The evidence for video consultations in primary care – With Prof Helen Atherton
Video consultations are the new buzz in primary care and a mandated part of the new contract from April 2020.
GPs and clinicians love evidence to justify the use of any service and in this post, I cover the evidence for video consultations in-depth with Prof Helen Atherton of the Academic unit of primary care at Warwick Medical School.
In this episode, Prof Helen Atherton explains the evidence for video consultations in primary care.
- What is a video consultation vs remote consultations
- What is digital exceptionalism and why it has an impact- should it?
- The type of patients that will use video consultations.
- The use of funding for video consultations like the Access funds and Priminister Challenge funds
- We discuss the work of Trisha Greenhalgh
- Comparison of telephone vs F2F consultations and what gaps video can fill
- The ViCo study:
- Done in 2016 as a feasibility study
- Using video consultations as an alternative to F2F on the Attend Anywhere platform in Scotland.
- The technical issues in doing the study and considerations including devices and infrastructure.
- Useful for single problem issues and similar in length to telephone consultations.
- Advantages for video use with remote working, convenience, and visual element
- Suitable only where a physical exam may not be needed
- Technical issues need addressing
- Links to toolkits:
- ViCo Toolkit: https://www.ed.ac.uk/usher/telescot/projects/vico/vico-toolkit
- Alternative to F2F consultations toolkit: http://www.bristol.ac.uk/primaryhealthcare/researchthemes/alt-con/resources/
- Further talk on infrastructure challenges particular internet speeds and logistics.
- Can video consultations be used for areas like mental health?
- How to improve engagement with video consultations
- The use of video consultations by secondary care.
Contact Prof Atherton via email.
Free research links:
Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care: https://bjgp.org/content/early/2019/06/24/bjgp19X704141
Comparing the content and quality of video, telephone, and face-to-face consultations: a non-randomised, quasi-experimental, exploratory study in UK primary care: https://bjgp.org/content/early/2019/07/01/bjgp19X704573
Using alternatives to face-to-face consultations: a survey of prevalence and attitudes in general practice: https://bjgp.org/content/66/648/e460
The potential of alternatives to face-to-face consultation in general practice, and the impact on different patient groups: a mixed-methods case study: https://www.ncbi.nlm.nih.gov/books/NBK507060/
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