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The use of telehealth in the provision of after hours palliative care services in rural and remote Australia: a scoping review


Namasivayam, P and Bui, DT and Low, C and Barnett, T and Bridgman, H and Marsh, P and Lew, S, The use of telehealth in the provision of after hours palliative care services in rural and remote Australia: a scoping review, PLoS ONE, 17, (9) Article 0274861. ISSN 1932-6203 (2022) [Refereed Article]


Copyright Statement

Copyright: 2022 Namasivayam et al. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.1371/journal.pone.0274861


Background: Accessing quality palliative care, especially at the end of life is vital in reducing physical and emotional distress and optimising quality of life. For people living in rural and remote Australia, telehealth services can be effective in providing access to after-hours palliative care.

Objectives: To review and map the available evidence on the use of telehealth in providing after-hours palliative care services in rural and remote Australia.

Methods: Scoping review using Arksey and O'Malley methodological framework. Findings are reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Scopus, Web of Science, CINAHL Complete, Embase via Ovid, Emcare via Ovid, and Medline via Ovid databases were searched. Peer-reviewed studies and grey literature published in English from 2000 to May 2021 were included.

Results: Twelve studies were included in the review. Four main themes were identified: 1) Stakeholder perceptions of service; 2) benefits to services and users; 3) service challenges; and 4) recommendations for service improvement.

Conclusions: Telehealth can connect patients and families with healthcare professionals and enable patients to continue receiving care at home. However, challenges relating to patients, service, staff skills, and experience need to be overcome to ensure the success and sustainability of this service. Improved communication and care coordination, better access to patient records, and ongoing healthcare professional education are required.

Implications: Protocols, comprehensive policy documents and standardized operating procedures to guide healthcare professionals to provide after-hours palliative care is needed. Ongoing education and training for staff is crucial in managing patients' symptoms. Existing service gaps need to be explored and alternative models of after-hours palliative care need to be tested.

Item Details

Item Type:Refereed Article
Keywords:telehealth, after-hours, rural and remote, palliative care, end of life care
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Palliative care
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Telehealth
UTAS Author:Namasivayam, P (Dr Pathmavathy Namasivayam)
UTAS Author:Bui, DT (Mr Trung Dung Bui)
UTAS Author:Low, C (Miss Christine Low)
UTAS Author:Barnett, T (Associate Professor Tony Barnett)
UTAS Author:Bridgman, H (Dr Heather Bridgman)
UTAS Author:Marsh, P (Dr Pauline Marsh)
UTAS Author:Lew, S (Dr Simone Lee)
ID Code:153843
Year Published:2022
Deposited By:Nursing
Deposited On:2022-10-11
Last Modified:2022-12-06
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