What has the COVID-19 pandemic taught us about the use of virtual consultations in primary care?


Journal

Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099

Informations de publication

Date de publication:
03 2022
Historique:
entrez: 28 2 2022
pubmed: 1 3 2022
medline: 3 3 2022
Statut: ppublish

Résumé

Telehealth has been a very useful resource in primary care consultations during the COVID-19 pandemic. The aim of this article is to examine primary care providers' (PCPs') and patients' experiences of using video and telephone modalities and their perceptions of the quality of telehealth. Video consultations offer the advantage of enabling visualisation of a patient's visual affect and physical appearance, and they are helpful in building therapeutic relationships. However, many PCPs and patients find telephone consultations of equal value, and this has been the preferred telehealth modality internationally. This may be due to challenges experienced by PCPs and patients with the set-up and use of video consultation technologies, and the quality of these experiences. Some members of a number of at-risk groups have experienced greater challenges with this. The future of telehealth in primary care requires its coherent integration into clinical infrastructure and substantial bolstering of community access and capacity to use both video and telephone modalities.

Sections du résumé

BACKGROUND
Telehealth has been a very useful resource in primary care consultations during the COVID-19 pandemic.
OBJECTIVE
The aim of this article is to examine primary care providers' (PCPs') and patients' experiences of using video and telephone modalities and their perceptions of the quality of telehealth.
DISCUSSION
Video consultations offer the advantage of enabling visualisation of a patient's visual affect and physical appearance, and they are helpful in building therapeutic relationships. However, many PCPs and patients find telephone consultations of equal value, and this has been the preferred telehealth modality internationally. This may be due to challenges experienced by PCPs and patients with the set-up and use of video consultation technologies, and the quality of these experiences. Some members of a number of at-risk groups have experienced greater challenges with this. The future of telehealth in primary care requires its coherent integration into clinical infrastructure and substantial bolstering of community access and capacity to use both video and telephone modalities.

Identifiants

pubmed: 35224583
doi: 10.31128/AJGP-09-21-6184
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

179-183

Auteurs

Jane Desborough (J)

RN, RM, MPH, PhD, Action Research, COVID-19 Primary Care Response Group (seconded), Primary Care Division, Australian Government Department of Health, ACT; Senior Research Fellow, Research School of Population Health, Australian National University, ACT.

Sally Hall Dykgraaf (S)

RN, Grad Cert Clin Man, PhD Scholar, Action Research, COVID-19 Primary Care Response Group (seconded), Primary Care Division, Australian Government Department of Health, ACT; Research Manager, Rural Clinical School, ANU Medical School, College of Health and Medicine, Australian National University, ACT.

Elizabeth Sturgiss (E)

PhD, FRACGP, BMed, MPH, MForensMed, Senior Lecturer, Department of General Practice, Monash University, Vic; Visiting Fellow, Australian National University, ACT. deependCanberra@gmail.com.

Anne Parkinson (A)

BA, PhD, AFHEA, Action Research, COVID-19 Primary Care Response Group (seconded), Primary Care Division, Australian Government Department of Health, Canberra, ACT; Postdoctoral Fellow, Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, ACT.

Garang Dut (G)

MD, MPH, MBA, Action Research, COVID-19 Primary Care Response Group (seconded), Primary Care Division, Australian Government Department of Health, Canberra, ACT; Fellow in Health Systems, College of Health @ Medicine, Australian National University, Canberra, ACT.

Michael Kidd (M)

AM MBBS (Hons), MD, DCCH, DipRACOG, MCFP, FAHMS, Principal Medical Advisor and Deputy Chief Medical Officer, Australian Government Department of Health, ACT; Professor of Primary Care Reform, Australian National University, ACT; Adjunct Professor, Department of Family and Community Medicine, University of Toronto, Canada; Emeritus Director, World Health Organization Collaborating Centre on Family Medicine and Primary Care, GVA; Professorial Fellow, Murdoch Children@s Research Institute, The Royal Children@s Hospital Melbourne, Vic; Honorary Professor of Global Primary Care, Southgate Institute for Health, Society and Equity, Flinders University, SA.

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