Space, time, and presence in video consultations: an interview study in Danish general practice.

Autor: Kofod FG; The Research Unit and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark. frida.kofod@sund.ku.dk., Christensen AS; Centre for Philosophy of Health, Department of Design, Media and Educational Science, University of Southern Denmark, Odense, Denmark., Hvidt EA; Department of Public Health, SDU Research Unit of General Practice, University of Southern Denmark, Odense, Denmark., Arreskov AB; The Research Unit and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Guassora AD; The Research Unit and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: BMC primary care [BMC Prim Care] 2024 Dec 19; Vol. 25 (1), pp. 425. Date of Electronic Publication: 2024 Dec 19.
DOI: 10.1186/s12875-024-02660-6
Abstrakt: Background: The purpose of this interview study was to explore patients' and general practitioners' (GPs') experiences of space, time, and presence in video consultation in general practice in Denmark.
Methods: The study included six GPs and seven patients from the Copenhagen area, with different experience of video consultations. The data consisted of semi-structured interviews with all participants including recordings from their video consultations. The transcribed interviews were analyzed by Interpretative Phenomenological Analysis (IPA). The theoretical analysis was inspired by philosopher K.E. Løgstrup's writings about time, space, presence and sensation.
Results: Both the patients and the GPs experienced a lack, or a different form, of presence in video consultations, comparing it to face-to-face consultations. Patients felt more secure in their own homes and the GPs found some of them to be more relaxed during the video consultation than in the face-to-face consultation taking place in the surgery. However, the consultation felt more superficial, with the GPs and patients experiencing an alteration in their sensory access to one another. The video consultation was also perceived as purpose-driven and action-oriented. Both patients and GPs felt that time was saved. According to K.E. Løgstrup, our experience is always composed of spatiality and temporality; the space is where we sense one another and experience duration, while time is the awareness of change and action. The theoretical analysis points to the experience of presence as spatial and, owing to the changed space in video consultations, the experience of presence and time is changed.
Conclusion and Implications: The balance between space and time is altered in the video consultation. GPs and patients lack certain sensory impressions, owing to the changed spatiality. The changed spatiality, sensation and experiences of presence lead the participants to eliminate the expendable elements to make the consultation more efficient. Video consultations allow some issues to be handled quickly, but the option for physical consultations still needs to be available, as we believe we now can argue that the physical consultation room has importance for the experience of presence and time.
Competing Interests: Declarations. Ethics approval and consent to participate: All participants gave written informed consent, and their pseudonymity was ensured. The study was approved by the Danish Data Protection Agency. According to Danish Research guidelines any further approval for qualitative studies is not required. Safe software use was ensured for recordings, in accordance with EU Data Protection Law standards [30]. Management of the data complied with GDPR. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje