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Implementation of a telemedicine, stroke evaluation service; a qualitative study
Elin Kjelle1, Aud Mette Myklebust2
1Department of Optometry, Radiography and Lighting Design, Faculty of Health and Social Sciences, University of South-Eastern Norway, Post office box 235, 3603, Kongsberg, Norway. Elin.Kjelle@usn.no.
BMC Health Services Research
|August 13, 2022
Summary
A rural telemedicine computed tomography (CT) stroke service improves patient access to time-sensitive treatment. Successful implementation relies on effective management, coordination, and continuous training for healthcare professionals.
Area of Science:
- Medical Imaging
- Telemedicine
- Stroke Management
Background:
- Acute ischemic stroke necessitates rapid computed tomography (CT) imaging and thrombolysis.
- Rural patient access to time-sensitive stroke care is limited by distance to hospitals.
- A telemedicine, remote-controlled CT stroke service was implemented in a rural Norwegian area.
Purpose of the Study:
- To evaluate the setup of a rural telemedicine CT stroke service.
- To understand managers' and personnel's experiences with the service's organization and perceived value.
Main Methods:
- Conducted 10 semi-structured individual interviews and 1 focus group.
- Interviewed 15 participants involved in the Hallingdal, Norway telemedicine service.
- Utilized thematic content analysis on transcribed interviews.
Main Results:
- The service was highly valued by patients and the local community.
- Task shifting occurred, with paramedics taking on new responsibilities.
- Key factors for long-term success included management, coordination, and training.
Conclusions:
- The telemedicine service enhanced healthcare security and equity in the rural community.
- Strong management, flexibility, and coordination are crucial for service sustainability.
