PMID- 36450404
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230721
IS  - 2398-3795 (Electronic)
IS  - 2398-3795 (Linking)
VI  - 7
IP  - 1
DP  - 2023 Mar
TI  - Translating primary care to telehealth: analysis of in-person consultations on 
      diabetes and cardiovascular disease.
LID - BJGPO.2022.0123 [pii]
LID - 10.3399/BJGPO.2022.0123 [doi]
AB  - BACKGROUND: The COVID-19 pandemic had a considerable impact on primary care, 
      resulting in rapid uptake of telehealth. Patients with chronic conditions, such 
      as type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD), relied 
      heavily on telehealth consultations during this period. It is important to assess 
      whether tasks observed during T2DM or CVD in-person consultations are 
      translatable to telehealth. AIM: To explore the extent to which in-person GP 
      consultations are translatable to telehealth for patients with T2DM or CVD. 
      DESIGN & SETTING: This study screened 281 GP consultations conducted in 2017 
      within the UK general practice setting for consultations pertaining to T2DM or 
      CVD. Seventeen in-person consultations (in deidentified video and transcript) 
      were selected for further analysis. METHOD: Detailed reporting of tasks, physical 
      artefacts, and physical examinations observed during in-person GP consultations. 
      A new scoring method, applying two key metrics, supporting definitions and 
      examples, was designed to assess translatability of clinical tasks to telehealth. 
      RESULTS: Across the 17 T2DM or CVD in-person consultations analysed, 23 clinical 
      tasks, 21 physical artefacts, and nine physical examinations were observed. Sixty 
      per cent of tasks analysed were deemed either easily or relatively easily 
      translatable to telehealth. Twenty-six per cent of tasks were rated as 
      'moderately translatable to telehealth' but may require a patient obtaining their 
      own equipment. Thirteen per cent of tasks were rated as 'potentially translatable 
      to telehealth'. No clinical tasks for these cohorts were rated as untranslatable 
      to telehealth. CONCLUSION: The majority of tasks observed during T2DM or CVD 
      in-person GP consultations are translatable to telehealth. Further research is 
      warranted to investigate emergent safety concerns from increased uptake of 
      telehealth.
CI  - Copyright (c) 2023, The Authors.
FAU - Lane, Jared
AU  - Lane J
AUID- ORCID: 0000-0002-8700-6354
AD  - Centre for Health Informatics, Australian Institute of Health Innovation, 
      Macquarie University, Sydney, Australia jared.lane@students.mq.edu.au.
FAU - David, Katrina
AU  - David K
AD  - Centre for Health Informatics, Australian Institute of Health Innovation, 
      Macquarie University, Sydney, Australia.
FAU - Ramarao, Jayashanthi
AU  - Ramarao J
AD  - Centre for Health Informatics, Australian Institute of Health Innovation, 
      Macquarie University, Sydney, Australia.
FAU - Ward, Kanesha
AU  - Ward K
AD  - Centre for Health Informatics, Australian Institute of Health Innovation, 
      Macquarie University, Sydney, Australia.
FAU - Raghuraman, Sunayana
AU  - Raghuraman S
AD  - Centre for Health Informatics, Australian Institute of Health Innovation, 
      Macquarie University, Sydney, Australia.
FAU - Waheed, Moomna
AU  - Waheed M
AD  - Centre for Health Informatics, Australian Institute of Health Innovation, 
      Macquarie University, Sydney, Australia.
FAU - Lau, Annie Ys
AU  - Lau AY
AD  - Centre for Health Informatics, Australian Institute of Health Innovation, 
      Macquarie University, Sydney, Australia.
LA  - eng
PT  - Journal Article
DEP - 20230321
PL  - England
TA  - BJGP Open
JT  - BJGP open
JID - 101713531
PMC - PMC10354331
OTO - NOTNLM
OT  - COVID-19
OT  - cardiovascular diseases
OT  - diabetes mellitus, type 2
OT  - general practice
OT  - primary healthcare
OT  - telehealth
COIS- The authors declare that no competing interests exist.
EDAT- 2022/12/01 06:00
MHDA- 2022/12/01 06:01
PMCR- 2023/01/25
CRDT- 2022/11/30 20:43
PHST- 2022/08/23 00:00 [received]
PHST- 2022/11/02 00:00 [revised]
PHST- 2022/11/10 00:00 [accepted]
PHST- 2022/12/01 06:00 [pubmed]
PHST- 2022/12/01 06:01 [medline]
PHST- 2022/11/30 20:43 [entrez]
PHST- 2023/01/25 00:00 [pmc-release]
AID - BJGPO.2022.0123 [pii]
AID - 0123 [pii]
AID - 10.3399/BJGPO.2022.0123 [doi]
PST - epublish
SO  - BJGP Open. 2023 Mar 21;7(1):BJGPO.2022.0123. doi: 10.3399/BJGPO.2022.0123. Print 
      2023 Mar.