{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T15:14:45Z","timestamp":1762960485955,"version":"3.45.0"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Over a quarter of Australians reside in rural and remote areas, where access to clinical trials is limited. This disparity affects the generalisability of trial results and may contribute to poorer health outcomes for rural and remote patients. Teletrials \u2013 where regional, rural, or remote research sites are connected to primary research sites via telehealth \u2013 can overcome geographic barriers and improve access to clinical trials. In April 2024, Queensland launched a palliative care teletrial cluster recruiting to a clinical trial investigating medicinal cannabis for advanced cancer symptoms. This innovative model differs from other teletrial models in that it utilises existing health jurisdictions to create a statewide research cluster. This approach has the potential to expand clinical trial access throughout Australia. However, procedural delays in setting up satellite sites and high setup costs underscore the need to reform trial management processes and prompt discussion about optimal decentralised trial models to achieve universal access to clinical trials.<\/jats:p>","DOI":"10.1111\/imj.70181","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T10:09:52Z","timestamp":1759313392000},"page":"1934-1938","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Extending the reach of clinical trials in regional, rural and remote Australia: lessons from the establishment of a statewide palliative care teletrial cluster"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9629-0585","authenticated-orcid":false,"given":"Claire","family":"Stokes","sequence":"first","affiliation":[{"name":"Palliative &amp; Supportive Care Mater Hospital Brisbane  Brisbane Queensland Australia"},{"name":"Mater Research Institute\u2014University of Queensland  Brisbane Queensland Australia"},{"name":"Palliative Care St Vincent's Private Hospital Brisbane  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taylan","family":"Gurgenci","sequence":"additional","affiliation":[{"name":"Palliative &amp; Supportive Care Mater Hospital Brisbane  Brisbane Queensland Australia"},{"name":"Mater Research Institute\u2014University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Herbert","sequence":"additional","affiliation":[{"name":"Paediatric Palliative Care Service Queensland Children's Hospital, Children's Health Queensland  Brisbane Queensland Australia"},{"name":"Centre for Children's Health Research Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgie","family":"Huggett","sequence":"additional","affiliation":[{"name":"Mater Research Institute\u2014University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Poxton","sequence":"additional","affiliation":[{"name":"Australian Teletrial Program  Queensland Queensland Australia"},{"name":"Queensland Regional Clinical Trial Coordinating Centre Queensland Health  Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip","family":"Good","sequence":"additional","affiliation":[{"name":"Palliative &amp; Supportive Care Mater Hospital Brisbane  Brisbane Queensland Australia"},{"name":"Mater Research Institute\u2014University of Queensland  Brisbane Queensland Australia"},{"name":"Palliative Care St Vincent's Private Hospital Brisbane  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10]]},"reference":[{"volume-title":"Year Book Australia 2009\u201310\u2013Geography of Australia","year":"2010","author":"Australian Bureau of Statistics (ABS) (homepage on the internet)","key":"e_1_2_14_2_1"},{"volume-title":"Rural and Remote Health (homepage on the internet)","year":"2024","author":"Australian Institute of Health and Welfare","key":"e_1_2_14_3_1"},{"volume-title":"Palliative care services in Australia (homepage on the internet)","year":"2024","author":"Australian Institute of Health and Welfare","key":"e_1_2_14_4_1"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1200\/EDBK_350565"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192215368"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajco.13249"},{"volume-title":"About the Australian Teletrial Program (homepage on the internet)","year":"2023","author":"Australian Teletrial Program","key":"e_1_2_14_8_1"},{"key":"e_1_2_14_9_1","unstructured":"Clinical oncology Society of Australia.Australasian tele\u2010trial model: access to clinical trials closer to home using tele\u2010health. 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