From house calls to telephone calls.

Heagarty, Margaret C.

doi:10.2105/ajph.68.1.14

Cited by 7 publications

(3 citation statements)

References 6 publications

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“…As early as 1978 TCs were described as being as much a part of a doctor's equipment as a stethoscope, and are now commonplace. 1 Video consultations (VCs) incorporate visual elements lacking in TCs. Studies confirm that clinicians value Digital health in primary care: risks and recommendations…”

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confidence: 99%

Digital health in primary care: risks and recommendations

et al. 2020

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Growing demand for access to NHS primary care means services are under increasing pressure. Many GP providers are using digital technologies (video/email/ other online consultations) to try to improve access and efficiency. Alongside this is rapid growth in health technologies, which collect, measure, or interpret health data, and provide health information or advice. Many technologies have positive potential; however, the speed with which they are becoming available, increasingly blurred boundaries between health and lifestyle technologies and traditional healthcare provision, and the confidence and skills GPs have in using digital health technologies, bring new complexities and concerns. A NEED FOR TRAININGSuccessful adoption of innovative technologies in primary care requires effective preparation of future and current primary care workforce, enabling appropriate use by healthcare professionals, patients, and communities. Although some training programmes do exist, these are not routinely integrated within primary care training. There is a distinct gap in both training and capacity building in this area, and the evidence base to inform development and content of training is limited. In this article we explore risks and challenges of digital technologies in primary care and relate these to training needs for GPs, trainees, and medical students.In this analysis we draw on literature as well as first-hand experience of practising GPs. In June 2019 we conducted two workshops on digital health with approximately 30 GP teachers who supervise medical students' placements, which informed our understanding of four key areas of digital health risks and challenges in general practice. Based on risks and challenges identified, we present recommendations for training to support the implementation of digital primary care. KEY CHALLENGES AND RISKS Consultation skillsTelephone consultations (TCs) were initially introduced to meet increased patient demand to speak to a doctor. As early as 1978 TCs were described as being as much a part of a doctor's equipment as a stethoscope, and are now commonplace. 1 Video consultations (VCs) incorporate visual elements lacking in TCs. Studies confirm that clinicians value Digital health in primary care: risks and recommendations

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Digital health in primary care: risks and recommendations

et al. 2020

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“… 1 By the 1970s the telephone was described as having “become as much a part of the physician's equipment as the stethoscope. 2 ” Yet, the role of the telephone in medical practice remains complex and often troubling for both patients and physicians.…”

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confidence: 99%

Telephone medicine for internists

et al. 2000

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“…Telephone consulting had been routine in primary care and out-of-hours services for decades (Drew, 1998 ; Heagarty, 1978 ), and counseling and therapy services had increasingly been using text-based systems (e.g., Ekberg et al, 2013 ; Stommel, 2012 ). However, progress in developing video consulting was typically ad hoc, often encountered clinician resistance, involved significant effort in designing and implementing virtual pathways and could be challenging to set up and sustain in the face of limited infrastructure (Greenhalgh et al, 2019 ).…”

Section: Remote Healthcare Encounters: Overview and Backgroundmentioning

confidence: 99%

Communication in Telehealth: A State-of-the-Art Literature Review of Conversation-Analytic Research

Seuren,

Ilomäki,

Dalmaijer

et al. 2024

Research on Language and Social Interaction

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We provide a state-of-the-art review of research on conversation analysis and telehealth. We conducted a systematic review of the literature, focusing on studies that investigate how technology is procedurally consequential for the interaction. We discerned three key topics: the interactional organization, the therapeutic relationship, and the clinical activities of the encounter. The literature on telehealth is highly heterogeneous, with significant differences between text-based care (e.g., via chat or e-mail) and audio(visual) care (e.g., via telephone or video). We discuss the extent to which remote care can be regarded as a demarcated field for study or whether the medium is merely part of the “context,” particularly when investigating hybrid and polymedia forms of care involving multiple technological media.

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From house calls to telephone calls.

Cited by 7 publications

References 6 publications

Digital health in primary care: risks and recommendations

Digital health in primary care: risks and recommendations

Telephone medicine for internists

Communication in Telehealth: A State-of-the-Art Literature Review of Conversation-Analytic Research

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