TY - JOUR T1 - Translating primary care to telehealth: analysis of in-person consultations on diabetes and cardiovascular disease JF - BJGP Open JO - BJGP Open DO - 10.3399/BJGPO.2022.0123 VL - 7 IS - 1 SP - BJGPO.2022.0123 AU - Jared Lane AU - Katrina David AU - Jayashanthi Ramarao AU - Kanesha Ward AU - Sunayana Raghuraman AU - Moomna Waheed AU - Annie YS Lau Y1 - 2023/03/01 UR - http://bjgpopen.org/content/7/1/BJGPO.2022.0123.abstract N2 - Background The COVID-19 pandemic had a considerable impact on primary care, resulting in rapid uptake of telehealth. Patients with chronic conditions, such as type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD), relied heavily on telehealth consultations during this period. It is important to assess whether tasks observed during T2DM or CVD in-person consultations are translatable to telehealth.Aim To explore the extent to which in-person GP consultations are translatable to telehealth for patients with T2DM or CVD.Design & setting This study screened 281 GP consultations conducted in 2017 within the UK general practice setting for consultations pertaining to T2DM or CVD. Seventeen in-person consultations (in deidentified video and transcript) were selected for further analysis.Method Detailed reporting of tasks, physical artefacts, and physical examinations observed during in-person GP consultations. A new scoring method, applying two key metrics, supporting definitions and examples, was designed to assess translatability of clinical tasks to telehealth.Results Across the 17 T2DM or CVD in-person consultations analysed, 23 clinical tasks, 21 physical artefacts, and nine physical examinations were observed. Sixty per cent of tasks analysed were deemed either easily or relatively easily translatable to telehealth. Twenty-six per cent of tasks were rated as ‘moderately translatable to telehealth’ but may require a patient obtaining their own equipment. Thirteen per cent of tasks were rated as ‘potentially translatable to telehealth’. No clinical tasks for these cohorts were rated as untranslatable to telehealth.Conclusion The majority of tasks observed during T2DM or CVD in-person GP consultations are translatable to telehealth. Further research is warranted to investigate emergent safety concerns from increased uptake of telehealth. ER -