Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care
Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care
复制标题
DOI：
10.3399/bjgp19x704141
复制
发表时间：
2019-09-01
影响因子：
5.9
通讯作者：
McKinstry, Brian
中科院分区：
文献类型：
--
作者：
Donaghy, Eddie;Atherton, Helen;McKinstry, Brian
人们越来越多地在网上交流，使用Skype和FaceTime等视觉交流媒介。对初级保健服务日益增长的需求意味着正在考虑提供病人护理的新方法。网络视频咨询（VC）就是其中一种模式。目的探讨VC患者和临床医生的经验。设计和设置英国初级保健的半结构化访谈。方法为基层临床医生配备VC设备。他们邀请需要后续咨询的患者使用“出席任何地方”网络平台进行在线风险投资。参与研究的患者需要智能手机、平板电脑或支持视频功能的计算机：在风险投资之后，对患者（n = 21）和初级保健临床医生（n = 13）进行了半结构化访谈，然后进行了主题分析。结果参与者报告了VC的积极体验，并表示VC对他们作为工作人员、行动不便或有精神健康问题的人特别有帮助。vc被认为在提供视觉提示和保证、建立融洽关系和改善沟通方面优于电话咨询。然而，技术问题很普遍。临床医生认为，对于常规使用，风险投资必须更可靠，并与预约系统无缝集成，这将需要升级现有的NHS IT系统。结论可视化咨询比电话咨询有明显优势。当与现有系统集成时，vc可以在不需要进行正式体检时提供面对面咨询的节省时间的替代方案。尤其是对工作的人来说。初级保健对风险投资服务的需求可能会增加，但需要改进技术基础设施，使风险投资成为常规。但是，对于复杂或敏感的问题，面对面协商仍然是可取的。
BackgroundPeople increasingly communicate online, using visual communication mediums such as Skype and FaceTime. Growing demands on primary care services mean that new ways of providing patient care are being considered. Video consultation (VC) over the internet is one such mode.AimTo explore patients and clinicians' experiences of VC.Design and settingSemi-structured interviews in UK primary care.MethodPrimary care clinicians were provided with VC equipment. they invited patients requiring a follow-up consultation to an online VC using the Attend Anywhere web-based platform. Participating patients required a smartphone, tablet, or-video-enabled computer: Following VCs, semi-structured interviews were conducted with patients (n = 21) and primary care clinicians (n = 13), followed by a thematic analysis.ResultsParticipants reported positive experiences of VC, and stated that VC was particularly helpful for them as working people and people with mobility or mental health problems. VCs were considered superior to telephone consultations in providing visual cues and reassurance, building rapport, and improving communication. Technical problems, however, were common. Clinicians felt, for routine use, VCs must be more reliable and seamlessly integrated with appointment systems, which would require upgrading of current NHS IT systems.ConclusionThe visual component of VCs otters distinct advantages over telephone consultations. When integrated with current systems VCs can provide a time-saving alternative to face-to-face consultations when formal physical examination is not required. especially for people who work. Demand for VC services in primary care is likely to rise, but improved technical infrastructure is required to allow VC to become routine. However, for complex or sensitive problems face-to-face consultations remain preferable.