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.

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In this episode, Prof Helen Atherton explains the evidence for video consultations in primary care.

We cover:

  • 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.
    • Results:
      • 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:
  • 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/

The evidence for video consultations in primary care

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