Articlenpj health systems2025
Conceptualising the impact of telehealth on rural workforce sustainability using system dynamics and the Gartner Hype Cycle.
Article in npj health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Digital health and rural health workforce retention: mapping workforce retention pathways.European journal of public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Clinician-to-clinician emergency telehealth addresses healthcare access barriers in Australia, yet its impact on workforce sustainability remains poorly understood. This study operationalises the Gartner Hype Cycle through system dynamics modelling to examine telehealth's impact on rural workforce recruitment and retention. Grounded in stakeholder interviews, expert workshops, and published literature, we developed a system dynamics model capturing delays between recognising benefits and emerging limitations, incorporating three mechanisms through which telehealth affects rural on-site medical position attractiveness: tacit knowledge sharing, medicolegal implications, and clinical support access. Testing 75 parameter scenarios revealed only 15% maintained sustainable on-site staffing long-term. These scenarios involved conservative initial telehealth allocation, realistic expectation management, and scale-specific strategies recognising smaller facilities' vulnerability. Varying expectations about telehealth limitations versus benefits yielded three telehealth staffing patterns following the trough of disillusionment: complete collapse, recovery to stable levels, or bypassing the trough entirely. This study provides a customisable framework, offering evidence-based guidance for successful telehealth implementation.
Identifiers
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Registered trials
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.