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The Flow of Healthcare Information in Rural and Remote Settings: A Qualitative Approach.
Sophie Macklin1,2, Leanna Woods2, Clair Sullivan2,3
1School of Biomedical Sciences, The University of Queensland, Brisbane, QLD, Australia.
Digital transformation and integrated Clinical Information Systems (CISs) are key to consumer-centered healthcare information flow in rural areas. Enhancing digital infrastructure and workforce skills is crucial for secure and efficient data exchange.
Area of Science:
- Digital Health
- Health Informatics
- Healthcare Management
Background:
- Connected healthcare delivery is essential for timely information exchange.
- Rural and remote settings face challenges in achieving connected healthcare due to distance and workforce dispersion.
- Understanding workforce perspectives is vital for digital transformation in consumer-centered healthcare.
Purpose of the Study:
- To evaluate the consumer-centeredness of healthcare information flow in rural and remote health services.
- To identify barriers and enablers for effective healthcare information exchange in underserved areas.
Main Methods:
- Qualitative study using semi-structured interviews with 57 staff across 6 rural/remote healthcare systems.
- Analysis of transcripts to understand current information exchange practices and themes.
- Findings validated through expert review and member checking.
Main Results:
- Healthcare information flow is predominantly paper-based, with increasing use of hybrid and digital Clinical Information Systems (CISs).
- Interoperability issues between different health service CISs limit information transferability.
- Limited resources and workforce capabilities hinder information transparency, though the workforce supports digital transformation with adequate support.
Conclusions:
- Digital transformation and integrated CISs are essential for consumer-centered healthcare information exchange.
- Recommendations include expanding digital health applications, improving local digital infrastructure, and developing a digitally skilled workforce.
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