Evidence map›Paper›PMID 42770058›Full record

ArticleOxford open digital health2026

Telehealth to reduce compound pressures on the National Health Service and social care: a multi-methods study protocol.

Jennifer Downing, Rosie Kaur, Saddaf Naaz Akhtar, Elizabeth M Camacho, Konstantinos Daras, Anna Cooper, Thais Caprioli, Yuxuan Yang, Brendan Collins, Peter Almond and 6 more

Abstract read
In one paragraph

Article in Oxford open digital health, 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

16 authors.

Jennifer DowningDepartment of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, Waterhouse Building, Block B, Brownlow Street, Liverpool L69 3GF, United Kingdom.ORCID https://orcid.org/0000-0001-7691-1167
Rosie KaurMersey Care NHS Foundation Trust, Liverpool, Merseyside L34 1PJ, United Kingdom.
Saddaf Naaz AkhtarDepartment of Public Health, Policy & Systems, Institute of Population Health, University of Liverpool, Waterhouse Building, Block F, Brownlow Street, Liverpool L69 3GF, United Kingdom.ORCID https://orcid.org/0000-0002-0346-5220
Elizabeth M CamachoDepartment of Public Health, Policy & Systems, Institute of Population Health, University of Liverpool, Waterhouse Building, Block F, Brownlow Street, Liverpool L69 3GF, United Kingdom.ORCID https://orcid.org/0000-0001-9574-7710
Konstantinos DarasDepartment of Public Health, Policy & Systems, Institute of Population Health, University of Liverpool, Waterhouse Building, Block F, Brownlow Street, Liverpool L69 3GF, United Kingdom.ORCID https://orcid.org/0000-0002-4573-4628
Anna CooperMersey Care NHS Foundation Trust, Liverpool, Merseyside L34 1PJ, United Kingdom.
Thais CaprioliDepartment of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, Waterhouse Building, Block B, Brownlow Street, Liverpool L69 3GF, United Kingdom.ORCID https://orcid.org/0000-0002-5681-0569
Yuxuan YangDepartment of Public Health, Policy & Systems, Institute of Population Health, University of Liverpool, Waterhouse Building, Block F, Brownlow Street, Liverpool L69 3GF, United Kingdom.
Brendan CollinsDepartment of Public Health, Policy & Systems, Institute of Population Health, University of Liverpool, Wheelan Building, Brownlow Street, Liverpool L69 3GF, United Kingdom.ORCID https://orcid.org/0000-0002-3023-8189
Peter AlmondMersey Care NHS Foundation Trust, Liverpool, Merseyside L34 1PJ, United Kingdom.
Wesam BakerMersey Care NHS Foundation Trust, Liverpool, Merseyside L34 1PJ, United Kingdom.
Hilary GarretFaculty of Health & Medicine, Lancaster University, Bailrigg, Lancaster, Lancashire LA1 4YW, United Kingdom.
Patricia JamalNational Institute for Health and Care Research Applied Research Collaboration North West Coast (NIHR ARC NWC), Waterhouse Building, Brownlow Street, Liverpool, Merseyside L69 3GL, United Kingdom.
Benjamin BarrDepartment of Public Health, Policy & Systems, Institute of Population Health, University of Liverpool, Waterhouse Building, Block F, Brownlow Street, Liverpool L69 3GF, United Kingdom.ORCID https://orcid.org/0000-0002-4208-9475
Anthony G MarsonInstitute of Systems, Molecular and Integrative Biology, University of Liverpool, Crown Street, Liverpool, Merseyside L69 7ZB, United Kingdom.ORCID https://orcid.org/0000-0002-6861-8806
Eduard ShantsilaDepartment of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, Waterhouse Building, Block B, Brownlow Street, Liverpool L69 3GF, United Kingdom.ORCID https://orcid.org/0000-0002-2429-6980

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Telehealth and remote monitoring are increasingly used in the management of long-term health conditions and can improve access to care. The Mersey Care Telehealth Service (MCTS) provides technology-enabled support for people with heart failure, diabetes, and chronic obstructive pulmonary disease. The service has been operating for over a decade; however, the COVID-19 pandemic has led to its rapid expansion. This study aims to gather evidence on the impact of the MCTS, explore barriers and enablers to effective service delivery and evaluate its cost-effectiveness. This study comprises of four work packages (WP). WP1: A retrospective observational analysis to evaluate whether the MCTS is associated with reduced unplanned healthcare utilisation and to examine how outcomes vary by sociodemographic characteristics and service delivery type; WP2: Longitudinal analyses to compare patient-reported outcomes, including mental health, quality of life, and wellbeing, between telehealth users and a comparator group of non-users who meet the eligibility criteria for telehealth; WP3: Remote semi-structured interviews with MCTS staff and patients will be held to explore the barriers and enablers influencing the effective service delivery; WP4: An economic evaluation will determine whether the MCTS is cost-effective compared with usual care, and will assess how cost-effectiveness varies by patient characteristics and service delivery type. This multi-method evaluation will provide robust and comprehensive evidence of the impact, equitable delivery, implementation approach, and cost-effectiveness of the MCTS. Insights seek to inform service improvement, commissioning decisions, and future telehealth strategy within the NHS.

Indexed as

health economics evaluationlongitudinal designlong-term conditionsquality of lifetelehealth serviceunplanned healthcare utilisation

Identifiers

PMID42770058
PMCPMC13592275

What OpenQuestion holds

Textmetadata
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.