PT - JOURNAL ARTICLE AU - Tan, Mui Suan AU - Kang, Gary Chun-Yun AU - Fong, Rodney Jin Kai AU - Cheong, Nian Kai AU - Shi, Haixiao AU - Tan, Ngiap Chuan TI - Patients’ perspectives on video consultation for non-communicable diseases: a qualitative study in Singapore AID - 10.3399/BJGPO.2023.0103 DP - 2023 Dec 01 TA - BJGP Open PG - BJGPO.2023.0103 VI - 7 IP - 4 4099 - http://bjgpopen.org/content/7/4/BJGPO.2023.0103.short 4100 - http://bjgpopen.org/content/7/4/BJGPO.2023.0103.full SO - BJGP Open2023 Dec 01; 7 AB - Background The COVID-19 pandemic increased the use of telemedicine in primary care services. Understanding patients’ perspectives on telemedicine is pivotal for its wider adoption in managing non-communicable diseases (NCDs) in the community.Aim To explore the views and concerns of patients who have yet to use video consultation (VC) for NCD management in Singapore.Design & setting This qualitative study was conducted in a primary care clinic in Singapore.Method In total, 16 patients participated in individual in-depth interviews. The participants had type 2 diabetes mellitus and/or hypertension and/or hyperlipidaemia without prior VC experience. They were purposively enrolled in the polyclinic. Audited transcripts were independently coded by two investigators. Thematic analysis was performed to identify perspectives on telemedicine based on the health, information, and technology zones of the Health Information Technology Acceptance Model.Results The following three themes emerged: perceived benefits of VC utility; perceived barriers of VC adoption; and potential challenges of VC. Participants viewed VC as safe and convenient if they had stable NCD. They voiced concerns on possible suboptimal care owing to the absence of physical examination, network connectivity, and personal medical data security. Participants highlighted challenges of VC uptake such as digital health familiarity, availability of their own mobile and telemonitoring devices, and healthcare costs consideration.Conclusion Addressing the concerns and challenges highlighted by non-VC users can help physicians and policymakers explore ways to scale up telemedicine in Singapore. A hybrid clinical care model comprising in-person visits and VC may be the way forward for NCD management.