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Clinical perception of effectiveness of virtual appointments and comparison with appointment outcomes at a specialist children's hospital

Eve Akintomide, Bindi Shah, Shankar Sridharan, Sheena Visram, Neil J Sebire and Catherine Peters
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DOI: https://doi.org/10.7861/fhj.2021-0044
Future Healthc J November 2021
Eve Akintomide
AGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK
Roles: transformation project manager
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Bindi Shah
BGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK
Roles: senior performance manager
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Shankar Sridharan
CGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK
Roles: chief clinical information officer
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Sheena Visram
DGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK
Roles: visiting researcher
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Neil J Sebire
EGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK
Roles: chief research information officer
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Catherine Peters
FGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK
Roles: medical information officer
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  • For correspondence: catherine.peters@gosh.nhs.uk
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    Fig 1.

    Clinician responses to the survey. F2F=face-to-face; Tel=telephone; Vid=video.

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    Fig 2.

    Outpatient appointment outcomes split per visit type in June 2019 and June 2020.

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    Fig 3.

    Did not attend appointment outcomes in June 2019 and June 2020. DNA=did not attend.

Tables

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    Table 1.

    Survey results from clinicians regarding perception of tasks during different kinds of consultations

    Always, %Often, %Sometimes, %Rarely, %Never, %Total, np-value (always/often vs F2F standard)
    I am able to take a medical historyF2F83.339.090.000.007.5867n/a
    Vid60.0028.335.001.675.0060p=0.453
    Tel54.2931.438.571.434.2970p=0.202
    I am able to take a social historyF2F80.6010.451.490.007.4667n/a
    Vid60.0023.3310.003.333.3360p=0.179
    Tel51.4322.8618.572.864.2970p=0.007
    I am able to pick up non-verbal cuesF2F71.6419.401.490.007.4667n/a
    Vid3.2839.3447.548.201.6461p<0.0001
    Tel4.232.8219.7236.6236.6271p<0.0001
    I am able to ascertain relevant clinical signsF2F67.6920.001.543.087.6965n/a
    Vid5.0023.3355.0015.001.6760p<0.0001
    Tel7.2511.5920.2930.4330.4369p<0.0001
    I am able to make a diagnosisF2F28.1353.139.383.136.2564n/a
    Vid3.3340.0045.008.333.3360p<0.0001
    Tel2.9419.1244.1222.0611.7668p<0.0001
    I am able to organise investigationsF2F75.0014.063.131.566.2564n/a
    Vid45.0020.0021.676.676.6760p=0.001
    Tel36.7623.5323.537.358.8268p<0.0001
    I am able to start treatmentF2F69.8415.876.351.596.3563n/a
    Vid15.0035.0038.336.675.0060p<0.0001
    Tel16.6718.1840.9115.159.0966p<0.0001
    I am able to teach or train patientsF2F61.5423.086.153.086.1565n/a
    Vid14.7534.4331.1513.116.5661p<0.0001
    Tel7.3514.7139.7129.418.8268p<0.0001
    I am able to be time efficientF2F23.8843.2828.362.991.4967n/a
    Vid18.0344.2629.513.284.9261p=0.556
    Tel23.9438.0326.767.044.2371p=0.541
    I am able to be flexible with appointment timesF2F5.8817.6536.7625.0014.7168n/a
    Vid17.7435.4830.659.686.4562p=0.0007
    Tel25.0045.8319.441.398.3372p<0.0001
    • F2F = face-to-face; Tel = telephone; Vid = video.

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Clinical perception of effectiveness of virtual appointments and comparison with appointment outcomes at a specialist children's hospital
Eve Akintomide, Bindi Shah, Shankar Sridharan, Sheena Visram, Neil J Sebire, Catherine Peters
Future Healthc J Nov 2021, 8 (3) e660-e665; DOI: 10.7861/fhj.2021-0044

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Clinical perception of effectiveness of virtual appointments and comparison with appointment outcomes at a specialist children's hospital
Eve Akintomide, Bindi Shah, Shankar Sridharan, Sheena Visram, Neil J Sebire, Catherine Peters
Future Healthc J Nov 2021, 8 (3) e660-e665; DOI: 10.7861/fhj.2021-0044
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