Augmented video consultations in care homes during the COVID-19 pandemic: a qualitative study.

COVID-19 care homes older adults primary health care remote consultation video consultation virtual ward round

Journal

BJGP open
ISSN: 2398-3795
Titre abrégé: BJGP Open
Pays: England
ID NLM: 101713531

Informations de publication

Date de publication:
Dec 2022
Historique:
received: 15 05 2022
revised: 15 05 2022
accepted: 16 06 2022
pubmed: 29 6 2022
medline: 29 6 2022
entrez: 28 6 2022
Statut: epublish

Résumé

The COVID-19 pandemic necessitated an unprecedented implementation of remote consultations in UK primary care services. Specifically, older adults in care homes had a high need for infection prevention owing to their existing health conditions. GP practices in the East Midlands incorporated augmented video consultations (AVC) with the potential to support remote healthcare assessments for older adults at care homes. To explore GPs' and care home staff's experiences of the use of AVC as a mechanism to perform remote examinations of older adults in care homes. Qualitative interviews were conducted with GPs and care home staff in the East Midlands, UK, during May-August 2020. A convenience sample of GPs ( Findings from participants indicated that AVC enabled real-time patient examinations to aid diagnosis and promoted person-centred care in meeting the needs of older adults. The participants also discussed the challenges of video consultations for patients with cognitive impairment and those receiving end-of-life care. AVCs show great potential in terms of GPs providing primary care services for care homes. However, healthcare staff must be involved in the development of the technology, and consideration should be given to the needs of older adults with cognitive impairment and those receiving end-of-life care. It is also vital that training is available to encourage confidence and competency in implementing the technology.

Sections du résumé

BACKGROUND BACKGROUND
The COVID-19 pandemic necessitated an unprecedented implementation of remote consultations in UK primary care services. Specifically, older adults in care homes had a high need for infection prevention owing to their existing health conditions. GP practices in the East Midlands incorporated augmented video consultations (AVC) with the potential to support remote healthcare assessments for older adults at care homes.
AIM OBJECTIVE
To explore GPs' and care home staff's experiences of the use of AVC as a mechanism to perform remote examinations of older adults in care homes.
DESIGN & SETTING METHODS
Qualitative interviews were conducted with GPs and care home staff in the East Midlands, UK, during May-August 2020.
METHOD METHODS
A convenience sample of GPs (
RESULTS RESULTS
Findings from participants indicated that AVC enabled real-time patient examinations to aid diagnosis and promoted person-centred care in meeting the needs of older adults. The participants also discussed the challenges of video consultations for patients with cognitive impairment and those receiving end-of-life care.
CONCLUSION CONCLUSIONS
AVCs show great potential in terms of GPs providing primary care services for care homes. However, healthcare staff must be involved in the development of the technology, and consideration should be given to the needs of older adults with cognitive impairment and those receiving end-of-life care. It is also vital that training is available to encourage confidence and competency in implementing the technology.

Identifiants

pubmed: 35764408
pii: BJGPO.2022.0073
doi: 10.3399/BJGPO.2022.0073
pmc: PMC9904791
pii:
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

Copyright © 2022, The Authors.

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Auteurs

Lorraine Ochieng (L)

Sheffield Teaching Hospitals NHS, Sheffield, UK.

Mahan Salehi (M)

De Montfort University Faculty of Health & Life Sciences De Montfort University The Gateway, Leicester, UK.

Rebecca Ochieng (R)

De Montfort University Faculty of Health & Life Sciences De Montfort University The Gateway, Leicester, UK.

Dewy Nijhof (D)

De Montfort University Faculty of Health & Life Sciences De Montfort University The Gateway, Leicester, UK.

Richard Wong (R)

University Hospitals of Leicester NHS Trust, Leicester, UK.

Vinay Gupta (V)

Willows Health Willows Health, Leicester, UK.

Rishabh Prasad (R)

Willows Health Willows Health, Leicester, UK.

Bertha Ochieng (B)

De Montfort University Faculty of Health & Life Sciences De Montfort University The Gateway, Leicester, UK bertha.ochieng@dmu.ac.uk.

Classifications MeSH