eGPlearning Podblast

The evidence for Video Consultations in Primary care

August 15, 2019

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:

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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