Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success?

Gagnon, Marie‐Pierre; Duplantie, Julie; Fortin, Jean‐Paul; Landry, Réjean

doi:10.1186/1748-5908-1-18

Cited by 161 publications

(147 citation statements)

References 33 publications

(47 reference statements)

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“…However, there is ample supportive evidence from observational studies that such programmes improve competencies and job satisfaction of rural health workers (85)(86)(87)(88). They can also contribute to improving local quality of care, reduce the number of consultation visits to specialists and lower the rate of hospital admissions (89,90).…”

Section: Summary Of the Evidencementioning

confidence: 99%

Geographical mobility of general practitioners in rural Australia

McGrail

Humphreys

2015

Medical Journal of Australia

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Objective: To describe the geographical mobility of general practitioners in Australia, both within rural areas and between rural and metropolitan areas. Design and participants: Annual panel survey of GPs between 2008 and 2012. Main outcome measures: Work location, categorised by a typology based on geographical location and community size; frequency of mobility (change of location category); and characteristics of those who moved. Results: There were 3906 participants in 2008 (representative cohort, 19% of Australia's GP workforce) and 3502, 3514, 3287 and 3361 in subsequent years. 1810 GPs participated in all 5 years, and 10 900 origin–destination pairs were observed after removing GP registrars from the dataset. A total of 133 GPs moved from rural to metropolitan locations, 103 moved from metropolitan to rural locations, and 271 observed location changes were within rural areas. Annual location retention rates were 95% in regional centres, 90% in small rural towns and 82% in very remote areas. GPs in small towns of < 5000 residents had the highest risk of leaving rural practice. Mobility rates were significantly higher for GPs who had worked in a location for under 3 years and those working as either contracted or salaried employees, and somewhat higher for international medical graduates. Younger age was a small predictor of increased mobility, while sex and family status had no association with mobility. Conclusion: GPs working in small communities and those in a rural location for less than 3 years are most at risk of leaving rural practice.

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Section: Summary Of the Evidencementioning

confidence: 99%

Geographical mobility of general practitioners in rural Australia

McGrail

Humphreys

2015

Medical Journal of Australia

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“…Expertise is affected by training and support (Gagnon et al, , 2006Sallas et al, 2007). In addition, Hu (2001, 2002) found in their study, that staff support was credited for physicians' acceptance of technology; and it can be challenged due to status quo, power dynamics and autonomy.…”

Section: Expertise Skills and Knowledge Required To Use Is Innovationmentioning

confidence: 99%

“…A recent study by Sharma et al, (2010Sharma et al, ( , 2011 contributes to this topic by arguing that trust impacts clinical users' decision on using the IS innovation provided, and on a similar note, Gagnon et al, (2006) argues that it affects users' readiness towards IS innovation such as telehealth.…”

Section: Trust Questioning the Degree To Which Is Innovation Is Percementioning

confidence: 99%

Understanding Innovation Deployment and Evaluation in Healthcare: The Triality Framework

Sharma¹,

Barnett²,

Clarke³

2012

Management of Technological Innovation in Developing and Developed Countries

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“…Currently, an alternative that have been improved in the primary healthcare system is the telecardiology, which enables patients telemonitoring, ensuring continuous vital signs monitoring, and provide greater mobility and comfort for patients (Chong et al, 2015;Gagnon et al, 2006;Hersh et al, 2001;Valentim et al, 2015). In this way, the automatic detection of cardiac signals (electrocardiogram -ECG) is important to cardiac disease diagnosis, and can be used like medical diagnosis assistance tool.…”

Section: Introductionmentioning

confidence: 99%

Real-time premature ventricular contractions detection based on Redundant Discrete Wavelet Transform

2018

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Introduction: Premature Ventricular Contraction (PVC) is among the most common types of ventricular cardiac arrhythmia. However, it only poses danger if the person suffers from a heart disease, such as heart failure. Hence, this is an important factor to consider in heart disease people. This paper presents an ECG real-time analysis system for PVC detection. Methods: This system is based on threshold adaptive methods and Redundant Discrete Wavelet Transform (RDWT), with a real-time approach. This analysis is based on wavelet coefficients energy for PVC detection. It is presented also a study to find the most indicated wavelet mother for ECG analysis application among the following wavelet families: Daubechies, Coiflets and Symlets. The system detection performance was validated on the MIT-BIH Arrhythmia Database. Results: The best results were verified with db2 wavelet mother: the Sensitivity Se = 99.18%, Positive Predictive Value P+ = 99.15% and Specificity Sp = 99.94%, on 80.872 annotated beats, and 61.2 s processing speed for a half-hour record. Conclusion: The proposed system exhibits reliable PVC detection, with real-time approach, and a simple algorithmic structure that can be implemented in many platforms.

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Implementing telehealth to support medical practice in rural/remote regions: what are the conditions for success?

Cited by 161 publications

References 33 publications

Geographical mobility of general practitioners in rural Australia

Geographical mobility of general practitioners in rural Australia

Understanding Innovation Deployment and Evaluation in Healthcare: The Triality Framework

Real-time premature ventricular contractions detection based on Redundant Discrete Wavelet Transform

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