An exploration of the attitudes and views of general practitioners on the use of video consultations in a primary healthcare setting: a qualitative pilot study.
accessibility
primary healthcare
qualitative
technology
video consultation
Journal
Primary health care research & development
ISSN: 1477-1128
Titre abrégé: Prim Health Care Res Dev
Pays: England
ID NLM: 100897390
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
pubmed:
19
6
2018
medline:
26
7
2019
entrez:
19
6
2018
Statut:
ppublish
Résumé
In 2014, in the United Kingdom, the government made a commitment to spend £3.6 million on the introduction of Skype video calling consultations in general practice, however the efficacy of such technology has not yet been explored fully.AimThe study aimed to explore the views and attitudes of General Practitioners (GPs) towards video consultation in primary care; specifically, in three broad areas ∙The benefits of video consultations to patients and healthcare professionals.∙Potential problems with video consultation and its implementation.∙The cost-effectiveness of video consultation in this setting. A convenience sample of the views of 12 general practitioners across two primary care centres in North London were identified using topic guide based semi-structured interviews. A thematic framework approach was used to analyse the data collected to isolate main and sub-themes.FindingsThree main themes were identified 1.Technology - GPs expressed concerns about the ability of patients to use technology, the availability of technology and the quality of technology available.2.Utility - encompassing GP's ideas about the usefulness of video consultations to patients, practitioners and the doctor-patient relationship. GPs presented mixed views on the extent to which video consultation would be useful.3.Practicality - covering the views of GPs on implementation and effects on workload. GPs unanimously felt that it was not a practical substitute for face-to-face consultation. There were mixed feelings about it being used as an alternative to telephone consultation. GPs did see potential benefits to using video consultations but also expressed concerns that need to be addressed if they are to have full confidence in the system. The views of those who are going to use video consultation as a means of increasing patient access are paramount if such tools are to be a core part of primary care.
Sections du résumé
BACKGROUND
In 2014, in the United Kingdom, the government made a commitment to spend £3.6 million on the introduction of Skype video calling consultations in general practice, however the efficacy of such technology has not yet been explored fully.AimThe study aimed to explore the views and attitudes of General Practitioners (GPs) towards video consultation in primary care; specifically, in three broad areas ∙The benefits of video consultations to patients and healthcare professionals.∙Potential problems with video consultation and its implementation.∙The cost-effectiveness of video consultation in this setting.
METHOD
A convenience sample of the views of 12 general practitioners across two primary care centres in North London were identified using topic guide based semi-structured interviews. A thematic framework approach was used to analyse the data collected to isolate main and sub-themes.FindingsThree main themes were identified 1.Technology - GPs expressed concerns about the ability of patients to use technology, the availability of technology and the quality of technology available.2.Utility - encompassing GP's ideas about the usefulness of video consultations to patients, practitioners and the doctor-patient relationship. GPs presented mixed views on the extent to which video consultation would be useful.3.Practicality - covering the views of GPs on implementation and effects on workload. GPs unanimously felt that it was not a practical substitute for face-to-face consultation. There were mixed feelings about it being used as an alternative to telephone consultation.
CONCLUSION
GPs did see potential benefits to using video consultations but also expressed concerns that need to be addressed if they are to have full confidence in the system. The views of those who are going to use video consultation as a means of increasing patient access are paramount if such tools are to be a core part of primary care.
Identifiants
pubmed: 29909798
pii: S1463423618000361
doi: 10.1017/S1463423618000361
pmc: PMC6476389
doi:
Types de publication
Evaluation Study
Journal Article
Langues
eng
Pagination
e5Références
BMJ. 2000 Jan 8;320(7227):114-6
pubmed: 10625273
J R Soc Med. 1998 Dec;91(12):614-21
pubmed: 10730107
J Digit Imaging. 2004 Dec;17(4):253-7
pubmed: 15692868
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Lancet Neurol. 2008 Sep;7(9):787-95
pubmed: 18676180
J Neurol. 2008 Nov;255(11):1792-7
pubmed: 19156491
Neurologist. 2009 May;15(3):163-6
pubmed: 19430275
Indian J Community Med. 2008 Jan;33(1):3-8
pubmed: 19966987
J Med Internet Res. 2013 Jun 19;15(6):e117
pubmed: 23782753
BMJ. 1995 May 27;310(6991):1390-1
pubmed: 7787547