An investigation into store and forward telehealth adoption in Australia

  • Anton Douglas Cush University of Queensland
Keywords: Telemedicine, Referral and Consultation, Health Information Systems



The challenge for health care payers is to stem expenditure growth and gain proportionate value where the costs escalate. A visionary approach which transcends political agenda is required to ensure worthwhile, strategic objectives for cost, quality and access are pursued. Health care is poised for a change in course, with e-health and telehealth driving the next breakthroughs in health care systems across the world.



Qualitative research was utilised as an appropriate approach as this fulfils the needs of exploration where little knowledge is available and an understanding of economic, political and social factors is needed. A carefully selected group of subjects who could provide the insights needed to make recommendations to enable store and forward (SAF) telehealth in Australia were chosen. Semi-structured interviews were conducted using scheduled, recorded teleconferences initiated from a standard landline service.



Discussions took place relating to any barriers holding SAF telehealth as a health service delivery model back and ultimately what can be done to promote a sustainable and productive service emerging as part of a new health care service. The summary of these findings is broken into individual sections and they are presented in the paper.



SAF telehealth consultations could occur in a number of ways and its continued expansion is governed by reimbursement policy and ongoing technology innovation. With the use of smart technologies and governance, costs can be reduced while improving quality of care and access to services for many patients.


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Author Biography

Anton Douglas Cush, University of Queensland


van Limburg, M., van Gemert-Pijnen, J. E., Nijland, N., Ossebaard, H. C., Hendrix, R. M., & Seydel, E. R. (2011). Why business modeling is crucial in the development of eHealth technologies. J Med Internet Res, 13(4), e124. doi: 10.2196/jmir.1674

McKeon, S. (2012). McKeon review: we need to integrate research and health services. The Conversation. Available at: accessed March 26, 2013.

Rather, D. (2012). Dan Rather Reports, "The Doctor Is Out" Donald Berwick Excerpt 1. Available at: accessed March 23, 2013.

Maffei, R. (2006). Pros and cons of healthcare information technology implementation: the pros win. JONAS Healthc Law Ethics Regul, 8(4), 116-120; quiz 121-112.

García-Lizana, F., & Giorgo, F. (2012). The future of e-health, including telemedicine and telecare, in the European Union: from stakeholders' views to evidence based decisions. J Telemed Telecare, 18(6), 365-366. doi: 10.1258/jtt.2012.120005.

Doarn, C., & Merrell, R. (2009). It's all about infrastructure: a change of course or course correction. Telemed J E Health, 15(1), 1-2. doi: 10.1089/tmj.2009.9999.

Sharifi, M., Ayat, M., Jahanbakhsh, M., Tavakoli, N., Mokhtari, H., & Wan Ismail, W. (2013). E-health implementation challenges in Iranian medical centers: a qualitative study in Iran. Telemed J E Health, 19(2), 122-128. doi: 10.1089/tmj.2012.0071.

Vassallo, D. J., Hoque, F., Farquharson Roberts, M., Patterson, V., Swinfen, P., & Swinfen, R. (2001). An evaluation of the first years’ experience with a low-cost telemedicine link in Bangladesh. Journal of Telemedicine and Telecare, 7(3), 125-138. doi: 10.1258/1357633011936273.

CTEC. (2006). Telemedicine Reimbursement Handbook: California Telemedicine and eHealth Center.

West, V., & Milio, N. (2004). Organizational and Environmental Factors Affecting the Utilization of Telemedicine in Rural Home Healthcare. Home Health Care Serv Q, 23(4), 49-67. doi: 10.1300/J027v23n04_04.

Prinz, L., Cramer, M., & Englund, A. (2008). Telehealth: a policy analysis for quality, impact on patient outcomes, and political feasibility. Nurs Outlook, 56(4), 152-158. doi: 10.1016/j.outlook.2008.02.005.

Sisk, J., & Sanders, J. (1998). A Proposed Framework for Economic Evaluation of Telemedicine. Telemedicine Journal, 4(1), 31 - 37. doi:10.1089/tmj.1.1998.4.31.

Thielscher, C., & Doarn, C. (2008). Long-Term Future of Telemedicine in Germany: The Patient’s, Physician’s, and Payer’s Perspective. Telemedicine and e-Health, 17(7), 701 - 706. doi: 10.1089/tmj.2007.0104.

Grandchamp, C., & Gardiol, L. (2011). Does a mandatory telemedicine call prior to visiting a physician reduce costs or simply attract good risks? Health Economics, 20(10), 1257-1267. doi: 10.1002/hec.1668.

How to Cite
Cush, A. (2014). An investigation into store and forward telehealth adoption in Australia. Journal of the International Society for Telemedicine and EHealth, 2(1), 29-39. Retrieved from
Original Research