Translating in-person care to telehealth: analysis of GP consultations on musculoskeletal conditions.

IF 2.5 Q2 PRIMARY HEALTH CARE BJGP Open Pub Date : 2024-08-27 DOI:10.3399/BJGPO.2024.0013
Yifu Li, Simon Chan, Lawrence Lu, Tim M Jackson, Hania Rahimi-Ardabili, Annie Ys Lau
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Abstract

Background: The COVID-19 pandemic led to a rapid transition to telehealth particularly in general practice (GP) where continuous care for chronic conditions such as musculoskeletal (MSK) is provided.

Aim: To determine the appropriateness of telehealth for MSK by identifying whether in-person tasks can be supported remotely via telehealth.

Design & setting: This study is a secondary analysis of the HaRI dataset. This dataset comprises of 281 videos of recorded GP consultations. The data set includes 10 general practitioners, across 8 separate clinics and was collected during 2017 in the United Kingdom.

Method: Content analysis was conducted to identify the clinical tasks, physical examinations and physical artefacts used during the consultations. A scoring method applying two key metrics was developed to assess the translatability of clinical tasks to telehealth.

Results: Across the 31 MSK consultations analysed, 12 clinical tasks, five physical examinations and 12 physical artefacts were observed. Of clinical tasks, 17% (2/12) were deemed to be 'easily translatable over telehealth' and 50% (5/12) were deemed 'relatively easy to be translated over telehealth'. Only 17% (2/12) of tasks were rated 'moderately translatable over telehealth', and 17% (2/12) were deemed 'potentially translatable over telehealth'. No clinical tasks in this study were categorised as untranslatable to telehealth. The average telehealth translatability score was 7.1/10.

Conclusion: Most clinical tasks observed during in-person GP consultations with MSK patients are translatable to telehealth. Further research is necessary to investigate the long-term efficacy and safety of telehealth utilisation for MSK in primary care.

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将面对面的护理转化为远程医疗:分析全科医生对肌肉骨骼疾病的咨询。
背景:COVID-19大流行导致了向远程医疗的快速过渡,尤其是在全科医生(GP)中,全科医生为慢性病患者提供持续护理,如肌肉骨骼(MSK)。目的:通过确定是否可以通过远程医疗远程支持亲自完成的任务,确定远程医疗是否适合于MSK:本研究是对 HaRI 数据集的二次分析。该数据集包括 281 个全科医生会诊录像。该数据集包括 10 名全科医生、8 个独立诊所,于 2017 年在英国收集:进行了内容分析,以确定会诊过程中使用的临床任务、体格检查和物理人工制品。开发了一种应用两个关键指标的评分方法,以评估临床任务与远程医疗的可转化性:结果:在分析的 31 次 MSK 会诊中,共观察到 12 项临床任务、5 项体格检查和 12 个物理假象。在临床任务中,17%(2/12)被认为 "很容易通过远程保健进行翻译",50%(5/12)被认为 "相对容易通过远程保健进行翻译"。只有 17%(2/12)的任务被评为 "适度可通过远程保健翻译",17%(2/12)被认为 "可能可通过远程保健翻译"。本研究中没有临床任务被归类为不可远程保健翻译。远程保健可转化性的平均得分为 7.1/10.结论:在全科医生与 MSK 患者面对面会诊时观察到的大多数临床任务都可转化为远程医疗。有必要开展进一步研究,以调查在初级保健中利用远程保健治疗 MSK 的长期有效性和安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BJGP Open
BJGP Open Medicine-Family Practice
CiteScore
5.00
自引率
0.00%
发文量
181
审稿时长
22 weeks
期刊最新文献
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