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Research

Diagnosis and management of acute infections during telehealth consultations in Australian general practice: a qualitative study

Emma J Baillie, Gregory Merlo, Ruby Biezen, Kwame Peprah Boaitey, Parker J Magin, Mieke L van Driel and Lisa Hall
BJGP Open 2024; 8 (1): BJGPO.2023.0142. DOI: https://doi.org/10.3399/BJGPO.2023.0142
Emma J Baillie
1 General Practice Clinical Unit, Faculty of Medicine, The University of Queensland, Herston, QL, Australia
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  • ORCID record for Emma J Baillie
  • For correspondence: e.baillie{at}uq.edu.au
Gregory Merlo
2 Healthcare Improvement Unit, Queensland Health, Bowen Hills, Brisbane, QL, Australia
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  • ORCID record for Gregory Merlo
Ruby Biezen
3 Department of General Practice, The University of Melbourne, Melbourne, VI, Australia
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Kwame Peprah Boaitey
4 Institute for Evidence-Based Healthcare, Bond University, Gold Coast, QL, Australia
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  • ORCID record for Kwame Peprah Boaitey
Parker J Magin
5 School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
6 GP Training Research Department, Royal Australian College of General Practitioners, Callaghan, NSW, Australia
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Mieke L van Driel
1 General Practice Clinical Unit, Faculty of Medicine, The University of Queensland, Herston, QL, Australia
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  • ORCID record for Mieke L van Driel
Lisa Hall
7 School of Public Health, The University of Queensland, Brisbane, QL, Australia
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Article Figures & Data

Tables

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    Table 1. Participant demographics
    CodeaGenderAge, yearsYears of experience ortraining term (T)SEIFAbSessions per week
    S1 F30–34<5 years56
    S2 M40–445–10 years29
    S3 F50–54>20 years44–5
    S4 F35–395–10 years57–9
    S5 F35–395–10 years46–7
    S6 F40–4411–20 years39
    S7 F35–395–10 years28
    S8 M30–34<5 years48
    S9 F30–345–10 years111
    R1 F25–29T318
    R2 M45–49T458
    R3 F25–29T329
    R4 M25–29T129
    R5 F25–29T146
    R6 F30–34T1510
    R7 F25–29T334
    R8 M25–29T118
    R9 F25–29T354
    • SEIFA = Socio-Economic Indexes for Areas.

    • aS = Supervisor. R = Registrar. bUses the Index of Relative Socio-economic Disadvantage (IRSD), where 1 indicates high socioeconomic disadvantage.

    • View popup
    Table 2. Overall themes and subthemes
    ThemeSubthemes
    Impaired diagnostic capacity1.1 Influence on diagnostic certainty
    1.2 Patient familiarity impacted diagnostic confidence
    Strategies to improve diagnostic acuity2.1 Patient self-examination
    2.2 Visual cues
    2.3 Practitioner skills
    Management of clinical uncertainty3.1 Refer for in-person assessment
    3.2 Overinvestigate
    3.3 Overtreat
    Changes to antibiotic prescription decision-making4.1 Mixed effect on decision-making
    4.2 Delayed prescribing
    4.3 Patient demand for antibiotics
    Perceptions about other GPs’ antibiotic prescribing
    Supervisor beliefs about their registrars
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Diagnosis and management of acute infections during telehealth consultations in Australian general practice: a qualitative study
Emma J Baillie, Gregory Merlo, Ruby Biezen, Kwame Peprah Boaitey, Parker J Magin, Mieke L van Driel, Lisa Hall
BJGP Open 2024; 8 (1): BJGPO.2023.0142. DOI: 10.3399/BJGPO.2023.0142

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Diagnosis and management of acute infections during telehealth consultations in Australian general practice: a qualitative study
Emma J Baillie, Gregory Merlo, Ruby Biezen, Kwame Peprah Boaitey, Parker J Magin, Mieke L van Driel, Lisa Hall
BJGP Open 2024; 8 (1): BJGPO.2023.0142. DOI: 10.3399/BJGPO.2023.0142
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Keywords

  • anti-bacterial agents
  • antimicrobial stewardship
  • general practitioners
  • qualitative research
  • referral and consultation
  • self-assessment
  • telemedicine

More in this TOC Section

  • A mixed-methods qualitative study of Northern Ireland GP specialty trainees’ clinical confidence and teaching expectations in musculoskeletal medicine
  • Accuracy and suitability of eating disorder screening tools for binge eating disorder and bulimia nervosa in a primary care setting: a systematic review and narrative summary
  • Delivering a primary care review for people prescribed opioids for persistent pain: a qualitative study on the facilitators and barriers facing practice pharmacists
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