Evidence map›Paper›PMID 41049280›Full record

ArticlePalliative care and social practice2025

Remote and rural communities face inequalities in access to specialist palliative care, could telemedicine enhance care? A qualitative study of patient, carer and healthcare professionals' experiences of video consultation.

Lorelle Dismore, Katherine Frew, Donna Wakefield, Charlotte Bryan, Katherine Swainston

Abstract read
In one paragraph

Article in Palliative care and social practice, 2025. 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. Review
  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

5 authors.

Lorelle DismoreDepartment of Innovation, Research and Development, Northumbria Healthcare NHS Foundation Trust, North Shields, UK.ORCID https://orcid.org/0000-0002-0004-2580
Katherine FrewPalliative Medicine Team, Northumbria Healthcare NHS Foundation Trust, North Shields, UK.
Donna WakefieldSpecialist Palliative Care Team, North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK.ORCID https://orcid.org/0000-0002-6811-1255
Charlotte BryanPalliative Medicine Team, Northumbria Healthcare NHS Foundation Trust, North Shields, UK.
Katherine SwainstonSchool of Psychology, Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Living in remote and rural areas is associated with worse health outcomes and poorer end-of-life care. Inequality in access to high-quality palliative care due to rurality is a worldwide problem. There is a need to evaluate potential ways, such as using telemedicine, to enhance palliative care and support patients to remain within their communities. Objective: To understand the experiences of patients, carers and specialist palliative care professionals to receive/deliver video consultations in a rural setting. Design: Qualitative semi-structured interviews with reflective thematic analysis. Methods: Patients, their informal carers (family/friend) and members of the community specialist palliative care team were invited to qualitative interview to explore their experience of using video consultations. Results: Four themes were generated including: (1) interpersonal communication, (2) enhanced provision with subthemes: physical distance and reducing travel and quick and convenient access to care, (3) flexible blended models of care and (4) organisational and practical barriers. Conclusion: In many situations, video consultations were felt to be beneficial to enable convenient and reliable access to specialist palliative care for patients living remotely. They are feasible, acceptable and practical for patients, their families and healthcare professionals. However, video consultations must be offered as an option to enhance care rather than replace in-person home visits, which are required in some situations. Further research is needed to explore how to ensure this increased accessibility is inclusive and supports disadvantaged older patients and those of lower socio-economic position.

Indexed as

informal carerspalliative medicinepatientsqualitative methodvideo consultations

Identifiers

PMID41049280
PMCPMC12489204

What OpenQuestion holds

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Registered trials

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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.