D N Smarsh, L B Kenny, M Spindler, K C Poh, E T Machtinger
Knowledge and perception of equine ticks and tick-borne diseases of Pennsylvania horse owners and caretakers
Journal of equine veterinary science
nhs 111 online offers 24hour access health assessment triage study examined pathways care differential access use workforce impacts nhs 111 online study compared nhs 111 healthdirect haymarket australia virtual triage interviews 80 staff stakeholders english primary urgent emergency care 41 staff stakeholders associated healthdirect survey 2754 respondents 1137 413 used nhs 111 online 1617 587 nhs 111 online one several digital healthcare technologies differentiated nhs 111 telephone service well understood similar lack awareness healthdirect virtual triage nhs 111 healthdirect virtual triage perceived creating additional work healthcare staff inappropriate demand health services especially emergency care onethird survey respondents reported used nhs 111 service telephone online older people less educational qualifications less likely use nhs 111 online respondents used nhs 111 online reported use urgent care services make cumulative use services used nhs 111 online users nhs 111 online higher levels selfreported ehealth literacy differences reported preferences using nhs 111 online different symptom presentations greater clarity nhs 111 online service offers would allow better signposting reduce confusion generic nhs 111 services perceived creating additional work primary urgent emergency care system differences ehealth literacy users used nhs 111 online suggests digital first policies may increase health inequalities research bridged pandemic 2020 2021 therefore findings may change services adjust going forward surveys used digital platform probably bias towards level eliteracy also means data may underestimate digital divide investigation access digital services could address concerns digital exclusion research comparing affordances costbenefits different triage assessment systems users healthcare providers needed research trust virtual assessments may show duplication reduced mixedmethods studies looking outcomes impacts work costs ways measure ehealth literacy inform development nhs 111 online opportunities international shared learning could pursued study registered research registry uin 5392 project funded national institute health care research nihr health social care delivery research programme published full health social care delivery research vol 11 5 see nihr journals library website project information