FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2809257310> ?p ?o ?g. }

• W2809257310 endingPage "136" @default.
• W2809257310 startingPage "1" @default.
• W2809257310 abstract "Background There is much enthusiasm from clinicians, industry and the government to utilise digital technologies and introduce alternatives to face-to-face consultations. Objective(s) To define good practice and inform digital technology implementation in relation to remote consultations via Skype™ (Microsoft Corporation, Redmond, WA, USA) and similar technologies. Design Multilevel mixed-methods study of remote video consultations (micro level) embedded in an organisational case study (meso level), taking account of the national context and wider influences (macro level). Setting Three contrasting clinical settings (Diabetes, Antenatal Diabetes and Cancer Surgery) in a NHS acute trust. Data collection and analysis Macro level – interviews with 12 national-level stakeholders combined with document analysis. Meso level – longitudinal organisational ethnography comprising over 300 hours of observations, 24 staff interviews and analysis of 16 documents. Micro level – 30 video-recorded remote consultations; 17 matched audio-recorded face-to-face consultations. Interview and ethnographic data were analysed thematically and theorised using strong structuration theory. Consultations were transcribed verbatim and analysed using the Roter interaction analysis system (RIAS), producing descriptive statistics on different kinds of talk and interaction. Results Policy-makers viewed remote video consultations as a way of delivering health care efficiently in the context of rising rates of chronic illness and growing demand for services. However, the reality of establishing such services in a busy and financially stretched NHS acute trust proved to be far more complex and expensive than anticipated. Embedding new models of care took much time and many resources, and required multiple workarounds. Considerable ongoing effort was needed to adapt and align structures, processes and people within clinics and across the organisation. For practical and safety reasons, virtual consultations were not appropriate for every patient or every consultation. By the end of this study, between 2% and 20% of all consultations were being undertaken remotely in participating clinics. Technical challenges in setting up such consultations were typically minor, but potentially prohibitive. When clinical, technical and practical preconditions were met, virtual consultations appeared to be safe and were popular with both patients and staff. Compared with face-to-face consultations, virtual consultations were very slightly shorter, patients did slightly more talking and both parties sometimes needed to make explicit things that typically remained implicit in a traditional encounter. Virtual consultations appeared to work better when the clinician and the patient knew and trusted each other. Some clinicians used Skype adaptively to support ad hoc clinician-initiated and spontaneous patient-initiated encounters. Other clinicians chose not to use the new service model at all. Conclusions Virtual consultations appear to be safe, effective and convenient for patients who are preselected by their clinicians as ‘suitable’, but such patients represent a small fraction of clinic workloads. There are complex challenges to embedding virtual consultation services within routine practice in the NHS. Roll-out (across the organisation) and scale-up (to other organisations) are likely to require considerable support. Limitations The focus on a single NHS organisation raises questions about the transferability of findings, especially quantitative data on likely uptake rates. Future research Further studies on the micro-analysis of virtual consultations and on the spread and scale-up of virtual consulting services are planned. Funding The National Institute for Health Research Health Services and Delivery Research programme." @default.
• W2809257310 created "2018-06-29" @default.
• W2809257310 creator A5008962383 @default.
• W2809257310 creator A5009805360 @default.
• W2809257310 creator A5010780970 @default.
• W2809257310 creator A5020675355 @default.
• W2809257310 creator A5025403972 @default.
• W2809257310 creator A5030820285 @default.
• W2809257310 creator A5058555580 @default.
• W2809257310 creator A5059176055 @default.
• W2809257310 creator A5068940747 @default.
• W2809257310 creator A5069326632 @default.
• W2809257310 creator A5077083399 @default.
• W2809257310 date "2018-06-01" @default.
• W2809257310 modified "2023-10-14" @default.
• W2809257310 title "Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study" @default.
• W2809257310 cites W1159239826 @default.
• W2809257310 cites W1508320359 @default.
• W2809257310 cites W1513011204 @default.
• W2809257310 cites W1532052933 @default.
• W2809257310 cites W1553663179 @default.
• W2809257310 cites W1776383998 @default.
• W2809257310 cites W1798691061 @default.
• W2809257310 cites W1800104270 @default.
• W2809257310 cites W1815358184 @default.
• W2809257310 cites W1845861242 @default.
• W2809257310 cites W1870612658 @default.
• W2809257310 cites W1873734152 @default.
• W2809257310 cites W1891714080 @default.
• W2809257310 cites W1957375317 @default.
• W2809257310 cites W1965609928 @default.
• W2809257310 cites W1966887316 @default.
• W2809257310 cites W1970039259 @default.
• W2809257310 cites W1977883461 @default.
• W2809257310 cites W1978334077 @default.
• W2809257310 cites W1979982931 @default.
• W2809257310 cites W1980575453 @default.
• W2809257310 cites W1982013581 @default.
• W2809257310 cites W1984949899 @default.
• W2809257310 cites W1985760052 @default.
• W2809257310 cites W1986639038 @default.
• W2809257310 cites W1988331818 @default.
• W2809257310 cites W1988747295 @default.
• W2809257310 cites W1989348798 @default.
• W2809257310 cites W1990461339 @default.
• W2809257310 cites W1992942093 @default.
• W2809257310 cites W1997957103 @default.
• W2809257310 cites W2009638102 @default.
• W2809257310 cites W2011466737 @default.
• W2809257310 cites W2011982854 @default.
• W2809257310 cites W2013166119 @default.
• W2809257310 cites W2013587666 @default.
• W2809257310 cites W2015742196 @default.
• W2809257310 cites W2016780403 @default.
• W2809257310 cites W2030112022 @default.
• W2809257310 cites W2040690254 @default.
• W2809257310 cites W2046675378 @default.
• W2809257310 cites W2049037816 @default.
• W2809257310 cites W2053939792 @default.
• W2809257310 cites W2056454099 @default.
• W2809257310 cites W2064741069 @default.
• W2809257310 cites W2064799587 @default.
• W2809257310 cites W2065039819 @default.
• W2809257310 cites W2067059192 @default.
• W2809257310 cites W2071719096 @default.
• W2809257310 cites W2071903262 @default.
• W2809257310 cites W2075348115 @default.
• W2809257310 cites W2076100108 @default.
• W2809257310 cites W2081234327 @default.
• W2809257310 cites W2081753990 @default.
• W2809257310 cites W2082246185 @default.
• W2809257310 cites W2082694458 @default.
• W2809257310 cites W2088564803 @default.
• W2809257310 cites W2095669172 @default.
• W2809257310 cites W2098025845 @default.
• W2809257310 cites W2098319730 @default.
• W2809257310 cites W2101485096 @default.
• W2809257310 cites W2103484761 @default.
• W2809257310 cites W2106444270 @default.
• W2809257310 cites W2107028593 @default.
• W2809257310 cites W2107316617 @default.
• W2809257310 cites W2108664775 @default.
• W2809257310 cites W2109345701 @default.
• W2809257310 cites W2110141399 @default.
• W2809257310 cites W2110270703 @default.
• W2809257310 cites W2111451910 @default.
• W2809257310 cites W2113222987 @default.
• W2809257310 cites W2116569125 @default.
• W2809257310 cites W2118907952 @default.
• W2809257310 cites W2118941199 @default.
• W2809257310 cites W2118966165 @default.
• W2809257310 cites W2120089335 @default.
• W2809257310 cites W2120439510 @default.
• W2809257310 cites W2124621485 @default.
• W2809257310 cites W2125104749 @default.
• W2809257310 cites W2125979391 @default.
• W2809257310 cites W2128630660 @default.
• W2809257310 cites W2128874900 @default.

• next