title: Designing clinically valuable telehealth resources: processes to develop a community-based palliative care prototype.
abstract: BACKGROUND
  Changing population demography and patterns of disease are increasing demands on the health system. Telehealth is seen as providing a mechanism to support community-based care, thus reducing pressure on hospital services and supporting consumer preferences for care in the home.
  
  
  OBJECTIVE
  This study examined the processes involved in developing a prototype telehealth intervention to support palliative care patients involved with a palliative care service living in the community.
  
  
  METHODS
  The challenges and considerations in developing the palliative care telehealth prototype were reviewed against the Center for eHealth Research (CeHRes) framework, a telehealth development model. The project activities to develop the prototype were specifically mapped against the model's first four phases: multidisciplinary project management, contextual inquiry, value specification, and design. This project has been developed as part of the Telehealth in the Home: Aged and Palliative Care in South Australia initiative.
  
  
  RESULTS
  Significant issues were identified and subsequently addressed during concept and prototype development. The CeHRes approach highlighted the implicit diversity in views and opinions among participants and stakeholders and enabled issues to be considered, resolved, and incorporated during design through continuous engagement.
  
  
  CONCLUSIONS
  The CeHRes model provided a mechanism that facilitated "better" solutions in the development of the palliative care prototype by addressing the inherent but potentially unrecognized differences in values and beliefs of participants. This collaboration enabled greater interaction and exchange among participants resulting in a more useful and clinically valuable telehealth prototype.
authors.affiliation: Discipline of Palliative and Supportive Services, Department of Health Sciences, Flinders University of South Australia, Adelaide, Australia. jennifer.tieman@flinders.edu.au.
authors.forename: Jennifer Joy
authors.identifier: http://orcid.org/0000-0002-2611-1900
authors.initials: JJ
authors.lastname: Tieman
authors.forename: Deidre Diane
authors.identifier: http://orcid.org/0000-0001-8725-9477
authors.initials: DD
authors.lastname: Morgan
authors.forename: Kate
authors.identifier: http://orcid.org/0000-0002-9379-3059
authors.initials: K
authors.lastname: Swetenham
authors.forename: Timothy Hong Man
authors.identifier: http://orcid.org/0000-0003-0025-6543
authors.initials: TH
authors.lastname: To
authors.forename: David Christopher
authors.identifier: http://orcid.org/0000-0003-1988-1250
authors.initials: DC
authors.lastname: Currow
keywords: delivery of care; home care; palliative care; telemedicine