Evidence map›Paper›PMID 40202368›Full record

ReviewThe Australian journal of rural health2025

Factors That Influence Digital Health Implementation in Rural, Regional, and Remote Australia: An Overview of Reviews and Recommended Strategies.

Michelle A Krahe, Stephanie Baker, Leeanna Woods, Sarah L Larkins

Abstract readReview
In one paragraph

Review in The Australian journal of rural health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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  17. Digital Health Innovation by Design: A Logic Model Scaffold for Rural, Regional, and Remote Settings.International journal of environmental research and public health · 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

4 authors.

Michelle A KraheCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.ORCID 0000-0002-3223-7825
Stephanie BakerCollege of Science and Engineering, James Cook University, Cairns, Queensland, Australia.
Leeanna WoodsQueensland Digital Health Centre, The University of Queensland, Brisbane, Queensland, Australia.
Sarah L LarkinsCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.

Funding

Department of Education, Australian Government
6 · The paper itself

Abstract

introductionDigital transformation can enhance health and healthcare delivery; however, its application in rural, regional, and remote (RRR) areas presents considerable, underexplored challenges. While the benefits of digital health for underserved areas are evident, we must understand and address the challenges to fully realise its impact.

objectiveTo synthesise the evidence for factors influencing the implementation of digital health in RRR Australia and recommend implementation strategies to address barriers.

designAn overview of existing reviews was conducted to identify relevant systematic and scoping reviews. Review quality was assessed using the AMSTAR-2 tool. Barriers and enablers to implementation were mapped using the Consolidated Framework for Implementation Research (CFIR), and strategies to address barriers were identified based on the Expert Recommendations for Implementation Change (ERIC).

findingsThree reviews met the inclusion criteria; each was focused on telehealth and remote monitoring technologies. Influencing factors were identified across five CFIR domains, encompassing 16 barrier and 12 enabler constructs. While gaps in evidence on health outcomes were noted, the benefits of implementation, such as improved access to services, reduced travel, and enhanced patient satisfaction, were highlighted. The recommended implementation strategies involved tailoring interventions to local needs, fostering local leadership and advocacy, planning and structuring implementation, and mobilising resources.

conclusionThis study identified key influencing factors and recommended implementation strategies to mitigate barriers. These strategies, if employed, could facilitate the successful implementation of digital health in RRR Australia.

trial registrationPROSPERO CRD42024512742.

Indexed as

Rural Health ServicesRural PopulationTelemedicineAustraliaDigital HealthHealth Services AccessibilityHumansbarriers and enablersCFIRdigital health innovationimplementation sciencerural health servicestelehealth

Identifiers

PMID40202368
PMCPMC11980530

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.