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Older patients’ experiences of access to and use of e-consultations with the general practitioner in Norway : an interview study
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Kristiansen, Eli, Atherton, Helen, Austad, Bjarne, Bergmo, Trine, Norberg, Børge Lønnebakke and Zanaboni, Paolo (2023) Older patients’ experiences of access to and use of e-consultations with the general practitioner in Norway : an interview study. Scandinavian Journal of Primary Health Care . doi:10.1080/02813432.2022.2161307 ISSN 0281-3432. (In Press)
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WRAP-Older-patients-experiences-of-access-to-and-use-of-e-consultations-with-the-general-practitioner-in-Norway-Atherton-2023.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1874Kb) | Preview |
Official URL: http://dx.doi.org/10.1080/02813432.2022.2161307
Abstract
Objective
To explore older patients’ experiences with accessing and using e-consultations to send text-based clinical inquiries to the general practitioner (GP) online.
Design
Qualitative study based on semi-structured interviews. Results were analysed through a six-phase thematic analysis and interpreted through Levesque’s framework of patient-centred access to health care.
Setting
General practice in Norway.
Subjects
Patients aged over 65 years (n = 16) with experience in using e-consultations.
Results
Respondents considered e-consultations as an integrated part of general practice which helped them achieve better access to health care. We identified four themes describing older patients’ access to and use of e-consultations: 1) the importance of digital health literacy to learn about and use the service – and the fear of losing it, 2) the high availability of the service as the main advantage, due to the perceived unavailability of physical GP services, 3) the importance of voluntary use of e-consultations, 4) the importance of a trusting relationship with the GP.
Implications
Information about e-consultations and guidelines for suitable use are recommended to ensure equal access to all patients, regardless of their digital health literacy. Availability problems and high work burdens for the GPs could affect the patients’ choice for using e-consultations. If e-consultations are used for triage purposes, caution should be taken to avoid a shift in workload from the health secretary to the GP.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Academic Primary Care Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Primary health care -- Norway, Older people -- Medical care -- Norway, Medical telematics, Telecommunication in medicine -- Methods -- Norway, Medicine -- Data processing, Medicine -- Information technology, Medicine -- Communication systems | ||||||||
| Journal or Publication Title: | Scandinavian Journal of Primary Health Care | ||||||||
| Publisher: | Informa Healthcare | ||||||||
| ISSN: | 0281-3432 | ||||||||
| Official Date: | 2023 | ||||||||
| Dates: |
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| DOI: | 10.1080/02813432.2022.2161307 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | In Press | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 24 January 2023 | ||||||||
| Date of first compliant Open Access: | 24 January 2023 | ||||||||
| RIOXX Funder/Project Grant: |
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