Evidence map›Paper›PMID 42453374›Full record

ArticleFrontiers in health services2026

The innovation of the clinical assistant role in a virtual emergency department: building digital health capability while supporting equitable access.

Joanna Lawrence, Lizcha Kaivaha, Josua Lotter

Abstract read
In one paragraph

Article in Frontiers in health services, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Joanna LawrenceVictorian Virtual Emergency Department, Northern Health, Epping, Australia.
Lizcha KaivahaVictorian Virtual Emergency Department, Northern Health, Epping, Australia.
Josua LotterVictorian Virtual Emergency Department, Northern Health, Epping, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rapid expansion of virtual care has exposed gaps in workforce design, particularly at the intersection of digital literacy, access, and clinical efficiency. The Clinical Assistant (CA) role is an innovative response to these challenges within the Victorian Virtual Emergency Department (VVED), a statewide telehealth service providing urgent medical care via video consultation. This perspective shares the development, implementation and impact of the CA role, drawing on service data and existing literature. CAs provide real-time technical and navigational support to patients, mitigate digital access barriers, and redistribute administrative tasks away from clinicians. Early service data and staff perceptions suggest improvements in workflow efficiency, clinician experience and patient access, particularly among digitally vulnerable populations. In parallel, the role offers unique exposure for medical and allied health students, supporting the development of digital health capabilities and systems-based understanding. The CA model highlights the importance of integrating socio-technical support roles into virtual care systems and provides insights for future workforce redesign in digitally enabled healthcare.

Indexed as

digital navigationsocio-technicalsustainabilityvirtual careworkforce

Identifiers

PMID42453374
PMCPMC13365251

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.