411 Patient perspectives regarding online consultations during the COVID-19 pandemic

Mathews, John Cheri; Mathew, Deepa; Mathur, Shipra; John, Natasha Susan; Nayak, Suneela; Bothra, Vinay

doi:10.1136/bmjpo-2021-rcpch.229

Cited by 1 publication

(3 citation statements)

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“…This review reports patient-provider communication challenges during video consultations from patient and provider perspectives and summarizes the tools developed to support the communication. Although some patients prefer face-to-face consultations, 28 patients' and providers' perception of care via video consultation is overall positive. Patients appreciate seeing the provider 36 and receiving care without going to a clinic, 37 making video consultation preferred over telephone consultations.…”

Section: Discussionmentioning

confidence: 99%

“…15 In addition, patients report being unable to adequately communicate their problems: they experience barriers to speaking up and asking questions, such as lack of preparedness and comfort, causing apprehension. 28 It is challenging to interject and stop the provider without causing talking over because of the distance. 19 For providers, the difficulty resides in having to be more deliberate and pay more attention to their own communication behaviors than in traditional in-person visits.…”

Section: Trust and Physical Distancementioning

confidence: 99%

“…18 However, when the virtual consultation requires a physical examination, both patients and providers find it challenging to trust the quality of the assessment. 17,19,24,27,28,32 The absence of physical examinations is a concern for patients, especially when symptomatic, 21 and they worry about errors in their care when the visit requires performing a physical examination. 19 Providers are also uncomfortable trusting physical examinations performed by patients.…”

Section: Confidence In Clinical Assessment and Embodied Engagementmentioning

confidence: 99%

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Scoping Review of Challenges and Existing Tools

Antoine

Cherba²,

Grosjean³

et al. 2023

UOJM

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In light of the COVID-19 public health restrictions, the use of telemedicine has been on the rise. This care delivery model is valued for its potential to increase care access while providing safe care. However, it changes the way patients and providers interact. Communication during video consultations requires embodied engagement to compensate for the physical distance. This study aimed to identify patient-provider communication challenges during video consultations and assess the tools developed to support patient-provider communication according to the published literature from 2019 to 2022. Searches of eight databases (Medline (Ovid), PubMed, ProQuest Nursing and Allied Health, CINAHL, Web of Science, Scopus, PsychInfo, and Social Services Abstracts), and a Google search for grey literature were conducted. Nineteen articles met inclusion criteria. Findings show that patients and providers share the same concerns, such as a lack of trust relating to physical distance, the ability to establish a meaningful relationship, and a lack of confidence in clinical assessment. The available tools, however, are based on guidelines that are difficult to adapt to the diversity of interaction contexts. There is a need for tools that consider the complexity of patient-provider communication in order to address the challenges stemming from the lack of trust in the context of video consultations. These findings can inform strategies for effective patient-provider communication during video consultations to improve the quality of care and optimize outcomes in this context.

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Section: Discussionmentioning

confidence: 99%