Factors that influence preferences for face-to-face appointments
Some patients still value personal elements of face-to-face care in relation to both relational continuity and confidentiality (particularly for those without access to private space)
Others prefer in-person consultations because they are unable to use digital services. But this can clash with capacity constraints, causing tension between patients and practice staff.
Many clinicians report finding it harder to build relationships, trust and a holistic understanding of patients through remote encounters, which are seen as more transactional than face-to-face car.
We worked with a design science who facilitated a patient workshop and two practice workshops to understand the access issues and develop ideas about how to improve access to primary care. Design science developed a range of ideas including a smart door interface that connects with your online and telephone services if the practice is closed and can be used by outreach services.
Greenhalgh, T., Ladds, E., Hughes, G. et al. (2022) Why do GPs rarely do video consultations? qualitative study in UK general practice. British Journal of General Practice (72(728), ppe351-e360 DOI: https://doi.org/10.3399/BJGP.2021.0658
Rosen R, Wieringa S, Greenhalgh T, Leone C, Rybczynska-Bunt S, Hughes G, Moore L, Shaw S, Wherton J & Byng R (2022) 'Clinical risk in remote consultations in general practice: findings from in-Covid-19 pandemic qualitative research' BJGP Open , DOI Open access
Greenhalgh T, Ladds E, Hughes G, Moore L, Wherton J, Shaw SE, Papoutsi C, Wieringa S, Rosen R & Rushforth A (2022) 'Why do GPs rarely do video consultations? qualitative study in UK general practice' British Journal of General Practice 72, (718) e351-e360 , DOI
Greenhalgh T, Rosen R, Shaw SE, Byng R, Faulkner S, Finlay T, Grundy E, Husain L, Hughes G & Leone C (2021) 'Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics' Frontiers in Digital Health 3, , DOI Open access