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General Practitioners’ Experiences of Digital Written Patient Dialogues : A Pilot Study Using a Mixed Method

Johansson, Anders LU ; Larsson, Monica and Ivarsson, Bodil LU (2020) In Journal of Primary Care and Community Health 11.
Abstract

Background: The path between patients and health care providers has adopted new advanced information technologies. However, opinions vary about the digital care meeting. Physicians have expressed concerns about increased workload, changes in working methods, and information security. Purpose: To explore physicians’ experiences and satisfaction of digital primary health care. Method: A convergent mixed method was used. First, participants completed a quantitative questionnaire survey with fixed response options described as index values (IV, 0-1.0), supplemented with a 10-point Likert-type scale, estimating satisfaction. Second, a qualitative interview used critical incident technique (CIT) to offer more complete context. Data were... (More)

Background: The path between patients and health care providers has adopted new advanced information technologies. However, opinions vary about the digital care meeting. Physicians have expressed concerns about increased workload, changes in working methods, and information security. Purpose: To explore physicians’ experiences and satisfaction of digital primary health care. Method: A convergent mixed method was used. First, participants completed a quantitative questionnaire survey with fixed response options described as index values (IV, 0-1.0), supplemented with a 10-point Likert-type scale, estimating satisfaction. Second, a qualitative interview used critical incident technique (CIT) to offer more complete context. Data were collected during 2 months in 2019; 6 general practitioners (GPs) participated. Results: The GPs described good experiences of the concept (IV 0.65), corresponding to a median satisfaction value of 6.5 (interquartile range 5-9,). CIT emerged into 2 main areas; “Hovering between traditional and digital primary health care” and “Using active strategies to handle the digital care system.” GPs experienced that the concept offered a good flow, an asynchronous working approach was used. GPs also stated present chat design was a good complement to traditional forms of primary health care, and the benefits of being able to read patients’ self-described history were considered a significant patient safety factor. However, the GPs felt that a predetermined symptom list were not suitable for all patients. Conclusion: Study results suggest the present design using digital written patient dialogues complements traditional primary healthcare. GPs described satisfaction and expressed good experiences of the concept, although further development of the design is needed.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
availability of health care, digital patient, e-health, primary health care, telephone triage
in
Journal of Primary Care and Community Health
volume
11
publisher
SAGE Publications
external identifiers
  • scopus:85081041301
  • pmid:32133905
ISSN
2150-1319
DOI
10.1177/2150132720909656
language
English
LU publication?
yes
id
58bc8b6b-0e5a-4398-a12b-dd1dd26134e7
date added to LUP
2020-03-20 15:58:10
date last changed
2024-06-12 10:40:18
@article{58bc8b6b-0e5a-4398-a12b-dd1dd26134e7,
  abstract     = {{<p>Background: The path between patients and health care providers has adopted new advanced information technologies. However, opinions vary about the digital care meeting. Physicians have expressed concerns about increased workload, changes in working methods, and information security. Purpose: To explore physicians’ experiences and satisfaction of digital primary health care. Method: A convergent mixed method was used. First, participants completed a quantitative questionnaire survey with fixed response options described as index values (IV, 0-1.0), supplemented with a 10-point Likert-type scale, estimating satisfaction. Second, a qualitative interview used critical incident technique (CIT) to offer more complete context. Data were collected during 2 months in 2019; 6 general practitioners (GPs) participated. Results: The GPs described good experiences of the concept (IV 0.65), corresponding to a median satisfaction value of 6.5 (interquartile range 5-9,). CIT emerged into 2 main areas; “Hovering between traditional and digital primary health care” and “Using active strategies to handle the digital care system.” GPs experienced that the concept offered a good flow, an asynchronous working approach was used. GPs also stated present chat design was a good complement to traditional forms of primary health care, and the benefits of being able to read patients’ self-described history were considered a significant patient safety factor. However, the GPs felt that a predetermined symptom list were not suitable for all patients. Conclusion: Study results suggest the present design using digital written patient dialogues complements traditional primary healthcare. GPs described satisfaction and expressed good experiences of the concept, although further development of the design is needed.</p>}},
  author       = {{Johansson, Anders and Larsson, Monica and Ivarsson, Bodil}},
  issn         = {{2150-1319}},
  keywords     = {{availability of health care; digital patient; e-health; primary health care; telephone triage}},
  language     = {{eng}},
  month        = {{03}},
  publisher    = {{SAGE Publications}},
  series       = {{Journal of Primary Care and Community Health}},
  title        = {{General Practitioners’ Experiences of Digital Written Patient Dialogues : A Pilot Study Using a Mixed Method}},
  url          = {{http://dx.doi.org/10.1177/2150132720909656}},
  doi          = {{10.1177/2150132720909656}},
  volume       = {{11}},
  year         = {{2020}},
}