Low Adoption of Video Consultations in Post-COVID-19 General Practice in Northern Europe: Barriers to Use and Potential Action Points.

Autor: Assing Hvidt E; Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark., Atherton H; Unit of Academic Primary Care, Warwick Medical School, Coventry, United Kingdom., Keuper J; Netherlands Institute for Health Services Research, Utrecht, Netherlands.; Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg Universit, Tilburg, Netherlands., Kristiansen E; Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway., Lüchau EC; Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark., Lønnebakke Norberg B; Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway., Steinhäuser J; Institute of Family Medicine, University Medical Center Schleswig-Holstein, Campus Luebeck, Luebeck, Germany., van den Heuvel J; Center for General Practice, Aalborg University, Aalborg, Denmark., van Tuyl L; Netherlands Institute for Health Services Research, Utrecht, Netherlands.
Jazyk: angličtina
Zdroj: Journal of medical Internet research [J Med Internet Res] 2023 May 22; Vol. 25, pp. e47173. Date of Electronic Publication: 2023 May 22.
DOI: 10.2196/47173
Abstrakt: In the wake of the COVID-19 pandemic, video consultation was introduced in general practice in many countries around the world as a solution to provide remote health care to patients. It was assumed that video consultation would find widespread adoption in post-COVID-19 general practice. However, adoption rates remain low across countries in Northern Europe, suggesting that barriers to its use exist among general practitioners and other practice staff. In this viewpoint, we take a comparative approach, reflecting on similarities and differences in implementation conditions of video consultations in 5 Northern European countries' general practice settings that might have created barriers to its use within general practice. We convened at a cross-disciplinary seminar in May 2022 with researchers and clinicians from 5 Northern European countries with expertise in digital care in general practice, and this viewpoint emerged out of dialogues from that seminar. We have reflected on barriers across general practice settings in our countries, such as lacking technological and financial support for general practitioners, that we feel are critical for adoption of video consultation in the coming years. Furthermore, there is a need to further investigate the contribution of cultural elements, such as professional norms and values, to adoption. This viewpoint may inform policy work to ensure that a sustainable level of video consultation use can be reached in the future, one that reflects the reality of general practice settings rather than policy optimism.
(©Elisabeth Assing Hvidt, Helen Atherton, Jelle Keuper, Eli Kristiansen, Elle Christine Lüchau, Børge Lønnebakke Norberg, Jost Steinhäuser, Johannes van den Heuvel, Lilian van Tuyl. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.05.2023.)
Databáze: MEDLINE
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