Why do GPs rarely do video consultations? qualitative study in UK general practice

Article Health Care Sciences & Services

Expanding Video Consultation Services at Pace and Scale in Scotland During the COVID-19 Pandemic: National Mixed Methods Case Study

Joseph Wherton et al.

Summary: Scotland's prior investment in infrastructure, staff training, and public engagement allowed for rapid expansion of video consultation services during the pandemic, with the technology considered dependable and easy to use. Video consultations were used for a wider range of clinical issues, extending beyond outpatient monitoring of chronic stable conditions. The innovativeness and digital maturity of healthcare organizations significantly influenced their ability to introduce, routinize, and expand video consultation services.

JOURNAL OF MEDICAL INTERNET RESEARCH (2021)

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Achieving Spread, Scale Up and Sustainability of Video Consulting Services During the COVID-19 Pandemic? Findings From a Comparative Case Study of Policy Implementation in England, Wales, Scotland and Northern Ireland

Sara E. Shaw et al.

Summary: The COVID-19 pandemic led to policy support for rapid rollout of video consulting across England, Northern Ireland, Scotland, and Wales. While there was interest in video consulting across the UK, there were marked differences in implementation between the four nations. Scotland had pre-existing infrastructure and policies for video consulting, which, combined with a collaborative approach, enabled widespread adoption. In contrast, England, Wales, and Northern Ireland had to overcome cultural barriers and professional resistance, with varying levels of success in implementing digital changes. Despite efforts at system level development, questions remain about the long-term sustainability of changes made during the pandemic.

FRONTIERS IN DIGITAL HEALTH (2021)

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Article Health Care Sciences & Services

Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics

Trisha Greenhalgh et al.

Summary: Establishing and running remote consultation services present challenges politically, organizationally, economically, technically, relationally, and clinically, with important ethical dimensions. The Planning and Evaluating Remote Consultation Services (PERCS) framework focuses on digital maturity and inclusion efforts, providing guidance on addressing ethical dilemmas and tensions in strategic, allocation, and clinical decisions. Attention to practicalities and emergent narratives, guided by contextual judgement, are necessary for managing these complex challenges beyond standard operating procedures.

FRONTIERS IN DIGITAL HEALTH (2021)

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Article Health Care Sciences & Services