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Research

Augmented video consultations in care homes during the covid-19 pandemic

Lorraine Ochieng, Mahan Salehi, Rebecca Ochieng, Dewy Nijhof, Richard Wong, Vinay Gupta, Rishabh Prasad and Bertha Ochieng
BJGP Open 28 June 2022; BJGPO.2022.0073. DOI: https://doi.org/10.3399/BJGPO.2022.0073
Lorraine Ochieng
1 Sheffield Teaching Hospitals NHS, Sheffield, UK
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Mahan Salehi
2 De Montfort University Faculty of Health & Life Sciences De Montfort University The Gateway, Leicester, UK
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Rebecca Ochieng
2 De Montfort University Faculty of Health & Life Sciences De Montfort University The Gateway, Leicester, UK
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Dewy Nijhof
2 De Montfort University Faculty of Health & Life Sciences De Montfort University The Gateway, Leicester, UK
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Richard Wong
3 University Hospitals of Leicester NHS Trust, Leicester, UK
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Vinay Gupta
4 Willows Health Willows Health, Leicester, UK
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Rishabh Prasad
4 Willows Health Willows Health, Leicester, UK
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Bertha Ochieng
2 De Montfort University Faculty of Health & Life Sciences De Montfort University The Gateway, Leicester, UK
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Abstract

Background The COVID-19 pandemic necessitated an unprecedented implementation of remote consultations in UK primary care services. Specifically, older adults in care homes had a high need for infection prevention due to their existing health conditions. GP practices in the East Midlands incorporated augmented video consultations with the potential to support remote healthcare assessments for older adults at care homes.

Aim To explore GPs and care home staff experiences of the use of augmented video consultation as a mechanism to perform remote examinations of older adults in care homes.

Design & setting Qualitative interviews were conducted with GPs and care home staff during May-August 2020.

Method A convenience sample of GPs (n=5), nurses (n=12) and senior health care assistants (n=3) were recruited using a purposive approach. Data was collected through semi-structured telephone interviews and was analysed using framework analysis.

Results Findings from participants indicated that augmented video consultation enables real-time patient examinations to aid diagnosis; and promotes person-centred care in meeting the needs of older adults. The participants also discussed the challenges of video consultations for patients with cognitive impairment and those under end-of-life care.

Conclusion Augmented video consultations show great potential in terms of GPs providing primary care services for care homes. However, healthcare staff must be involved in the development of the technology, and consideration should be given to the needs of older adults with cognitive impairment and those under end-of-life care. It is also vital that training is available to encourage confidence and competency in implementing the technology.

  • Video-consultation
  • COVID-19
  • remote consultation
  • care-homes
  • older-adults
  • virtual ward round
  • Received May 15, 2022.
  • Revision received May 15, 2022.
  • Accepted June 16, 2022.
  • Copyright © 2022, The Authors

This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)

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Accepted Manuscript
Augmented video consultations in care homes during the covid-19 pandemic
Lorraine Ochieng, Mahan Salehi, Rebecca Ochieng, Dewy Nijhof, Richard Wong, Vinay Gupta, Rishabh Prasad, Bertha Ochieng
BJGP Open 28 June 2022; BJGPO.2022.0073. DOI: 10.3399/BJGPO.2022.0073

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Accepted Manuscript
Augmented video consultations in care homes during the covid-19 pandemic
Lorraine Ochieng, Mahan Salehi, Rebecca Ochieng, Dewy Nijhof, Richard Wong, Vinay Gupta, Rishabh Prasad, Bertha Ochieng
BJGP Open 28 June 2022; BJGPO.2022.0073. DOI: 10.3399/BJGPO.2022.0073
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Keywords

  • Video-consultation
  • COVID-19
  • remote consultation
  • care-homes
  • older-adults
  • virtual ward round

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