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Remote Consultations in England During COVID-19: Challenges in Data Quality, Linkage, and Research Validity
Liliana Hidalgo-Padilla1, Massar Dabbous1, Kristoffer Halvorsrud2
1Institute of Psychiatry, Psychology and Neuroscience, King's College London, 16 De Crespigny Park, London, SE5 8AF, United Kingdom, 44 020 7848 0002.
Online Journal of Public Health Informatics
|August 20, 2025
Summary
The COVID-19 pandemic increased remote healthcare consultations, necessitating research into their health outcomes. This paper highlights data challenges in England and suggests improvements for future studies on remote care effectiveness.
Area of Science:
- Health Informatics
- Public Health Research
- Healthcare Policy
Background:
- The COVID-19 pandemic rapidly advanced the use of remote consultations in healthcare.
- Understanding the impact of these remote consultations on patient health pathways is crucial.
- Existing research is limited by data source challenges, particularly in England.
Purpose of the Study:
- To explore challenges in English data sources that impede research on remote consultations' impact on health outcomes.
- To analyze variations in observational study findings and their validity.
- To provide recommendations for enhancing data quality in health research.
Main Methods:
- Viewpoint paper based on research experience.
- Analysis of variations in observational study findings.
- Examination of population characteristics and data source differences.
Main Results:
- Significant challenges exist in English data sources for researching remote consultation impacts.
- Observational study findings vary and their validity is affected by data source and population differences.
- Current data recording and electronic health record linking structures require improvement.
Conclusions:
- Improving data quality is essential for robust research on remote consultations.
- Enhanced data recording platforms and better primary/secondary care EHR linkage are recommended.
- Addressing these data challenges will enable a clearer understanding of remote healthcare's effect on patient outcomes.
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