability of service providers. Despite these challenges, participants acknowledged potential benefits such as improved technological interoperability, enhanced community engagement, and a data-driven approach to quality improvement. Importantly, a flexible, tailored RPM approach to accommodate specific rural and regional needs was deemed valuable.

conclusionEffective RPM deployment in rural and regional areas is viewed by health professionals as crucial for bridging healthcare divides. However, if strategies developed for urban settings are not recalibrated to address rural challenges, the risk of RPM failure may escalate. Future initiatives must prioritize region-specific strategies and policy reforms aimed at ensuring equitable digital infrastructure and financial resource allocation to enhance healthcare access in rural and regional settings. This approach may ensure that RPM solutions are both adaptable and effective, tailored to the unique needs of each community.

Indexed as

COVID-19Health Services AccessibilityRural Health ServicesTelemedicineFemaleFocus GroupsHumansMaleQualitative ResearchRemote Patient MonitoringRural PopulationSARS-CoV-2VictoriaDigital health equityRemote patient monitoringRural healthcare

Identifiers

PMID40082928
PMCPMC11905676

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.