Interpersonal contact and altered sensory conditions in video consultation–a qualitative interview study in Danish general practice
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Interpersonal contact and altered sensory conditions in video consultation–a qualitative interview study in Danish general practice. / Kofod, Frida Greek; Assing Hvidt, Elisabeth; Arreskov, Anne Beiter; Guassora, Ann Dorrit.
In: Scandinavian Journal of Primary Health Care, 2024.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Interpersonal contact and altered sensory conditions in video consultation–a qualitative interview study in Danish general practice
AU - Kofod, Frida Greek
AU - Assing Hvidt, Elisabeth
AU - Arreskov, Anne Beiter
AU - Guassora, Ann Dorrit
N1 - Publisher Copyright: © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2024
Y1 - 2024
N2 - Objective: To explore possible challenges to General Practitioners’ (GPs’) interpersonal contact with patients in video consultations (VCs), and learn how they change their communication strategies to carry out medical work in a setting with altered sensory conditions. Design, setting, subjects: The study included 6 GPs from the Copenhagen area, with different levels of experience of VC. The data consist of 6 interviews with GPs, held in 2021-2022. The semi-structured interviews included playback of a recorded VC between each GP and a patient, inspired by the Video-Stimulated Interview technique. Interviews were transcribed and analyzed using Interpretative Phenomenological Analysis (IPA). Results: GPs experienced alterations in the sensation of their patients in VCs, and worried about missing something important, including assessing the patient. Generally, GPs felt that interpersonal contact was good enough for the purpose. GPs compensated for altered sensory conditions on video by asking more questions, repeating their advice, and meta-communicating. They used their senses of sight and hearing relatively more in VCs. Compensation also took the form of triage, so that consultations on sensitive topics or with new patients were not selected to take place on video. Conclusion and implications: By compensating for altered sensory conditions in VCs, GPs can carry out their medical work sufficiently well and sustain the best possible interpersonal contact. Our findings are useful for establishing ways to maintain good interpersonal contact between GPs and patients in VCs.
AB - Objective: To explore possible challenges to General Practitioners’ (GPs’) interpersonal contact with patients in video consultations (VCs), and learn how they change their communication strategies to carry out medical work in a setting with altered sensory conditions. Design, setting, subjects: The study included 6 GPs from the Copenhagen area, with different levels of experience of VC. The data consist of 6 interviews with GPs, held in 2021-2022. The semi-structured interviews included playback of a recorded VC between each GP and a patient, inspired by the Video-Stimulated Interview technique. Interviews were transcribed and analyzed using Interpretative Phenomenological Analysis (IPA). Results: GPs experienced alterations in the sensation of their patients in VCs, and worried about missing something important, including assessing the patient. Generally, GPs felt that interpersonal contact was good enough for the purpose. GPs compensated for altered sensory conditions on video by asking more questions, repeating their advice, and meta-communicating. They used their senses of sight and hearing relatively more in VCs. Compensation also took the form of triage, so that consultations on sensitive topics or with new patients were not selected to take place on video. Conclusion and implications: By compensating for altered sensory conditions in VCs, GPs can carry out their medical work sufficiently well and sustain the best possible interpersonal contact. Our findings are useful for establishing ways to maintain good interpersonal contact between GPs and patients in VCs.
KW - digital health
KW - doctor-patient communication
KW - general practice
KW - interpersonal contact
KW - senses
KW - Video consultation
U2 - 10.1080/02813432.2024.2376744
DO - 10.1080/02813432.2024.2376744
M3 - Journal article
C2 - 39012270
AN - SCOPUS:85198645652
JO - Scandinavian Journal of Primary Health Care
JF - Scandinavian Journal of Primary Health Care
SN - 0281-3432
ER -
ID: 398959751