Relevant bibliographies by topics / Health communication

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Health communication'

Author: Grafiati
Published: 4 June 2021
Last updated: 30 July 2024

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Journal articles on the topic "Health communication"

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Miranda, Giovanna F., Luisa Vercellesi, Edoardo Pozzi, and Flavia Bruno. "Improving health communication�Supporting the practice of health communication." Health Information & Libraries Journal 26, no. 1 (March 2009): 39–46. http://dx.doi.org/10.1111/j.1471-1842.2008.00783.x.

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Hiscock, Jane Elizabeth. "Communicating Health: Theoretical Connections for Communication and Health Science." International Journal of Interdisciplinary Social Sciences: Annual Review 3, no. 1 (2008): 187–92. http://dx.doi.org/10.18848/1833-1882/cgp/v03i01/52500.

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Leal, Daniela de Ulyssea. "Digital Communication, Health and Intersection." Journal of Quality in Health Care & Economics 6, no. 3 (2023): 1–3. http://dx.doi.org/10.23880/jqhe-16000336.

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The form of communication between public health agencies and society has changed with digitalization. Health is one of the most sought after subjects, published and disseminated on the Internet. In these virtual spaces it is possible to find information disseminated by public and private educational and research institutions, governmental and non-governmental agencies, patient and professional entities, and users themselves
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Niemiec, Paul W., Donald J. Glenn, Julia A. Simons, and Janice M. Dunsavage. "Pharmacists communicating communication." American Journal of Health-System Pharmacy 43, no. 4 (April 1, 1986): 878–80. http://dx.doi.org/10.1093/ajhp/43.4.878.

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Shives, Thomas C. "Health Communication." Mayo Clinic Proceedings 81, no. 5 (May 2006): 706. http://dx.doi.org/10.4065/81.5.706-c.

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Swenson, Jane E. "Health Communication." Dimensions of Critical Care Nursing 4, no. 5 (September 1985): 295. http://dx.doi.org/10.1097/00003465-198509000-00007.

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Mitchell, Aby. "Health Communication." Nursing Standard 32, no. 30 (March 21, 2018): 34. http://dx.doi.org/10.7748/ns.32.30.34.s27.

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Parrott, Roxanne. "Emphasizing “Communication” in Health Communication." Journal of Communication 54, no. 4 (December 1, 2004): 751–87. http://dx.doi.org/10.1111/j.1460-2466.2004.tb02653.x.

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Ishikawa, Hirono, and Takahiro Kiuchi. "Health literacy and health communication." BioPsychoSocial Medicine 4, no. 1 (2010): 18. http://dx.doi.org/10.1186/1751-0759-4-18.

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Corner, John. "Communication and health." Media, Culture & Society 14, no. 1 (January 1992): 129–31. http://dx.doi.org/10.1177/016344392014001008.

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Dissertations / Theses on the topic "Health communication"

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Cipolla, M. "ONE COMMUNICATION AND ONE HEALTH: COMMUNICATION IN VETERINARY MEDICINE TO IMPROVE HUMAN HEALTH." Doctoral thesis, Università degli Studi di Milano, 2014. http://hdl.handle.net/2434/232569.

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Health communication has become recently an essential and powerful tool for public health. Its role has been largely recognized in human medicine, but it has been less considered in veterinary medicine even if this latter field is not less decisive for the human health. The One Health concept unified the two medicines recognizing that human health is inextricably connected to animal health and environment. Within this framework, we design this study to investigate the relationship between health communication and One Health. Particularly, we focused on the role of communication in veterinary medicine and how it has the potential to improve human health. Veterinary medicine competences include a broad spectrum of aspects, which can’t be covered in a single study. Moreover, we were interested in investigate if communication has a role also in the veterinary areas traditionally considered less linked to public health. Therefore, this study was focused on clinical communication, both in companion and in food-producing animals practice. This study confirmed the outcomes from previous surveys and showed the importance of communication in veterinary medicine in improving human health. Communication in veterinary medicine is not less important for human health, and is not different from what is usually considered health communication. Indeed, both of them cover the same issue (zoonoses, food safety etc.) and use the same strategies. Therefore, a “One Communication” approach appear to be the most helpful tool in improving human health in the One World-One Health-One Medicine.
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Portman, Emily. "Making The Healthy Choice: Exploring Health Communication In The Food System." ScholarWorks @ UVM, 2016. http://scholarworks.uvm.edu/graddis/614.

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The Academy of Nutrition and Dietetics and the Cooperative Extension System are organizations that serve the public and agricultural communities, respectively. Within these broad organizations are two groups of food systems professionals, registered dietitian nutritionists (RDNs) and Extension agents, who are utilizing communication as a critical point of access for health-related issues. Both groups of professionals negotiate organizational structure in order to construct their own health knowledge and, subsequently, communicate accurate information to their constituents. Understanding the ways that these professionals navigate their roles as health communicators are important for contributing to public discourse about how health knowledge is created and disseminated. Specifically, for the first article, I conducted semi-structured interviews with RDNs to analyze the ways in which they navigate both commercial and health messaging from industry groups at their largest organizational meeting. Industry affiliations have historically been a controversial aspect of Academy operations, yet little research has explored RDNs unique experiences with industry. Findings revealed RDNs have varied interpretations of industry messages and are utilizing strategies to negotiate interactions with industry. The spectrum of RDN interpretation suggests that formal dietetic training should address media literacy strategies in order to help RDNs navigate a complex message landscape. For the second article, through national focus groups with Extension professionals, I sought to understand how Extension is responding to healthcare reform changes and how this has translated into programming for their constituents. Extension participants reported a lack of available resources to improve their own health insurance knowledge, which has impacted their abilities to serve their constituents effectively. Findings emphasized a need for both collaborations both within Extension and across other agencies in order to improve health insurance access for agricultural communities. By researching these two organizations, I hope to contribute to new understandings about how professionals navigate and communicate knowledge related to public health. Both articles have practical implications for each group, and they also offer examples of opportunities to utilize leverage points for structural change within the food system.
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Monnot, Marilee. "Mother-infant communication and infant health." Thesis, University of Cambridge, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.627416.

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Wilson, Carol Barbara. "Improving Health Literacy with Clear Communication." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1989.

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Health literacy is demonstrated when individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions. Veteran health literacy is believed to be lower than the general population due to the aging and culturally diverse population. Veterans require adequate health literacy to manage their diverse high acuity physical injuries, psychological conditions, and chronic diseases. Clear communication between the clinician and veteran patient is essential to provide high quality health services. The objective of this quality-improvement project was to evaluate the ability of nurses in the ambulatory environment to identify low health literacy patients and to deliver an educational intervention focused on health literacy awareness and communication strategies. A pre-intervention Clear Communications Questionnaire (CCQ), a validated instrument, was delivered to 299 ambulatory nurses with a 20% response rate. The results from this questionnaire informed the development of a 40-minute educational program, multimedia and discussion format, provided to 200 nurses. Following the education program, the post-intervention CCQ was sent to the nurses, with a 30% response rate. Survey Monkey was utilized to collect the CCQ data and Minitab for the statistical analysis, including a pre- and post-intervention data analysis with a t test. While this project was unable to show a significant difference between the pre- and post-intervention CCQ, the individual survey items indicated increased awareness about the importance of health literacy and the ability to locate patient health literacy level in the medical record. Further work needs to be undertaken to assure veteran patients can actively engage in clear communication with clinicians, discern between treatment options, adhere to treatment recommendations, and develop health-seeking behaviors across their lifespans.
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Jama, Mahmud Amina. "Designing ICT-Supported Health Promoting Communication in Primary Health Care." Doctoral thesis, Blekinge Tekniska Högskola, Sektionen för hälsa, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00571.

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Increasing lifestyle-related ill health, escalating health care costs, expanding health inequalities within and between nations, and an aging population are challenges facing governments globally. Governments, especially in industrialized countries like Sweden, are investing in health promotion and health communication, especially in ICT-supported health communication as a way to increase health literacy and empowerment at individual and population levels. Studies show that many eHealth communication efforts are narrow in scope, medical oriented and therefore not enough to address the complexity of lifestyle-related ill health and equity issues. This thesis proposes integrating health promotion values and principles in the design process of eHealth systems for health promotion in order to develop usable, sustainable, engaging, eHealth resources that are adaptable to their context of use and user’s skills. The overall aim of this thesis was study the participatory development process of an interactive ICT-supported health communication channel for health promotion and enhancing health literacy in PHC context. Participatory Action Research (PAR) with a multi-phase and multi-method approach was used in this thesis. A model entitled Spiral Technology Action Research’ (STAR) was used to guide the development of the health channel. This design process was framed in three developmental and evaluation phases corresponding to formative, process and outcome evaluation. A total of 146 participants consisting of professionals from primary health care services, information technology and academia, and local citizens participated in the project’s different phases. A triangulation of methods was used to collect the data; survey, document analysis, participatory observations with field notes, individual interviews, focus groups, think aloud protocols and log statistics. Qualitative and quantitative content analyses were used to analyse data. The results revealed that integrating health promotion values and principles in the design process proved to be valuable not only to the content of the channel, but also in PHC practice. The different design phases yielded valuable results that built into each other and contributed to an eHealth channel that was perceived as relevant to the local people’s need for health communication; accessible and user friendly. The results also indicated that an Internet based interactive health channel, could be a valuable resource for enhancing health literacy if users are involved in the design.
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Danis, Ajau. "Health communication and health literacy : participants perspectives on the PROSTAR Health Promotion Programme." Thesis, Liverpool John Moores University, 2006. http://researchonline.ljmu.ac.uk/5800/.

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Radford, Benjamin. "Misinformation in eating disorder communications| Implications for science communication policy." Thesis, State University of New York at Buffalo, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1546959.

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Though eating disorders are a serious public health threat, misinformation about these potentially deadly diseases is widespread. This study examines eating disorder information from a wide variety of sources including medical journals, news reports, and popular social activist authors. Examples of misinformation were identified, and three aspects of eating disorders (prevalence, mortality, and etiology) were chosen as key indicators of scientific illiteracy about those illnesses. A case study approach was then adopted to trace examples of misinformation to their original sources whenever possible. A dozen examples include best-selling books, national eating disorder information clearinghouses; the news media; documentary feature films; and a PBS television Nova documentary program. The results provide an overview of the ways in which valid information becomes flawed, including poor journalism, lack of fact-checking, plagiarism, and typographical errors. Less obvious—and perhaps even more important—much of the misinformation results from scientific research being co-opted to promote specific sociopolitical agendas. These results highlight a significant gap in science communication between researchers, the medical community, and the public regarding these diseases, and recommendations to address the problem are offered.

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Ahmed, Rukhsana. "Assessing the role of cultural differences on health care receivers' perceptions of health care providers' cultural competence in health care interactions." Ohio : Ohio University, 2007. http://www.ohiolink.edu/etd/view.cgi?ohiou1178244318.

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Lambert, Timothy W. "Relational ethics in public health risk communication." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0012/NQ34795.pdf.

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Fossum, Bjöörn. "Communication in the health service : two examples /." Stockholm : Karolinska inst, 2003. http://diss.kib.ki.se/2003/91-7349-667-7/.

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Books on the topic "Health communication"

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Kreps, Gary. Health Communication. 1 Oliver's Yard, 55 City Road, London EC1Y 1SP United Kingdom: SAGE Publications Ltd, 2010. http://dx.doi.org/10.4135/9781446261897.

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Lewis, Belinda, and Jeff Lewis. Health Communication. London: Macmillan Education UK, 2015. http://dx.doi.org/10.1007/978-1-137-47864-1.

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Schiavo, Renata. Health Communication. New York: John Wiley & Sons, Ltd., 2007.

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Kreps, Gary L. Health communication. Los Angeles: SAGE, 2010.

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Northouse, Peter Guy. Health communication: Strategiesfor health professionals. 2nd ed. Norwalk, Conn: Appleton & Lange, 1992.

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Brookes, Gavin, and Daniel Hunt, eds. Analysing Health Communication. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-68184-5.

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Elliott, Charlene, and Josh Greenberg, eds. Communication and Health. Singapore: Springer Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-4290-6.

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Werder, Olaf. Transformational Health Communication. Singapore: Springer Nature Singapore, 2024. http://dx.doi.org/10.1007/978-981-99-9606-3.

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Smith, David H. Health Communication in China: A special issue of Health Communication. Mahway, New Jersey: Lawrence Erlbaum Associates, 1999.

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Anne, Berglund Catherine, and Saltman Deborah, eds. Communication for health care. Melbourne, Vic: Oxford University Press, 2002.

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Book chapters on the topic "Health communication"

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Bria, William F., and Nancy B. Finn. "Communication." In Health Informatics, 43–57. London: Springer London, 2009. http://dx.doi.org/10.1007/978-1-84882-355-6_4.

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Eckler, Petya, and Erin O’Gara. "Health Communication." In Media Psychology, 28–47. London: Macmillan Education UK, 2011. http://dx.doi.org/10.1007/978-0-230-35720-4_3.

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McAlister, Alfred L. "Health Communication." In Encyclopedia of Behavioral Medicine, 1003–5. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39903-0_319.

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Orbell, Sheina, Havah Schneider, Sabrina Esbitt, Jeffrey S. Gonzalez, Jeffrey S. Gonzalez, Erica Shreck, Abigail Batchelder, et al. "Health Communication." In Encyclopedia of Behavioral Medicine, 910–12. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_319.

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Semino, Elena. "Health communication." In Introducing Linguistics, 276–90. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003045571-17.

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Cross, Ruth, and Ivy O'Neil. "Health communication." In Health promotion: global principles and practice, 106–47. Wallingford: CABI, 2021. http://dx.doi.org/10.1079/9781789245332.0106.

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Abstract This book chapter seeks to: (i) consider models of communication and assess their relevance to health communication; (ii) suggest that health promotion must adopt participatory means of communication; (iii) critique top-down 'banking' approaches to communication and education; (iv) discuss the implications of digital technology development on health communication; (v) assert the importance of health education and consider the idea of health literacy; (vi) explore and critique social marketing; and (vii) explore and critique psychological models of behaviour change.
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Fukuda, Yoshiharu, and Ryoko Ebina. "Health Communication." In Asian Perspectives and Evidence on Health Promotion and Education, 173–81. Tokyo: Springer Japan, 2011. http://dx.doi.org/10.1007/978-4-431-53889-9_17.

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Cross, Ruth, and Ivy O'Neil. "Health communication." In Health promotion: global principles and practice, 106–47. 2nd ed. Wallingford: CABI, 2021. http://dx.doi.org/10.1079/9781789245332.0004.

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Abstract This book chapter seeks to: (i) consider models of communication and assess their relevance to health communication; (ii) suggest that health promotion must adopt participatory means of communication; (iii) critique top-down 'banking' approaches to communication and education; (iv) discuss the implications of digital technology development on health communication; (v) assert the importance of health education and consider the idea of health literacy; (vi) explore and critique social marketing; and (vii) explore and critique psychological models of behaviour change.
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Harrington, Nancy Grant. "Health Communication." In Health Communication, 1–27. New York: Routledge, 2014. http://dx.doi.org/10.4324/9780203366820-1.

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Real, Kevin, and Marjorie M. Buckner. "Interprofessional Communication." In Health Communication, 147–78. New York: Routledge, 2014. http://dx.doi.org/10.4324/9780203366820-7.

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Conference papers on the topic "Health communication"

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Nunes, Pedro Henrique Araujo, Cristiane Vitória Ribeiro da Silva, Carlos Vinícius Teixeira Palhares, Gleisy Kelly Neves Gonçalves, and Carmeci Maria de Lourdes Freitas. "Nonviolent Communication and its effects on the caregiver-elderly relationship: A literature review." In ​III SEVEN INTERNATIONAL CONGRESS OF HEALTH. Seven Congress, 2023. http://dx.doi.org/10.56238/homeiiisevenhealth-073.

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Communication can be defined as the action or effect of communicating, transmitting, or receiving ideas, knowledge; is the ability or capacity to establish a dialogue, an understanding (AURÉLIO, 2020). The intrinsic connection between human beings and the communication process is of significant relevance. By language and expression, communication performs essential functions in several domains, including social interactions, cognitive development, cultural preservation, education, coordination of collective activities and manifestation of creativity. Additionally, communication serves as the foundation for our cultural identity, consolidates our interpersonal bonds and drives the advancement of society. A conception denoted by the growing relevance attributed to the concept of communication and the subsequent increase in research in this domain, and which have their roots in the intrinsic nature of the human being, that seeks to establish communicative interactions to promote harmonious global development.
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Shannon, A., S. Boyer, and J. Davis-Street. "Health Risk Communication - Using Data to Inform a Preventive Health Communication Strategy." In SPE International Conference and Exhibition on Health, Safety, Security, Environment, and Social Responsibility. Society of Petroleum Engineers, 2018. http://dx.doi.org/10.2118/190613-ms.

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Turnip, Scwarskof. "Health Communication for Stunting Prevention." In The 5th Intenational Conference on Public Health 2019. Masters Program in Public Health, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/theicph.2019.02.39.

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Igartua, Juan-José. "Communication, education and health promotion." In the Second International Conference. New York, New York, USA: ACM Press, 2014. http://dx.doi.org/10.1145/2669711.2669915.

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Igartua, Juan-José. "Communication, education and health promotion." In TEEM'16: 4th International Conference on Technological Ecosystems for Enhancing Multiculturality. New York, NY, USA: ACM, 2016. http://dx.doi.org/10.1145/3012430.3012645.

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Yaw-Jen Lin, Jin-Sin Lai, You-Jia Wu, and Mei-Jiun Ou. "A communication system for living alone elders." In HEALTHCOM 2006 8th International Conference on e-Health Networking, Applications and Services. IEEE, 2006. http://dx.doi.org/10.1109/health.2006.246428.

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Narcı, Mustafa, and Nebiye Konuk Kandemir. "Changes and New Trends in Health Communication." In COMMUNICATION AND TECHNOLOGY CONGRESS. ISTANBUL AYDIN UNIVERSITY, 2021. http://dx.doi.org/10.17932/ctcspc.21/ctc21.031.

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Health communication can be considered in terms of different groups such as communication of healthcare professionals with each other, patient-healthcare worker communication, patient-patient communication and patient relatives communication with each other. Communication is the primary tool in ensuring health literacy and disseminating effective health information to the wider audience. Effective health communication raises awareness about health problems, risks and solutions; influences and strengthens individuals' attitudes. All mass media are used within the scope of health education to develop and adopt healthy living habits in society in order to improve health. The dizzying developments and changes in communication technologies have diversified and enriched the ways to obtain more information and support about health problems. The transition from monologue to dialogue in the internet field has caused the transformation from one-way information transmission to dynamic, multi-faceted interactive and discussions. Thus, the period began in which not only consuming but also producing users took part. While this has improved those who use social networks, it has also made it difficult to control health information. The coexistence of the media's potential to generate negative behavior as well as the possibilities and capacity to develop positive health behaviors also constitutes a paradoxical situation. Individuals who try to collect information about diseases and treatment methods by using new media tools sometimes risk their health with false information. In addition, the communication between the different groups mentioned above through forums on online platforms takes on a remarkable new form in terms of patient-patient communication. In this context, the aim of the study is to discuss the transformation of patient-patient communication on online platforms within the framework of the literature.
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Khairat, Saif, and Yang Gong. "Enhancing patient safety through clinical communication knowledge representation." In 2011 IEEE 13th International Conference on e-Health Networking, Applications and Services (Healthcom 2011). IEEE, 2011. http://dx.doi.org/10.1109/health.2011.6026729.

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Khelil, Abdelmajid. "Pa2Pa: Patient to patient communication for emergency response support." In 2011 IEEE 13th International Conference on e-Health Networking, Applications and Services (Healthcom 2011). IEEE, 2011. http://dx.doi.org/10.1109/health.2011.6026755.

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Ferreira, Manuela, Daniel Silva, Ana Pires, Maura Sousa, Monica Nascimento, and Nina Calheiros. "Clinical Skills and Communication in Nursing Students." In 2nd icH&Hpsy International Conference on Health and Health Psychology. Cognitive-crcs, 2016. http://dx.doi.org/10.15405/epsbs.2016.07.02.5.

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Reports on the topic "Health communication"

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Rada, Gabriel. Can email communication between health professionals improve healthcare? SUPPORT, 2017. http://dx.doi.org/10.30846/1701154.

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The use of email as a medium for business and social communication is increasingly common. Healthcare professionals have been communicating via email since the early 1990s, for varying purposes. However, it is not clear what the impacts of emails in healthcare are when compared to other forms of communicating clinical information.
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Rada, Gabriel. Can email communication between health professionals improve healthcare? SUPPORT, 2017. http://dx.doi.org/10.30846/171501.

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The use of email as a medium for business and social communication is increasingly common. Healthcare professionals have been communicating via email since the early 1990s, for varying purposes. However, it is not clear what the impacts of emails in healthcare are when compared to other forms of communicating clinical information.
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Annan, Francis, and Belinda Archibong. The Value of Communication for Mental Health. Cambridge, MA: National Bureau of Economic Research, August 2023. http://dx.doi.org/10.3386/w31638.

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Marques, Isabel C. P., Fernanda Nogueira, and Carvalho Alba. Communication and Sustainability in Public Health: Bibliometric Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2023. http://dx.doi.org/10.37766/inplasy2023.3.0038.

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Review question / Objective: Research Question: How is health information management carried out and how have electronic health records, interoperability and information exchange, and public information sharing developed? The scope review aims to (1) provide an overview, bibliometric, on Health communication and sustainability, (2) pointing out the thematic trends, research topics, theories, methods presented in the studies, countries and authors, (3) contribute to the development of emerging issues and opportunities in global social public relations in order to identify gaps in the literature and guide future research directions. Condition being studied: A scoping review of how academia identifies relevant topics in Health communication and public relations contributes to better decision making in ways that are relevant at the national, organizational, and workforce levels. It also provides new insights for policy makers and a better sustainable global understanding of the topic.
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Maffioli, Alessandro, Rafael Anta, Jose Perez Lu, Diether Beuermann, Maria Fernanda Rodrigo, and Patricia J. García. Information and Communication Technologies, Prenatal Care Services and Neonatal Health. Inter-American Development Bank, May 2015. http://dx.doi.org/10.18235/0011695.

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We evaluate the effectiveness of sending text messages to pregnant women containing appointment reminders and suggestions for healthy behaviors during pregnancy. Receiving messages had an overall positive effect of 5 percent on the number of prenatal care visits attended. Moreover, for women who live close to their assigned health center and who have higher educational attainment, the intervention positively affected vitamin intake compliance, APGAR scores, and birth weight. Evidence suggests that reminders are more effective among those who are more able to understand the future benefits of preventive care (more educated) and who face lower transaction costs of going to prenatal care checkups (located near health centers). No evidence of geographical spillover effects was found.
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Kinsel, Paula A. Case Study: South Texas Veterans Health Care System's Communication Center. Fort Belvoir, VA: Defense Technical Information Center, July 2008. http://dx.doi.org/10.21236/ada493524.

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Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing, and Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, December 2022. http://dx.doi.org/10.23970/ahrqepccer254.

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Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.
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McCormack, Lauren, Stacey Sheridan, Megan Lewis, Vanessa Boudewyns, Kathy L. Melvin, Christine Kistler, Linda J. Lux, Katherine Cullen, and Kathleen N. Lohr. Communication and Dissemination Strategies to Facilitate the Use of Health-Related Evidence. Agency for Healthcare Research and Quality, November 2013. http://dx.doi.org/10.23970/ahrqepcerta213.

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9

Diop, Nafissatou, and Alioune Diagne. Improving communication between parents and adolescents on reproductive health and HIV/AIDS. Population Council, 2008. http://dx.doi.org/10.31899/rh4.1208.

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10

Allan, Janet. The communication of wellness concepts interculturally in an Alaskan health-care context. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.5306.

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