Evidence map›Paper›PMID 40693249›Full record

ArticleDigital health

Implementation of a tele-paediatric network in hospitals in a rural region: A mixed methods implementation study.

Nils Pfeuffer, Angelika Beyer, Luisa Tischler, Sarah Heimbuch, Heiko Krause, Markus Krohn, Steffen Fleßa, Thomas Ruppel, Wolfgang Hoffmann, Neeltje van den Berg

Abstract read
In one paragraph

Article in Digital health. 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. Observational
  2. Article
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.

Nils PfeufferSection Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.ORCID https://orcid.org/0000-0001-9035-6235
Angelika BeyerSection Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.ORCID https://orcid.org/0000-0003-4654-4233
Luisa TischlerSection Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.ORCID https://orcid.org/0009-0002-3880-5915
Sarah HeimbuchSection Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.ORCID https://orcid.org/0009-0008-8210-7237
Heiko KrauseSection Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.ORCID https://orcid.org/0009-0003-3223-782X
Markus KrohnChair of General Business Administration and Health Care Management, University of Greifswald, Greifswald, Germany.ORCID https://orcid.org/0000-0002-9354-1150
Steffen FleßaChair of General Business Administration and Health Care Management, University of Greifswald, Greifswald, Germany.ORCID https://orcid.org/0000-0002-4068-1539
Thomas RuppelRechtsanwaltsgesellschaft Dr. Ruppel mbH, Lübeck, Germany.ORCID https://orcid.org/0000-0002-7211-1813
Wolfgang HoffmannSection Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.ORCID https://orcid.org/0000-0002-6359-8797
Neeltje van den BergSection Epidemiology of Health Care and Community Health, Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In rural states, paediatric capacities and competencies are concentrated in urban centres due to demographic change and economical pressure. This results in greater distances, longer waiting times and multiple examinations for rural-dwelling children seeking healthcare. A regional tele-paediatric network (RTP-Net) was implemented to improve the access of children to paediatric care by providing videoconferencing and digital health information exchange between paediatricians from hospitals with different sizes and degrees of specialization. Objective: Evaluation of the user acceptance as well as implementation barriers and facilitators. Methods: Between January 2021 and March 2024, mixed-methods were carried out including participant observation and a survey of the RTP-Net users. Descriptive analysis based on the Technology Acceptance Model according to Davis. The study report follows 'A comprehenSive tool to Support rEporting and critical appraiSal of qualitative, quantitative and mixed methods implementation reSearch outcomes' (ASSESS). Results: A total of 507 tele-consultations were conducted. 907 questionnaires were analysed. The respondents were satisfied with 92.1% of the tele-consultations. The respondents found most of the tele-consultations (95.8%) adequate for solving their questions. Technical issues were the most mentioned reason (59.3%) why tele-consultation were inadequate; 184 project diary entries were analysed; 42 times (61%), the participants highlighted positive usability aspects of the RTP-Net (e.g., improved availability of patient health data) and 27 times (39%) negative aspects (e.g., interoperability issues). Conclusions: A regional tele-paediatric healthcare network is feasible and acceptable in order to improve paediatric care in rural regions. However, technical improvements and policy adjustments are needed to enhance telemedicine adoption.Trial registration: This study was registered under the title 'Implementation und Evaluation of a Regional Tele-paediatric Network in Mecklenburg-Vorpommern and Brandenburg' (registration no. DRKS00024002, https://drks.de/search/de/trial/DRKS00024002) at the German Registry for Clinical Trials.

Indexed as

health services accessibilitypaediatricsrural health servicesTelemedicinevideoconferencing

Identifiers

PMID40693249
PMCPMC12277559

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.