Patients’ and physicians’ experiences with remote consultations in primary care during the COVID-19 pandemic: a multi-method rapid review of the literature

Verma, Pradipti; Kerrison, Robert

doi:10.3399/bjgpo.2021.0192

Cited by 48 publications

(67 citation statements)

References 36 publications

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“…Technical challenges and worries about difficult conversations in this evaluation reflect the work of others 30 , 31 and Verma and Kerrison's 32 rapid review, which highlights concerns about using the technology required for remote consultation. Both patient and clinician participants in our study were concerned about the technical skills needed for remote consultation and were concerned about internet connections, loading up data or measurements (for example blood sugar or blood pressure) and how secure this was.…”

Section: Discussionmentioning

confidence: 80%

Patient and clinician experiences of remote consultation during the SARS-CoV-2 pandemic: A service evaluation

et al. 2022

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Objectives During the SARS-CoV-2 pandemic, clinicians were instructed to move all but emergency consultations to remote means to reduce the spread of the virus. The aim of this study was to evaluate patients’ and clinicians’ experiences of moving to remote means of consultation with their health care professionals during the SARS-CoV-2 pandemic. Methods The study design was a qualitative service evaluation. Twenty-six clinicians and forty-eight patients who met the inclusion criteria consented to be interviewed. Clinician participants were from either medical, nursing, or allied health professional backgrounds. Patients were recruited from diabetes, acute care, and haematology and cancer areas. Data analysis was conducted using a thematic analysis framework. Results Following coding and thematic analysis of the data collected from clinicians, five themes were identified: personal and professional well-being; providing a safe and high-quality experience; adapting to a new way of working; making remote consultations fit for purpose and an awareness of altered dynamics during consultation. Patient data was coded into 3 themes: remote consultation adds value; remote consultation brings challenges and concerns about remote consultation. Conclusions Clinician and patient experiences reported here are reflected in the literature. The study indicates that remote consultation is not suitable for all patients and in all contexts. Whilst maintaining the benefits to patients, remote means of consultation needs organisational support and preparation. A way forward that maintains the benefits whilst addressing concerns seems urgent.

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Section: Discussionmentioning

confidence: 80%

Patient and clinician experiences of remote consultation during the SARS-CoV-2 pandemic: A service evaluation

et al. 2022

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“…Viewing the patient’s facial expressions during this manual palpation provides a critical source of feedback to assess a range of medical hypotheses for diagnosis. Given the growing shortage of physicians 14 , the chronic issues such as pandemics 15 – 17 , cost and time cost involved in face-to-face examinations 18 , inaccessibility to examine the patients due to issues such as armed conflicts 19 , the need for remote diagnosis of patients has gained much attention in recent times. Remote palpation examination is one such approach that is growing in interest for remote diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Physical examinations are often performed in-person. However, with the growing shortage of physicians 14 and the considerable challenges of conducting in-person patient examination due to global issues such as pandemics 15 – 17 , the time cost involved in face-to-face examinations 18 , and inaccessibility to examine the patients due to issues such as armed conflicts 19 , the need for remote diagnosis of patients has gained much attention in recent times. Further, remote diagnosis and treatment reduces the burden on hospitals and the risk of cross-infection during pandemics 20 .…”

Section: Introductionmentioning

confidence: 99%

Face mediated human–robot interaction for remote medical examination

Lalitharatne

Costi

Hashem

et al. 2022

Sci Rep

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Realtime visual feedback from consequences of actions is useful for future safety-critical human–robot interaction applications such as remote physical examination of patients. Given multiple formats to present visual feedback, using face as feedback for mediating human–robot interaction in remote examination remains understudied. Here we describe a face mediated human–robot interaction approach for remote palpation. It builds upon a robodoctor–robopatient platform where user can palpate on the robopatient to remotely control the robodoctor to diagnose a patient. A tactile sensor array mounted on the end effector of the robodoctor measures the haptic response of the patient under diagnosis and transfers it to the robopatient to render pain facial expressions in response to palpation forces. We compare this approach against a direct presentation of tactile sensor data in a visual tactile map. As feedback, the former has the advantage of recruiting advanced human capabilities to decode expressions on a human face whereas the later has the advantage of being able to present details such as intensity and spatial information of palpation. In a user study, we compare these two approaches in a teleoperated palpation task to find the hard nodule embedded in the remote abdominal phantom. We show that the face mediated human–robot interaction approach leads to statistically significant improvements in localizing the hard nodule without compromising the nodule position estimation time. We highlight the inherent power of facial expressions as communicative signals to enhance the utility and effectiveness of human–robot interaction in remote medical examinations.

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“…Improving the quality of consultations is more challenging when consulting remotely. Previous research has suggested less rapport building is undertaken during telephone consultations compared to face-to face [ 20 ] and loss of non-verbal communication is a challenge when consulting remotely [ 21 ]. Primary care professions interviewed about their experience consulting during the pandemic, reported feeling that remote consultations created emotional distance between themselves and patients [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…Improving the quality of consultations is more challenging when con remotely. Previous research has suggested less rapport building is undertaken telephone consultations compared to face-to face [20] and loss of non communication is a challenge when consulting remotely [21]. Primary care prof interviewed about their experience consulting during the pandemic, reported feeli remote consultations created emotional distance between themselves and patien Video consultations may be superior to telephone in enabling rapport to be built [2 Eight percent of patients who were not offered the option of a support person have liked this to have occurred, highlighting a missed opportunity.…”

Section: Comparison To Other Studiesmentioning

confidence: 99%

Quality in Clinical Consultations: A Cross-Sectional Study

Graf

Koh

Caldwell³

et al. 2022

Clinics and Practice

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The coronavirus disease 2019 pandemic may have affected the quality of clinical consultations. The objective was to use 10 proposed quality indicator questions to assess outpatient consultation quality; to assess whether the recent shift to telemedicine during the pandemic has affected consultation quality; and to determine whether consultation quality is associated with satisfaction and consultation outcome. A cross-sectional study was used to survey clinicians and patients after outpatient consultations (1 February to 31 March 2021). The consultation quality score (CQS) was the sum of ‘yes’ responses to the survey questions. In total, 78% (538/690) of consultations conducted were assessed by a patient, clinician, or both. Patient survey response rate was 60% (415/690) and clinician 42% (291/690). Face-to-face consultations had a greater CQS than telephone (patients and clinicians < 0.001). A greater CQS was associated with higher overall satisfaction (clinicians log-odds: 0.77 ± 0.52, p = 0.004; patients log-odds: 1.35 ± 0.57, p < 0.001) and with definitive consultation outcomes (clinician log-odds: 0.44 ± 0.36, p = 0.03). In conclusion, consultation quality is assessable; the shift to telemedicine has negatively impacted consultation quality; and high-quality consultations are associated with greater satisfaction and definitive consultation outcome decisions.

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Patients’ and physicians’ experiences with remote consultations in primary care during the COVID-19 pandemic: a multi-method rapid review of the literature

Cited by 48 publications

References 36 publications

Patient and clinician experiences of remote consultation during the SARS-CoV-2 pandemic: A service evaluation

Patient and clinician experiences of remote consultation during the SARS-CoV-2 pandemic: A service evaluation

Face mediated human–robot interaction for remote medical examination

Quality in Clinical Consultations: A Cross-Sectional Study

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