RetroSearch Browse

Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/26826147/ below:

Virtual online consultations: advantages and limitations (VOCAL) study

. 2016 Jan 29;6(1):e009388. doi: 10.1136/bmjopen-2015-009388. Virtual online consultations: advantages and limitations (VOCAL) study Shanti Vijayaraghavan², Joe Wherton³, Sara Shaw¹, Emma Byrne³, Desirée Campbell-Richards², Satya Bhattacharya², Philippa Hanson², Seendy Ramoutar², Charles Gutteridge², Isabel Hodkinson⁴, Anna Collard², Joanne Morris²

Affiliations

¹ Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
² Barts Health NHS Trust, London, UK.
³ Blizard Institute, Barts and the London School of Medicine and Dentistry, London, UK.
⁴ Tower Hamlets Clinical Commissioning Group, London, UK.

PMID: 26826147
PMCID: PMC4735312
DOI: 10.1136/bmjopen-2015-009388

Item in Clipboard

Virtual online consultations: advantages and limitations (VOCAL) study

Trisha Greenhalgh et al. BMJ Open. 2016.

. 2016 Jan 29;6(1):e009388. doi: 10.1136/bmjopen-2015-009388. Authors Trisha Greenhalgh¹, Shanti Vijayaraghavan², Joe Wherton³, Sara Shaw¹, Emma Byrne³, Desirée Campbell-Richards², Satya Bhattacharya², Philippa Hanson², Seendy Ramoutar², Charles Gutteridge², Isabel Hodkinson⁴, Anna Collard², Joanne Morris² Affiliations

¹ Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
² Barts Health NHS Trust, London, UK.
³ Blizard Institute, Barts and the London School of Medicine and Dentistry, London, UK.
⁴ Tower Hamlets Clinical Commissioning Group, London, UK.

PMID: 26826147
PMCID: PMC4735312
DOI: 10.1136/bmjopen-2015-009388

Item in Clipboard

Abstract

Introduction: Remote video consultations between clinician and patient are technically possible and increasingly acceptable. They are being introduced in some settings alongside (and occasionally replacing) face-to-face or telephone consultations.

Methods: To explore the advantages and limitations of video consultations, we will conduct in-depth qualitative studies of real consultations (microlevel) embedded in an organisational case study (mesolevel), taking account of national context (macrolevel). The study is based in 2 contrasting clinical settings (diabetes and cancer) in a National Health Service (NHS) acute trust in London, UK. Main data sources are: microlevel--audio, video and screen capture to produce rich multimodal data on 45 remote consultations; mesolevel--interviews, ethnographic observations and analysis of documents within the trust; macrolevel--key informant interviews of national-level stakeholders and document analysis. Data will be analysed and synthesised using a sociotechnical framework developed from structuration theory.

Ethics approval: City Road and Hampstead NHS Research Ethics Committee, 9 December 2014, reference 14/LO/1883.

Planned outputs: We plan outputs for 5 main audiences: (1) academics: research publications and conference presentations; (2) service providers: standard operating procedures, provisional operational guidance and key safety issues; (3) professional bodies and defence societies: summary of relevant findings to inform guidance to members; (4) policymakers: summary of key findings; (5) patients and carers: 'what to expect in your virtual consultation'.

Discussion: The research literature on video consultations is sparse. Such consultations offer potential advantages to patients (who are spared the cost and inconvenience of travel) and the healthcare system (eg, they may be more cost-effective), but fears have been expressed that they may be clinically risky and/or less acceptable to patients or staff, and they bring significant technical, logistical and regulatory challenges. We anticipate that this study will contribute to a balanced assessment of when, how and in what circumstances this model might be introduced.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

PubMed Disclaimer

Figures
Figure 1

Stones’ strong structuration theory, adapted…

Figure 1

Stones’ strong structuration theory, adapted to encompass a technology dimension (reproduced from Greenhalgh…

Figure 1

Stones’ strong structuration theory, adapted to encompass a technology dimension (reproduced from Greenhalgh and Stones24).