A Scoping Literature Review of Rural Beliefs and Attitudes toward Telehealth Utilization

Pullyblank, Kristin

doi:10.1177/01939459221134374

Cited by 13 publications

(9 citation statements)

References 63 publications

(148 reference statements)

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“…The perceived technological possibilities to improve access can have unintended consequences for community members which may contribute to lack of responsiveness to community needs (8). It is therefore important to understand the client and their preferences for using telehealth rather than making assumptions on the appropriateness of this type of health service delivery (21). As such, telehealth is likely to function best when there is a pre-established relationship between the client and clinician, with clients who have a good knowledge of their personal health, and have access to and familiarity with digital technology (22).…”

Section: Discussionmentioning

confidence: 99%

Factors critical for the successful delivery of telehealth to rural populations: A descriptive qualitative study.

Barry,

Green,

Robson

et al. 2024

Preprint

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Background: The use of telehealth has proliferated to the point of being a common and accepted method of healthcare service delivery. Due to the rapidity of telehealth implementation, the evidence underpinning this approach to healthcare delivery is lagging, particularly when considering the uniqueness of some service users, such as those in rural areas. This research aimed to address the current gap in knowledge related to the factors critical for the successful delivery of telehealth to rural populations. Methods: This research used a qualitative descriptive design to explore telehealth service provision in rural areas from the perspective of clinicians and describe factors critical to the effective delivery of telehealth in rural contexts. Semi-structured interviews were conducted with clinicians from allied health and nursing backgrounds working in child and family nursing, allied health services, and mental health services. A manifest content analysis was undertaken using the Framework approach. Results: Sixteen health professionals from nursing, clinical psychology, and social work were interviewed. Participants mostly identified as female (88%) and ranged in age from 26-65 years with a mean age of 47 years. Three overarching themes were identified: 1) Navigating the role of telehealth to support rural healthcare; 2) Preparing clinicians to engage in telehealth service delivery; and 3) Appreciating the complexities of telehealth implementation across services and environments. Conclusions: This research suggests that successful delivery of telehealth to rural populations requires consideration of the context in which telehealth services are being delivered, particularly in rural and remote communities where there are challenges with resourcing and training to support health professionals. Rural populations, like all communities, need choice in healthcare service delivery and models to increase accessibility. Preparation and specific, intentional training for health professionals on how to transition to, and maintain telehealth services is a critical factor for delivery of telehealth to rural populations. Future research should further investigate the training and supports required for telehealth service provision, including who, when and what training will equip health professionals with the appropriate skill set to deliver rural telehealth services.

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Section: Discussionmentioning

confidence: 99%

Factors critical for the successful delivery of telehealth to rural populations: A descriptive qualitative study.

Barry,

Green,

Robson

et al. 2024

Preprint

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“…Evidence shows that telehealth services are effective in the management of physical and psychological conditions post‐cancer treatment, such fatigue and cognitive disfunction 71 . A recent review suggests that telehealth is a well‐accepted alternative to face‐to‐face healthcare for people living in rural areas as long as consideration is given to aspects such as privacy, trust and the patient's access to resources 72 . To facilitate these solutions, better internet and phone connectivity is needed in remote areas 73 and healthcare providers need comprehensive, up to date, and simple to use referral directories and processes 74 …”

Section: Discussionmentioning

confidence: 99%

What are the post‐treatment information needs of rural cancer survivors in Australia? A systematic literature review

et al. 2023

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Objective: To conduct a systematic literature review to critically assess the met and unmet post-treatment information needs of cancer survivors living in rural communities in Australia, to inform the improvement of survivors' transition from treatment in major cities to community care.Methods: Cumulative index of nursing and allied health literature, PubMed, Web of Science, Scopus, Cochrane CENTRAL and Academic Search Ultimate databases and websites of 118 cancer organisations were searched for relevant Australian studies published since 2006. Key search terms included 'rural', 'remote', 'regional', 'cancer', 'survivor*', 'living with', and 'post-treatment'. Data reflecting study source, aims, methodology, and reported information needs were extracted and summarised.Study quality was assessed using Joanna Briggs Institute tools.Results: Fifty-two articles met eligibility criteria. Only six of these specified a primary aim of understanding information needs for rural cancer survivors. Information on prognosis and recovery; managing treatment side effects; healthy lifestyle choices; referrals to support services, and face-to-face and written delivery of information at multiple time points were reported as needed and often lacking for rural cancer survivors.

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“…This study clari ed the effects of privacy issues on social interactions among rural people, which is critical for the continuity of rural communities. Previous studies have shown that privacy issues can cause a loss of intimacy among people in communities because they fail to share personal information [33,34]. Although people can protect their privacy, interdependent conditions requiring mutual help have decreased in communities [35], and decreased mutual help affects rural people's health [36].…”

Section: Discussionmentioning

confidence: 99%

Establishment of a sustainable connection between citizens and medical professionals in rural communities: A thematic analysis

Ohta,

Yakabe,

Sano

2023

Preprint

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Background A trustworthy relationship between medical institutions and people is important for effective community care. Dialogue between medical professionals and people has been lost owing to the coronavirus disease 2019 pandemic. To improve community care, dialogue among rural people regarding mutual help and connections to healthcare is essential. Therefore, this study aimed to clarify the health problems caused by social isolation and their solutions in rural contexts through interviews with community workers in rural communities. Methods This qualitative study used thematic analysis of community workers in rural communities to investigate the health problems caused by social isolation and their solutions. Semi-structured interviews were conducted among participants using purposive sampling. In total, 57 community workers participated in this study. Results Through thematic analysis, four themes were identified: social changes due to aging, relational changes in communities, community-specific networking, and connections driving community health. Social changes due to aging that cause social isolation include the dilution of human relationships, lack of diverse generations, and distance to medical care facilities. Relational changes in communities were explained by excessive consideration of privacy, lack of intimacy with one’s surroundings, and hesitance to depend on others. Rural communities have specific networking strategies, such as involvement of people well known in communities, localization of community information, and specific lay care in communities. For the sustainability of rural healthcare, solving social isolation issues through connections driving community health, including respect for community culture, smooth collaboration with healthcare providers, and active engagement of physicians, are demanded. Conclusions Challenges to the sustainability of rural communities were caused by the social and relational changes that led to social isolation. Excessive consideration of privacy and lack of intimacy with one’s surroundings caused hesitance to depend on others. Moreover, social and relational changes in rural communities have increased the number and variation of health issues, and previous support systems cannot deal with the present changes. Established community cultures should be respected to ensure the sustainability of rural healthcare. Relationships between rural communities and medical institutions for health promotion must be established, for which friendly and open-minded engagement of physicians is required.

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A Scoping Literature Review of Rural Beliefs and Attitudes toward Telehealth Utilization

Cited by 13 publications

References 63 publications

Factors critical for the successful delivery of telehealth to rural populations: A descriptive qualitative study.

Factors critical for the successful delivery of telehealth to rural populations: A descriptive qualitative study.

What are the post‐treatment information needs of rural cancer survivors in Australia? A systematic literature review

Establishment of a sustainable connection between citizens and medical professionals in rural communities: A thematic analysis

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