Article Figures & Data
Figures
- Figure 1. Translatability to telehealth scoring system and type
- Figure 2. Types and frequency of physical artefacts used during in-person musculoskeletal (MSK) consultations, as a percentage of all GP consultations involving a MSK condition (n = 31)
- Figure 3. Types and frequency of tasks performed during in-person musculoskeletal (MSK), as a percentage of all GP consultations involving a MSK condition (n = 31)
Tables
Inclusion criteria Exclusion criteria Consultations that involve MSK as part of the patient’s main presentation or past medical history
Consultations of patients with MSK conditions that contain any discussion of lifestyle advice, self-management support, or behavioural modifications as part of their treatment or prevention plan
MSK consultations across all ages
Consultations for which the participants in the video provided consent for researchers to access video recordings and transcripts of their data to be collected in this study
Consultations where MSK was not the main point of discussion between the patient and the GP
Consultations where MSK issue(s) did not concern the patient during their visit to the GP
Consultations of patients with MSK conditions that does not contain any discussion of lifestyle advice, self-management support, or behavioural modifications as part of their treatment or prevention plan
Consultations where the participants in the video did not provide consent for researchers to access video recordings and transcripts of their data to be collected in this study
Consultations where a written transcript has been provided but not the video transcript, or vice versa
Consultations where the video recording could not be viewed as it was not de-identified, is corrupted, or unavailable owing to other reasons
MSK = musculoskeletal
Variables MSK consultations (n = 31) Sex % ( n ) Male
Female38.7% (12)
61.3% (19)Age in years % ( n ) 0−18
19−35
36−45
46−55
56−65
66−75
≥766.5% (2)
6.5% (2)
6.5% (2)
19.4% (6)
19.4% (6)
32.3% (10)
9.7% (3)Presence of a companion % ( n ) Yes
No29.0% (9)
71.0% (22)Number of health conditions discussed during consultation % ( n ) 1
2
367.7% (21)
25.8% (8)
6.5% (2)Types of MSK conditions discussed Disc herniation, multilevel degenerative disc disease, gout, carpal tunnel syndrome, lateral epicondylitis, non-specific lower back pain, coccydynia, reactive arthritis, rheumatoid arthritis, osteoarthritis, plantar fasciitis, sciatica, osteopenia, soft tissue injury or pain, medial epicondylitis, bursitis, tendonitis, fracture, De Quervain’s tenosynovitis. Other health conditions discussed GORD, urinary frequency, dementia, breast cancer, hypertension. Objective measures used to assess MSK conditions History-taking, past medical history, physical exams, blood pressure, weight, blood tests, BMD scan, X-rays, MRI, CT. Subjective conditions used to assess MSK conditions Patient mood, exercise tolerance, ADLs, pain and current pain control, sleep quality. ADLs = activities of daily living. BMD = bone mineral density. CT = computed tomography. GORD = gastro-oesophageal reflux disease. MRI = magnetic resonance imaging. MSK = musculoskeletal
- Table 3. Clinical tasks conducted during in-person musculoskeletal (MSK) consultations with the GP (n = 31). Clinical endorsement scores, physical examinations or artefacts scores and combined translatability to telehealth scores are assigned to the 12 clinical tasks observed during consultations
Clinical task Physical artefact(s) Clinical endorsement score Physical examination or artefacts score Translatability to telehealth score Virtual care solution type MSK specific? Implication Physical examination Blood pressure Sphygmomanometer 3 3 6/10 Type 3 No Moderately translatable to telehealth Weight measurement Weight scale 3 4 7/10 Type 4 No Relatively easy to translate to telehealth General inspection Nil 2 4 6/10 Type 3 No Moderately translatable to telehealth Palpation and movement tests Examination bed 2 2 4/10 Type 2 Yes Has the potential to be translated to telehealth Reflex tests Tendon hammer 2 2 4/10 Type 2 Yes Has the potential to be translated to telehealth Management and/or investigation Generating prescriptions Computer, printer 4 4 8/10 Type 4 No Relatively easy to translate to telehealth Generating information brochures or leaflets Computer, printer 5 4 9/10 Type 5 No Easy to translate over to telehealth Generating referral letters Computer, printer 4 4 8/10 Type 4 No Relatively easy to translate to telehealth Pathology test interpretation or discussion Computer 4 4 8/10 Type 4 No Relatively easy to translate to telehealth Reviewing letters from other healthcare personnel Computer 4 4 8/10 Type 4 No Relatively easy to translate to telehealth Medication discussion Tablet bottle 4 4 8/10 Type 4 No Relatively easy to translate to telehealth Lifestyle discussion Nil 4 5 9/10 Type 5 No Easy to translate over to telehealth MSK = musculoskeletal
Supplementary Data
- YL_10.3399BJGPO.2024.0013_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.
In this issue
Jump to section
Keywords
More in this TOC Section
Related Articles
Cited By...
