Article Figures & Data
Figures
- Figure 1. Frequency of physical examinations performed during in-person consultations, as a percentage of total consultations (n = 17)
- Figure 2. Frequency of physical artefacts used during in-person consultations (n = 17). *Physical artefact dispensed either by GP or at GP reception desk
- Figure 3. Tasks performed during in-person T2DM or CVD GP consultations as a percentage of total consultations, ordered by frequency (n = 17). *Physical dispensation either by GP or at GP reception desk
Tables
Metric 1: Clinical endorsement score Score Description 1/5 Requires in-person clinical expertise; for example, swabs, smears, excising lesions, giving injections 2/5 In-person clinical expertise is preferred but remote digital solutions are possible; for example, skin inspections, auscultation, palpation, foot examinations 3/5 Clinical endorsement is required for interpretation of results that the patient can collect in their homes, as well as for tasks that have current digital solutions; for example, temperature checks, weight, blood pressure, glucose readings, oxygen saturation, heart rate 4/5 Medical endorsement is required for tasks, such as targeted history-taking, but no specific equipment is required, making it easier to perform over telehealth 5/5 Medical expertise may not necessarily be required to complete this task; for example, printing Metric 2: Physical artefacts or physical interactions score Score Description 1/5 Requires equipment or physical examination in a manner not translatable to telehealth; for example, swabs, smears and so on 2/5 Requires equipment or physical examination potentially translatable to telehealth but preferable in-person; for example, auscultation, physical inspection involving palpation 3/5 Requires equipment that is easily purchasable in most pharmacies, or requires pick-up or delivery; for example, thermometers, blood pressure monitors 4/5 Requires equipment that is easily accessible in a patient’s home, and thus can be translated over telehealth; for example, computer, printer, weight scale 5/5 Does not require any equipment, thus readily translatable over telehealth; for example, discussing diet or medication use - Table 2. Translatability to telehealth score interpretation. A non-colour dependent version of this table is available in the supplementary materials.
Metric 1: Clinical endorsement score Metric 2: Physical artefacts or physical interactions score 5 4 3 2 1 5 10 9 8 7 6* 4 9 8 7 6 5* 3 8 7 6 5 4* 2 7 6 5 4 3* 1 6* 5* 4* 3* 2* *Not currently translatable to telehealth. Careful attention required when evaluating whether a task (with this score combination) is indeed translatable using current forms of technology.
: Easily translatable over telehealth with no additional physical artefacts required = type 5.- : Relatively easy to translate over telehealth, with minimal but easily accessible equipment required = type 4.
- : Moderately translatable over telehealth but may require patient to acquire their own equipment to do so = type 3.
- : Has the potential to be translated over telehealth but may require clinician to administer virtual examination, and may require patient to obtain special equipment and training = type 2.
- : Not amenable to being replicated over telehealth at this stage = type 1.
Translatability to telehealth score Description Virtual care solution Description = Type 5Easily translatable over telehealth with no additional physical artefacts required Type 5 Clinicians and/or patients can easily exchange information over the telephone and/or video (for example, discussing diet or medication) = Type 4Relatively easy to translate over telehealth, with minimal but easily accessible equipment required Type 4 Patients conduct self-assessment at home and communicate self-reported findings; for example, measuring weight, print electronic requests or results = Type 3Moderately translatable over telehealth but may require patient to acquire their own equipment to do so Type 3 Patients acquire necessary artefacts through purchase or pick-up, and perform and communicate findings. Virtual guidance or training may be required; for example, measuring oxygen saturation or blood pressure = Type 2Has the potential to be translated over telehealth but may require clinician to administer virtual examination, and may require patient to obtain special equipment and training Type 2 Clinician administers virtual examination. May require patient to obtain special equipment and training; for example, virtual foot examination = Type 1Not amenable to being replicated over telehealth at this stage N/A N/A
Supplementary Data
- Lane_BJGPO.2022.0123_supp.pdf -
Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.
- Table_2_BJGPO.2022.0123.pdf -
Table 2, non-colour dependent version
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Translating primary care to telehealth: analysis of in-person consultations on diabetes and cardiovascular disease
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