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A comparison of in-person versus telephone consultations for outpatient hospital care

Rebecca L Crook, Hina Iftikhar, Steven Moore, Phillipa Lowdon, Pedram Modarres and Simon Message
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DOI: https://doi.org/10.7861/fhj.2022-0006
Future Healthc J May 2022
Rebecca L Crook
AGloucester Royal Hospital, Gloucester, UK
Roles: core medical trainee year-2
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  • For correspondence: rebecca.crook2@nhs.net
Hina Iftikhar
BGloucester Royal Hospital, Gloucester, UK
Roles: respiratory specialist trainee year-6
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Steven Moore
CGloucester Royal Hospital, Gloucester, UK
Roles: internal medical trainee year-1
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Phillipa Lowdon
CGloucester Royal Hospital, Gloucester, UK
Roles: internal medical trainee year-1
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Pedram Modarres
CGloucester Royal Hospital, Gloucester, UK
Roles: internal medical trainee year-1
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Simon Message
DGloucester Royal Hospital, Gloucester, UK
Roles: consultant respiratory physician
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Abstract

The SARS-CoV-2 pandemic has triggered a transition towards telemedicine for delivering outpatient care. The evidence base for telemedicine is heterogeneous and its efficacy remains debated. We, therefore, designed a mixed-methods semi-structured survey to evaluate patients' and clinicians' experiences of outpatient telemedicine clinics during the pandemic. One-hundred and eighty-eight patients and 69 clinicians from two hospitals in Gloucestershire completed the survey. The quantitative results for patients rated in-person and telemedicine appointments similarly in all areas except communication (p<0.001) and overall quality (p=0.004), both in favour of in-person consultations, while clinicians rated all aspects of telemedicine appointments as inferior, with the exception of convenience (p=0.643). Qualitative analysis highlighted themes of communication and relationship building difficulties, confidentiality concerns, loss of visual inspection as a clinical tool and debatable time efficiency associated with telemedicine. Significant adaptation of current telemedicine services is required before it will be integrated into current practice.

KEYWORDS:
  • COVID-19
  • SARS-CoV-2
  • telemedicine
  • telehealth
  • © Royal College of Physicians 2022. All rights reserved.
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A comparison of in-person versus telephone consultations for outpatient hospital care
Rebecca L Crook, Hina Iftikhar, Steven Moore, Phillipa Lowdon, Pedram Modarres, Simon Message
Future Healthc J May 2022, fhj.2022-0006; DOI: 10.7861/fhj.2022-0006

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A comparison of in-person versus telephone consultations for outpatient hospital care
Rebecca L Crook, Hina Iftikhar, Steven Moore, Phillipa Lowdon, Pedram Modarres, Simon Message
Future Healthc J May 2022, fhj.2022-0006; DOI: 10.7861/fhj.2022-0006
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