Caring remotely through 'fitting': Video consultation use in Danish general practice.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Pub Date : 2024-12-26 DOI:10.1177/13634593241306577

Elle Christine Lüchau, Finn Olesen, Helen Atherton, Jens Søndergaard, Elisabeth Assing Hvidt

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引用次数: 0

Abstract

In this study, we examine how Danish general practitioners (GPs) and general practice staff have fitted their use of video consultation to align with their conceptualisations of good care. Political stakeholders are repeatedly encouraging the use of video consultation in the healthcare sector, discursively referring to optimised use of healthcare resources, increased efficiency and flexibility for and geographical equality among patients. By the end of 2024, it will be mandatory for GPs to offer video consultations to patients in Danish general practice. This raises important questions about the implications of video consultation on the care provided in general practice. Our data consists of 30 semi-structured interviews with GPs and 132 hours of fieldwork conducted across seven clinics from August 2021 to August 2022. We analysed the data following the principles of reflexive thematic analysis and inspired by an abductive approach. Drawing on Annemarie Mol's and Jeanette Pols' conceptualisations of care and fitting, we identified common rationalisations articulated and observed in practice that highlight how fitting video consultation into the care provided in a general practice setting can enable (1) optimised use of busy patients' time), (2) optimised use of clinician and clinic resources, (3) enhanced connection of 'harder to reach' patients and (4) better work experiences for GPs and staff. Our findings demonstrate the variety of video consultation use potentials, contributing to our understanding of the implications of video consultation on the provision of care.

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通过“装配”远程护理：视频咨询在丹麦全科实践中的应用。

在这项研究中，我们研究了丹麦全科医生（gp）和全科医生如何使用视频咨询来配合他们的良好护理概念。政治利益相关者一再鼓励在医疗保健部门使用视频咨询，话语指的是优化使用医疗保健资源，提高效率和灵活性，以及患者之间的地域平等。到2024年底，丹麦全科医生将被强制要求向患者提供视频咨询。这就提出了关于视频会诊对一般实践中提供的护理的影响的重要问题。我们的数据包括对全科医生的30次半结构化访谈，以及从2021年8月到2022年8月在7个诊所进行的132小时的实地调查。我们的数据分析遵循反身性主题分析的原则，并受到溯因法的启发。借鉴Annemarie Mol和Jeanette Pols关于护理和配合的概念，我们确定了在实践中阐述和观察到的常见合理化，强调如何将视频咨询融入一般实践环境中提供的护理可以实现(1)优化利用繁忙的患者时间，(2)优化利用临床医生和诊所资源，(3)增强“难以接触”的患者的联系，(4)为全科医生和员工提供更好的工作体验。我们的研究结果展示了视频咨询使用潜力的多样性，有助于我们理解视频咨询对提供护理的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Multiple-

CiteScore

4.90

自引率

0.00%

发文量

期刊介绍： Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.