Older people's perceptions of teleconsultation via telephone during the COVID-19 pandemic: a qualitative study

L. M. Araújo, Nádia Vitorino Vieira, Ana Cristina Gonçalves Vieira, Luciana Alves da Costa, Raquel Spindola Samartini, Viviane Cristina Cândido
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Abstract

Objectives: In March/2020, our geriatric outpatient clinic implemented teleconsultation via telephone due to the COVID-19 pandemic. This study aimed to understand older patients’ perceptions of this experience through their narratives. Methods: A qualitative study with Thematic Oral History and thematic analysis. We conducted open-ended interviews in which older patients narrated their perceptions of this experience. Results: Twelve patients were interviewed from December/2021 to January/2022, and 2 themes emerged: older patients’ experience of teleconsultation and possibilities and challenges of telemedicine. Some patients did not identify the call as a teleconsultation. Regarding possibilities, patients reported satisfaction and convenience in specific circumstances. As for challenges, patients reported concerns about the effectiveness of communication and need for physical examination. Conclusion: Teleconsultation is well accepted, as long as situations that require face-to-face interactions are considered. Considering person-centered medicine, listening to the narratives of older people contributes to a better structuring of telemedicine services in geriatrics.
COVID-19大流行期间老年人对电话远程咨询的看法:一项定性研究
目的:2020年3月,我院老年门诊因新冠肺炎疫情实施电话远程会诊。本研究旨在通过老年患者的叙述了解他们对这一经历的看法。方法:专题口述史定性研究和专题分析。我们进行了开放式访谈,让老年患者讲述他们对这一经历的看法。结果:在2021年12月至2022年1月期间,对12例患者进行了访谈,发现了老年患者远程会诊体验和远程医疗的可能性与挑战2个主题。一些病人不认为这是远程会诊。关于可能性,患者报告了在特定情况下的满意度和便利性。至于挑战,患者表示担心沟通的有效性和身体检查的必要性。结论:只要考虑到需要面对面交流的情况,远程咨询是可以接受的。考虑到以人为本的医学,倾听老年人的叙述有助于更好地构建老年病学的远程医疗服务。
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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