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  4. The delivery of specialist spinal cord injury services in Queensland and the potential for telehealth

The delivery of specialist spinal cord injury services in Queensland and the potential for telehealth

BMC Health Services Research, 2016 · DOI: 10.1186/s12913-016-1256-2 · Published: January 6, 2016

Spinal Cord InjuryHealthcareTelehealth & Digital Health

Simple Explanation

This study looks at how specialist spinal cord injury services are delivered in Queensland, Australia, and whether telehealth could be used to improve access to these services, especially for those living far from Brisbane. The study found that many patients live far from specialist services and may not be getting the same level of care as those closer to Brisbane. Telehealth could help bridge this gap. The researchers suggest that telehealth, by connecting patients with local healthcare providers, could improve access to care and reduce the need for long-distance travel.

Study Duration
6 years
Participants
2073 patients with SCI
Evidence Level
Not specified

Key Findings

  • 1
    74% of patients referred to the QSCIS were male, with a median age of 51 years.
  • 2
    24% of patients lived further than 200 km from Brisbane, suggesting potential inequities in access to specialist services.
  • 3
    Outreach services supported a larger proportion (33%) of patients living further away from Brisbane, mainly by telephone contact, liaison with other health professionals or during physical outreach visits to regional centres.

Research Summary

The study reviewed ambulatory services provided by the Queensland Spinal Cord Injuries Service (QSCIS) to identify the potential for telehealth to improve access for patients living in non-metropolitan areas. It found that a significant proportion of patients live far from Brisbane and may not be accessing the same level of services as those closer to the city. The study concludes that telehealth models of care, promoting engagement with local health service providers, could improve equity of access and reduce the need for extensive travel.

Practical Implications

Improved Access to Care

Telehealth can bridge the gap for patients in rural and remote areas, ensuring they receive the necessary specialist care without extensive travel.

Enhanced Collaboration

Telehealth can facilitate better communication and collaboration between specialist services and local healthcare providers, improving continuity of care.

Increased Efficiency

Telehealth has the potential to provide access to specialist services in a more flexible and efficient manner, complementing existing outreach programs.

Study Limitations

  • 1
    Reliance on multiple databases with differing levels of detail.
  • 2
    Inability to differentiate between types of telephone consultations.
  • 3
    Choice of outcome measures was dependent on the data available.

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