Remote consultations in general practice – A systematic review
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28. Sept. 2022
Über diesen Artikel
Artikel-Kategorie: Review
Online veröffentlicht: 28. Sept. 2022
Seitenbereich: 224 - 230
Eingereicht: 04. Mai 2022
Akzeptiert: 05. Sept. 2022
DOI: https://doi.org/10.2478/sjph-2022-0030
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© 2022 National Institute of Public Health, Slovenia, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Figure 1
General characteristics of the included studies_
| Study Year of publication | Country | Study design | Study topic | Sample size | Participants | Duration | Type of service | Main outcomes | Limitation | Covid-19 related |
|---|---|---|---|---|---|---|---|---|---|---|
| UK | Qualitative interview study | Usage of electronic consultation system | 23 GPs | GPs and other health workers | 15 months in 2016 | • E-consultations (by mail) • Physical consultati | The technology did not justify the financial investment. | Evaluation of only one e-system | No | |
| UK | Case study | What are the alternatives to physical consultation? | 45 staff members in GPs’ office | other health workers and patients | 10 months in 2015 and 2016 | • Telephone calls • Video calls • Mail | Implementing alternatives to physical consultation should be moderate and gradual. | One specific ethnic group was included | No | |
| UK | Qualitative study | To identify enablers and barriers to adopting a telephone first approach | Semi- structured interview 53 GPs | GPs | 6 months in 2018 | • Telephone first approach | Approach is an improvement of previous system. | Only included staff who believe in this approach | No | |
| UK | Qualitative pilot study | Views of GPs on video consultations | Semi- structured interview 12 GPs | GPs | 1 month in 2014 | • Video consultations | Video consultations can be useful, practical. | Success of service depends on availability and quality of technology | No | |
| UK | A multi- methods study | Evaluation of digital consultations | 11 GPs | GPs | 4 months in 2017 | • eConsult (web-based triage and consultation system) | GPs had high satisfaction, improves quality of care. | Short time, low number of participants | No | |
| Norway | Online survey | Use and experience with e-consultation | 2,043 patients | patients | 14 days in 2017 | • E-consultations (by mail) | One of the first countries that implemented e-consultation, it improves the quality of care. | Online survey was used by patients who have computer knowledge, not applicable for the whole population | No | |
| Spain | Retro- spective cross-sectional study | Can teleconsultations reduce the number of visits? | 3,559 messages for 2,268 teleconsultations | GPs | 4 months in 2018 | • eConsulta (by mail) | Teleconsultations can reduce the number of visits. | No systemized approach, only a few GP were included | No | |
| UK | Cross- sectional study | Satisfaction of patients with remote consultations | 95 GPs | GPs and other health workers | 1 month in 2020 | • Telephone calls • Video calls • Mail • Physical consultation | The implementation of remote consultation requires good financial support for the IT infrastructure. | Small sample | Yes | |
| Belgium | Real-time observational study | Organizations and characteristics of primary care | 21 GPs 15,655 consultations | GPs | 5 weekends in 2019 | • Home visits • Telephone- • Physical consultation | GPs changed their way of working rapidly, almost immediately. | Safety problems | Yes | |
| UK | A mix- methods longitudinal study | Impact of rapid implementation of remote consultations in pandemic of Covid-19 | 87 GPs | GPs and other health workers | 4 months in 2020 compared to 2019 | • Telephone calls • Video calls • Mail | Remote consultation is necessary. | Patients were not interviewed | Yes | |
| UK | Satisfaction measurement using a four-step questionnaire | Satisfaction of patients with remote consultations | 104 patients | patients | 3 separate days in 2021 | • Telephone calls • Video calls | Remote consultations are effective complement to physical consultation. | Online survey was used by patients who have computer knowledge, not applicable for the whole population | No | |
| Australia | Online survey | What kind of telehealth tool is the most acceptable for patients? | 154 patients | patients | 2 months in 2020 | • Telephone calls • Video calls | The perception of telephone consultation is strongly positive. | Study performed on a local level | No |
Search strategy for each database_
| Database | Search Strategy | Result all (free) |
|---|---|---|
| PubMed | “Remote Consultation”[Mesh] AND (“General Practitioners”[Mesh] OR “Family Medicine” [Mesh] OR “Primary care” [Mesh]) | 42 ( |
| Scopus | TITLE-ABS-KEY “Remote Consultation” AND (“General Practitioners” OR “Family Medicine” OR “Primary care”) | 611 (431) |
| Web of Science | TS=(remote consultation)) AND TS=(general practice) | 73 (47) |
| IEEE library | (“All Metadata”:“Remote Consultation))”) AND (“All Metadata”: “General Practice ” OR “Family Medicine” OR “Primary care”)) | 2 (0) |