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The right care in the right place: a scoping review of digital health education and training for rural healthcare workers.
Woods, Leanna; Martin, Priya; Khor, Johnson; Guthrie, Lauren; Sullivan, Clair.
Afiliación
  • Woods L; Queensland Digital Health Centre, The University of Queensland, Brisbane, Australia. lee.woods@uq.edu.au.
  • Martin P; Centre for Health Services Research, The University of Queensland, Brisbane, Australia. lee.woods@uq.edu.au.
  • Khor J; Rural Clinical School, Faculty of Medicine, The University of Queensland, Toowoomba, Australia.
  • Guthrie L; Queensland Digital Health Centre, The University of Queensland, Brisbane, Australia.
  • Sullivan C; Ochsner Clinical School, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
BMC Health Serv Res ; 24(1): 1011, 2024 Sep 02.
Article en En | MEDLINE | ID: mdl-39223581
ABSTRACT

BACKGROUND:

Digital health offers unprecedented opportunities to enhance health service delivery across vast geographic regions. However, these benefits can only be realized with effective capabilities and clinical leadership of the rural healthcare workforce. Little is known about how rural healthcare workers acquire skills in digital health, how digital health education or training programs are evaluated and the barriers and enablers for high quality digital health education and training.

OBJECTIVE:

To conduct a scoping review to identify and synthesize existing evidence on digital health education and training of the rural healthcare workforce. INCLUSION CRITERIA Sources that reported digital health and education or training in the healthcare workforce in any healthcare setting outside metropolitan areas.

METHODS:

We searched for published and unpublished studies written in English in the last decade to August 2023. The databases searched were PubMed, Embase, Scopus, CINAHL and Education Resources Information Centre. We also searched the grey literature (Google, Google Scholar), conducted citation searching and stakeholder engagement. The JBI Scoping Review methodology and PRISMA guidelines for scoping reviews were used.

RESULTS:

Five articles met the eligibility criteria. Two case studies, one feasibility study, one micro-credential and one fellowship were described. The mode of delivery was commonly modular online learning. Only one article described an evaluation, and findings showed the train-the-trainer model was technically and pedagogically feasible and well received. A limited number of barriers and enablers for high quality education or training of the rural healthcare workforce were reported across macro (legal, regulatory, economic), meso (local health service and community) and micro (day-to-day practice) levels.

CONCLUSIONS:

Upskilling rural healthcare workers in digital health appears rare. Current best practice points to flexible, blended training programs that are suitably embedded with interdisciplinary and collaborative rural healthcare improvement initiatives. Future work to advance the field could define rural health informatician career pathways, address concurrent rural workforce issues, and conduct training implementation evaluations. REVIEW REGISTRATION NUMBER Open Science Framework https//doi.org/10.17605/OSF.IO/N2RMX .
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Rural Límite: Humans Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios de Salud Rural Límite: Humans Idioma: En Revista: BMC Health Serv Res Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido