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      Telehealth services in rural and remote Australia: a systematic review of models of care and factors influencing success and sustainability.

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          Abstract

          With the escalating costs of health care, issues with recruitment and retention of health practitioners in rural areas, and poor economies of scale, the question of delivering people to services or services to people is a dilemma for health authorities around the world. People living in rural areas have poorer health outcomes compared to their urban counterparts, and the problem of how to provide health care and deliver services in rural locations is an ongoing challenge. Telehealth services can efficiently and effectively improve access to healthcare for people living in rural and remote areas of Australia. However, telehealth services are not mainstream or routinely available in many rural and remote locations. The barriers to integration of telehealth into mainstream practice have been well described, but not the factors that may influence the success and sustainability of a service. Our aim was to collate, review and synthesise the available literature regarding telehealth services in rural and remote locations of Australia, and to identify the factors associated with their sustained success.

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          Author and article information

          Journal
          Rural Remote Health
          Rural and remote health
          1445-6354
          1445-6354
          October 18 2016
          : 16
          : 4
          Affiliations
          [1 ] The University of Queensland, Centre for Online Health, Princess Alexandra Hospital, Telehealth Centre, Woollongabba, Queensland, Australia. n.bradford@uq.edu.au.
          [2 ] The University of Queensland, Centre for Online Health, Princess Alexandra Hospital, Telehealth Centre, Woollongabba, Queensland, Australia. l.caffery@uq.edu.au.
          [3 ] The University of Queensland, Centre for Online Health, Princess Alexandra Hospital, Telehealth Centre, Woollongabba, Queensland, Australia. asmith@uq.edu.au.
          Article
          3808
          10.22605/RRH4268
          27744708
          fd6b0f02-6ede-4124-91d8-623d4f3674fd
          History

          Administrator,Australia/Pacific,Continuing Professional Education,Health Scientist,Health Service reform,Management/Administration,Public Health,Researcher,Workforce

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