172 lines
5.2 KiB
YAML
172 lines
5.2 KiB
YAML
abstract: 'The COVID-19 pandemic mandated a substantial switch in primary health
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care delivery from an in-person to a mainly remote telephone or video
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service. As the COVID-19 pandemic approaches its third year, limited
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progress appears to have been made in terms of policy development around
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consultation methods for the post-acute phase of the pandemic. In
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September 2020, the International Primary Care Respiratory Group
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convened a global panel of primary care clinicians - including family
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physicians, paediatricians, pharmacists, academics and patients - to
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consider the policy and health management implications of the move to
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remote consultations in the primary care setting. The group gave special
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consideration to how and how far remote consultations should be
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integrated into routine primary health care delivery. Remote
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consultations can be a useful alternative to in-person consultations in
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primary care not only in situations where there is a need for viral
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infection control but also for the routine delivery of chronic disease
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management. However, they may not be more time efficient for the
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clinician, and they can add to the workload and work-related stress for
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primary care practitioners if they remain the dominant consultation
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mode. Remote consultations are also less appropriate than in-person
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consultations for new disease diagnosis, dealing with multiple issues
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and providing complex care. Ensuring health care professionals have the
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appropriate skill set to effectively deliver remote consultations,
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administrative and/or IT support and appropriate reimbursement will be
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key to achieving optimal integration of remote consultations into
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routine clinical practice. Addressing digital access and digital
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literacy issues at a societal level will also be essential to ensure
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individuals have fair and equitable access to the internet and
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sufficient security for exchange of personal and health-related data.'
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affiliation: 'Williams, S (Corresponding Author), 30 Uplands Rd, London N8 9NL, England.
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Williams, Sian, Int Primary Care Resp Grp, Edinburgh, Scotland.
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Barnard, Amanda, Australian Natl Univ, Sch Gen Practice Rural \& Indigenous Hlth,
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Canberra, ACT, Australia.
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Collis, Phil, European Lung Fdn, Royal Leamington Spa, England.
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de Sousa, Jaime Correia, Univ Minho, Life \& Hlth Sci Res Inst ICVS, Sch Med, Braga,
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Portugal.
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Ghimire, Suraj, Tribhuvan Univ, Teaching Hosp, Inst Med, Kathmandu, Nepal.
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Habib, Monsur, Bangladesh Primary Care Resp Soc, Khulna, Bangladesh.
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Jelen, Tessa, British Lung Fdn Support Grp, London, England.
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Kanniess, Frank, Practice Family Med \& Allergy, Reinfeld, Germany.
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Mak, Vince, Imperial Coll Healthcare NHS Trust, London, England.
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Martins, Sonia; Donatelli, Fabio Weber, ABC Med Sch Brazil, Santo Andre, Brazil.
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Paulino, Ema, Ezfy, Lisbon, Portugal.
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Pinnock, Hilary, Univ Edinburgh, Usher Inst, Edinburgh, Scotland.
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Roman, Miguel, IdSBa, Palma De Mallorca, Spain.
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Sandelowsky, Hanna, Karolinska Inst, Inst NVS, Dept Family Med \& Primary Care,
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Stockholm, Sweden.
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Tsiligianni, Ioanna, Univ Crete, Fac Med, Dept Social Med, Iraklion, Greece.
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Williams, Sian, 30 Uplands Rd, London N8 9NL, England.'
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author: Williams, Sian and Barnard, Amanda and Collis, Phil and de Sousa, Jaime Correia
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and Ghimire, Suraj and Habib, Monsur and Jelen, Tessa and Kanniess, Frank and Mak,
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Vince and Martins, Sonia and Paulino, Ema and Pinnock, Hilary and Roman, Miguel
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and Sandelowsky, Hanna and Tsiligianni, Ioanna and van der Steen, Laurine and Donatelli,
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Fabio Weber
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author-email: sian@ipcrg.org
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author_list:
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- family: Williams
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given: Sian
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- family: Barnard
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given: Amanda
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- family: Collis
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given: Phil
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- family: de Sousa
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given: Jaime Correia
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- family: Ghimire
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given: Suraj
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- family: Habib
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given: Monsur
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- family: Jelen
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given: Tessa
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- family: Kanniess
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given: Frank
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- family: Mak
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given: Vince
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- family: Martins
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given: Sonia
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- family: Paulino
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given: Ema
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- family: Pinnock
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given: Hilary
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- family: Roman
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given: Miguel
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- family: Sandelowsky
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given: Hanna
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- family: Tsiligianni
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given: Ioanna
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- family: van der Steen
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given: Laurine
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- family: Donatelli
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given: Fabio Weber
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da: '2023-09-28'
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doi: 10.1177/13558196221140318
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earlyaccessdate: DEC 2022
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eissn: 1758-1060
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files: []
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issn: 1355-8196
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journal: JOURNAL OF HEALTH SERVICES RESEARCH \& POLICY
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keywords: remote consultations; primary health care; health inequalities
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language: English
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month: JUL
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number: '3'
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number-of-cited-references: '30'
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orcid-numbers: 'Tsiligianni, Ioanna/0000-0001-7922-7491
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de Sousa, Jaime Correia/0000-0001-6459-7908
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MARTINS, SONIA/0000-0001-5405-5064
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Paulino, Ema/0000-0002-4087-375X
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Williams, Sian/0000-0002-0527-2254'
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pages: 181-189
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papis_id: 8b5e1b27c27d92282784fdc67179cfed
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ref: Williams2023remoteconsultations
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researcherid-numbers: 'Tsiligianni, Ioanna/IUN-4739-2023
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de Sousa, Jaime Correia/H-5607-2015
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'
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times-cited: '1'
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title: 'Remote consultations in primary care across low-, middle- and high-income
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countries: Implications for policy and care delivery'
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type: article
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unique-id: WOS:000895981500001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '3'
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volume: '28'
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web-of-science-categories: Health Policy \& Services
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year: '2023'
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