{
  "abstract": "Introduction Access to safe, high quality, acceptable and sustainable general practice (GP) and primary care services is essential to improved health outcomes and quality of life for people living in residential aged care homes (RACH). There are, however, critically low levels of service availability and a decline in GPs providing RACH services globally, suggesting there is an urgent need for safe and effective models of care. Telehealth, delivered as part of a holistic model of care, offers a solution to address this gap but comprehensive, person-centred research is needed to directly assess its effect on safety and quality of care in RACH settings.Objectives This collaborative 4-year project (General practice and Residential Aged CarE: GRACE video-telehealth) will (1) scope current telehealth models of care and their acceptability and person-centredness, including identifying the barriers and enablers experienced by RACH residents, carers, staff, GPs and practice managers; (2) co-design a best-practice model of care with an accompanying suite of digital resources and education materials to improve the uptake of video-telehealth; and (3) implement and evaluate this best-practice model of care.Methods and analysis This is a mixed-methods study of residents, carers, RACH staff, GPs and their practice teams that will be conducted across New South Wales, Australia. This protocol describes a staged approach across three phases. In Phase 1, we will collect baseline measures of the frequency of telehealth use in GP practices and RACHs, clinical outcomes (eg, hospitalisations), questionnaires to measure person-centred care, satisfaction and usability of telehealth and qualitative observations and semi-structured interviews. In Phase 2, we will conduct workshops to co-design an intervention that will include developing a model of care to support person-centred video-telehealth, with an accompanying online hub of resources and educational materials to facilitate and support its utilisation. In Phase 3, we will implement and evaluate the intervention. Data will be analysed statistically and thematically and synthesised.Ethics and dissemination Ethics approval has been obtained from the University of Sydney Human Research Ethics Committee (2025/000340) (human.ethics@sydney.edu.au). Prior informed written consent will be obtained from all research participants. Findings from each phase of the study will be submitted for peer-reviewed publication. Project outputs will be disseminated for implementation more widely across New South Wales and Australia.",
  "authors": [
    {
      "affiliations": [
        "Digital Health Human Factors Research Group, Sydney School of Nursing & Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Ann Carrigan"
    },
    {
      "affiliations": [
        "Digital Health Human Factors Research Group, Sydney School of Nursing & Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Melissa T Baysari"
    },
    {
      "affiliations": [
        "School of Rural Health, Faculty of Medicine and Health, The University of Sydney, Orange, New South Wales, Australia"
      ],
      "name": "Georgina Luscombe"
    },
    {
      "affiliations": [
        "Sydney School of Nursing & Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Brendan McCormack"
    },
    {
      "affiliations": [
        "Leeder Centre for Health Policy, Economics & Data, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Amy Von Huben"
    },
    {
      "affiliations": [
        "Sydney School of Nursing & Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Vaibhav Tyagi"
    },
    {
      "affiliations": [
        "eHealth NSW, Sydney, New South Wales, Australia"
      ],
      "name": "Richard Taggart"
    },
    {
      "affiliations": [
        "North Sydney Primary Health Network, Sydney, New South Wales, Australia"
      ],
      "name": "Jill Nash"
    },
    {
      "affiliations": [
        "Primary Care, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia"
      ],
      "name": "Simon Willcock"
    },
    {
      "affiliations": [
        "Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia"
      ],
      "name": "David Wilkinson"
    },
    {
      "affiliations": [
        "Graduate School of Medicine, University of Wollongong, Wollongong, New South Wales, Australia"
      ],
      "name": "Stephen Barnett"
    },
    {
      "affiliations": [
        "Graduate School of Medicine, University of Wollongong, Wollongong, New South Wales, Australia"
      ],
      "name": "Andrew Bonney"
    },
    {
      "affiliations": [
        "Discipline of General Practice, School of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia"
      ],
      "name": "Joel J Rhee"
    },
    {
      "affiliations": [
        "Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia"
      ],
      "name": "Christopher Pearce"
    },
    {
      "affiliations": [
        "Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Fiona Robinson"
    },
    {
      "affiliations": [
        "Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Timothy F Chen"
    },
    {
      "affiliations": [
        "Primary Care, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia"
      ],
      "name": "Sanjyot Vagholkar"
    },
    {
      "affiliations": [
        "School of Rural Health, Faculty of Medicine and Health, The University of Sydney, Orange, New South Wales, Australia"
      ],
      "name": "Heather Russell"
    },
    {
      "affiliations": [
        "School of Rural Health, Faculty of Medicine and Health, The University of Sydney, Orange, New South Wales, Australia",
        "Western NSW Primary Health Network, Orange, New South Wales, Australia"
      ],
      "name": "Ai-Vee Chua"
    },
    {
      "affiliations": [
        "Sydney School of Nursing & Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia",
        "Sydney Infectious Diseases Institute, Faculty of Medicine and Health, The University of Sydney, Westmead, New South Wales, Australia",
        "Research and Education Network, Western Sydney Local Health District, Westmead, New South Wales, Australia",
        "New South Wales Biocontainment Centre, New South Wales High Consequence Infectious Disease Advisory Service, Westmead, New South Wales, Australia"
      ],
      "name": "Ramon Shaban"
    },
    {
      "affiliations": [
        "Digital Health Human Factors Research Group, Sydney School of Nursing & Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Soumya Soumya"
    },
    {
      "affiliations": [
        "Digital Health Human Factors Research Group, Sydney School of Nursing & Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Agnivo Sengupta"
    },
    {
      "affiliations": [
        "Community and Primary Health Care, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "Meredith Makeham"
    }
  ],
  "title": "The GRACE video-telehealth project protocol: a mixed-methods study to improve quality, safety and acceptability of video-telehealth in Australian general practice and residential aged care",
  "uid": "8e1788f2-c30b-56aa-ae52-5595da2989ae"
}