University of Groningen, University Center for Geriatric Medicine, University Medical Center Groningen, PO Box 30.001, HPC AA-43, Groningen, The Netherlands.
Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands.
Eur Geriatr Med. 2022 Oct;13(5):1169-1176. doi: 10.1007/s41999-022-00678-6. Epub 2022 Aug 13.
The COVID-19 pandemic caused rapid implementation and upscaling of video consulting. This study examined the perceived quality of care delivered through video consulting at a geriatric outpatient clinic, and how this related to adoption issues and barriers early adopting professionals found themselves confronted with.
We performed a qualitative study using semi-structured interviews with healthcare professionals complemented by the views of geriatric patients, family caregivers and medical secretaries. Participants from five academic centers and six teaching hospitals were included. Three researchers conducted the interviews, coded the data, and used thematic analysis.
Interviews were conducted with 13 healthcare professionals, 8 patients, 7 family caregivers, and 4 medical secretaries. From these early adopters, we infer five criteria positively contributing to perceived quality of care provided by video consulting: (1) the patient has an intact cognitive function; (2) a family caregiver with digital literacy can be present; (3) doctor and patient already have an established relationship; (4) no immediate need for physical examination or intervention; and (5) the prior availability of a comprehensive and concise medical history. Overall, the uptake of video consulting in geriatric outpatient care appeared to be slow and laborious due to several implementation barriers.
The implementation of video consulting use among geriatricians and geriatric patients at the geriatric outpatient clinic was slow due to the absence of many facilitating factors, but video consulting might be offered as an alternative to face-to-face follow-up to suitable patients in geriatric outpatient clinics.
COVID-19 大流行导致视频咨询的快速实施和扩大。本研究调查了在老年门诊通过视频咨询提供的护理质量，以及这与早期采用者发现自己面临的采用问题和障碍有何关系。
我们进行了一项定性研究，使用半结构化访谈对医疗保健专业人员进行了研究，并结合了老年患者、家庭护理人员和医疗秘书的观点。参与者来自五个学术中心和六个教学医院。三名研究人员进行了访谈、编码数据，并使用主题分析。
对 13 名医疗保健专业人员、8 名患者、7 名家庭护理人员和 4 名医疗秘书进行了访谈。从这些早期采用者中，我们推断出五个标准对视频咨询提供的护理质量有积极贡献：（1）患者具有完整的认知功能；（2）具有数字素养的家庭护理人员可以在场；（3）医生和患者已经建立了关系；（4）不需要立即进行体检或干预；以及（5）先前有全面和简明的病史。总体而言，由于存在一些实施障碍，视频咨询在老年门诊护理中的采用似乎缓慢而费力。
由于缺乏许多促进因素，老年科医生和老年患者在老年门诊中实施视频咨询的速度较慢，但视频咨询可能会作为替代面对面随访的方式提供给老年门诊中合适的患者。
