Testing and implementing video consulting for outpatient appointments: using quality improvement system thinking and codesign principles.
outpatients
patient participation
quality improvement
Journal
BMJ open quality
ISSN: 2399-6641
Titre abrégé: BMJ Open Qual
Pays: England
ID NLM: 101710381
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
29
10
2020
revised:
16
02
2021
accepted:
22
02
2021
entrez:
6
3
2021
pubmed:
7
3
2021
medline:
30
9
2021
Statut:
ppublish
Résumé
Increasing demand for outpatient appointments (OPA) is a global challenge for healthcare providers. Non-attendance rates are high, not least because of the challenges of attending hospital OPAs due to transport difficulties, cost, poor health, caring and work responsibilities. Digital solutions may help ameliorate these challenges. This project aimed to implement codesigned outpatient video consultations across National Health Service (NHS) Highland using system-wide quality improvement approaches to implementation, involving patients, carers, clinical and non-clinical staff, national and local strategic leads. System mapping; an intensive codesign process involving extensive stakeholder engagement and real-time testing; Plan, Do, Study, Act cycles; and collection of clinician and patient feedback were used to optimise the service. Standardised processes were developed and implemented, which made video consulting easy to use for patients, embedded video into routine health service systems for clinicians and non-clinical staff, and automated much of the administrative burden. All clinicians and staff are using the system and both groups identified benefits in terms of travel time and costs saved. Transferable lessons for other services are identified, providing a practical blueprint for others to adapt and use in their own contexts to help implement and sustain video consultation services now and in the future.
Identifiants
pubmed: 33674346
pii: bmjoq-2020-001259
doi: 10.1136/bmjoq-2020-001259
pmc: PMC7939006
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
COPD. 2012 Dec;9(6):611-9
pubmed: 22946768
Br J Gen Pract. 2019 Aug 29;69(686):e586-e594
pubmed: 31160368
Pain Res Treat. 2016;2016:2473629
pubmed: 27891252
J Diabetes Sci Technol. 2013 May 01;7(3):727-35
pubmed: 23759406
BMJ Open. 2016 Jan 29;6(1):e009388
pubmed: 26826147
Aesthetic Plast Surg. 2015 Oct;39(5):783-90
pubmed: 26169952
J Med Internet Res. 2019 Dec 19;21(12):e16093
pubmed: 31855184
J Med Internet Res. 2016 May 30;18(5):e140
pubmed: 27241876
Aust Health Rev. 2018 Jun;42(3):286-293
pubmed: 28355525
BMJ Open. 2019 Jan 30;9(1):e024233
pubmed: 30705241
Am J Geriatr Psychiatry. 2014 Mar;22(3):263-71
pubmed: 23567376
BMJ Open Qual. 2019 Jun 14;8(2):e000553
pubmed: 31259285
J Spinal Cord Med. 2019 Sep;42(5):595-605
pubmed: 30199344
J Med Internet Res. 2010 Jun 18;12(2):e22
pubmed: 20562092
J Med Internet Res. 2020 May 11;22(5):e18378
pubmed: 32391799
J Med Internet Res. 2020 Feb 20;22(2):e16694
pubmed: 32130133
Diabetes Care. 2015 Aug;38(8):1427-34
pubmed: 26033508
Nephrology (Carlton). 2018 Jul;23(7):646-652
pubmed: 28474361
Psychosomatics. 2016 May-Jun;57(3):292-300
pubmed: 27017450
Front Med (Lausanne). 2017 May 29;4:58
pubmed: 28611986
J Med Internet Res. 2018 Apr 17;20(4):e150
pubmed: 29625956
EGEMS (Wash DC). 2014 Apr 16;2(1):1058
pubmed: 25821838
Implement Sci. 2018 Jul 26;13(1):98
pubmed: 30045735
Int J Speech Lang Pathol. 2016 Dec;18(6):592-602
pubmed: 27063692
Disabil Rehabil. 2019 Jul;41(14):1664-1675
pubmed: 29566569
Int J Med Inform. 2015 Oct;84(10):737-42
pubmed: 26183642
Ann Intern Med. 2017 Apr 4;166(7):453-462
pubmed: 28241215
BMJ Open. 2017 Jul 11;7(7):e014650
pubmed: 28701409