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Implementing video group consultations in general practice during COVID-19: a qualitative study.
Chrysanthi Papoutsi1, Sara Shaw1, Trisha Greenhalgh1
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.
Summary
Video group consultations (VGCs) supported patients during COVID-19, but embedding them requires rethinking operational processes. Further research on VGCs
Area of Science:
- General Practice
- Digital Health
- Health Services Research
Background:
- Group consultations are an emerging service delivery model.
- The COVID-19 pandemic accelerated the adoption of remote video group consultations (VGCs) in general practice.
Purpose of the Study:
- To investigate the factors influencing the implementation and delivery of VGCs.
- To understand the experiences of patients, staff, and stakeholders with VGCs.
Main Methods:
- Qualitative study conducted in English general practices.
- Included semi-structured interviews (n=32) with patients, staff, policymakers, and stakeholders.
- Incorporated observations and co-design workshops, with thematic analysis guided by the PERCS framework.
Main Results:
- VGCs provided support for long-term conditions during the pandemic, with many patients valuing the clinical and peer input.
- Challenges included patient engagement, IT access, and significant practice-level work on infrastructure, team buy-in, and operational processes.
- National training was crucial for building capacity for VGC implementation.
Conclusions:
- Small-scale VGC implementation met needs during the pandemic.
- Routine embedding of VGCs necessitates a re-evaluation of operational, infrastructural, and clinical processes.
- Further research is required to assess the costs and benefits of VGCs at both service and patient levels.
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