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Participatory development of an evaluation and data model for teleconsultations in long-term care: study protocol
Sofie Woessner1, Laura Hahn2, Christina Kaltenbach3
1Institute of General Practice and Interprofessional Care, University Hospital Tuebingen, Tuebingen, Germany Sofie.Woessner@med.uni-tuebingen.de.
BMJ Open
|January 23, 2026
Summary
Teleconsultations show promise for improving long-term care access amid caregiver shortages. This study assesses the feasibility and impact of digital health solutions in nursing, aiming to enhance care provision.
Area of Science:
- Healthcare technology
- Digital health
- Nursing research
Background:
- Growing demand for nursing care due to demographic shifts.
- Declining availability of professional caregivers, straining service provision.
- Increasing pressure on primary care and home/rural care settings.
Purpose of the Study:
- To assess the implementation and potential impact of telemedical consultations in long-term care.
- To provide a context- and theory-informed evaluation of digital solutions.
- To develop practice-oriented recommendations for advancing telemedical care in nursing.
Main Methods:
- Mixed-methods design focusing on the feasibility phase of the Medical Research Council framework.
- Quantitative data collection on structural conditions, usage, and user acceptance (e.g., UTAUT, FIT).
- Qualitative data collection via focus groups and interviews, analyzed using structuring content analysis.
- Includes descriptive/inferential statistics and cost-consequence analysis.
Main Results:
- Feasibility assessment of teleconsultation projects in long-term care settings.
- Analysis of structural conditions, usage patterns, and user acceptance of telemedical solutions.
- Evaluation of the potential impact of teleconsultations on care provision.
Conclusions:
- Teleconsultations are a promising strategy to support intersectoral collaboration in long-term care.
- Digital solutions can help mitigate gaps in service provision, especially in home and rural settings.
- Study findings will inform recommendations for advancing telemedical care in nursing.
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