The use of remote healthcare to address health disparities and achieve best practice in rural Lincolnshire

Danielle Reesby, Carl Deaney, Meredith Donaldson, Agne Meskauskiene, Victoria Scott, Natalie Daly, Lisa Haith

Background:

In rural and remote communities, access to healthcare services is often limited, leading to significant health disparities that ultimately affect best practice delivery. Our practice sits in East Lindsey, which is ranked as the 30th most deprived area in England, with 34% of people living in deprivation. Despite this, advancements in remote healthcare technologies offer a promising solution to bridge this gap and are particularly useful in serving remote communities where access is limited.

Aims:

We aim to highlight the vast opportunity to reach more patients by utilising remote ways of working, from diagnostics to monitoring, provision of management plans, and even improving the uptake of vital screening programmes. The central question we aim to address is: How can remote healthcare technologies be utilised most effectively to improve access to quality healthcare and reduce health inequalities in rural and remote areas?

Methodology:

Our methodology is grounded in a retrospective case-study approach, drawing on the successes, challenges, and experiences of a rural Lincolnshire practice. This practice has been at the forefront of employing remote ways of working in a wide variety of disease areas, from respiratory to chronic kidney disease. By sharing these real-world examples, we aim to demonstrate the effectiveness and feasibility of remote diagnostics, long-term condition management, and patient monitoring, enhancing the credibility and reliability of our research.

Results:

Through case studies, we can vividly illustrate the transformative power of remote healthcare solutions. These include significant improvements in CKD diagnosis, uptake of cervical cancer smears, and bowel cancer screening, aligning with national targets. We also demonstrate how remote working can enhance patient adherence to medications and foster a deeper understanding of their long-term conditions. These outcomes underscore the potential of remote working to significantly improve health outcomes, even in rural and deprived communities, instilling a sense of hope and optimism.

Conclusion:

Using standard IT systems, our rural East Lincolnshire practice has demonstrated the importance of incorporating remote working methods with best practices to address health inequalities in rural and remote communities.

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