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BJGP Open. 2021 Dec 08; doi: 10.3399/BJGPO.2021.0187. Epub 2021 Dec 08.

Experiences of telehealth in general practice in Australia: research protocol for a mixed methods study.

BJGP open

Sarah J White, Amy Nguyen, Peter Roger, Tim Tse, John A Cartmill, Simon Mark Willcock

Affiliations

  1. Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park, Australia [email protected].
  2. St Vincent's Clinical School, UNSW Medicine, UNSW Sydney, Sydney, Australia.
  3. Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Macquarie Park, Australia.
  4. Department of Linguistics, Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park, Australia.
  5. Department of Primary Care, Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park, Australia.
  6. Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Macquarie Park, Australia.

PMID: 34880033 DOI: 10.3399/BJGPO.2021.0187

Abstract

BACKGROUND: Due to the COVID-19 pandemic, use of telehealth has expanded rapidly. However, little is known about the impact of delivering care through telehealth on communication between clinicians and patients. At an interactional level, the ways in which clinicians establish rapport and connection with their patients in telehealth consultations is not well understood.

AIM: This study will explore interactional practices of general practitioners (GPs) and patients in telehealth consultations to develop evidence-based resources to improve communication.

DESIGN & SETTING: The study will be conducted within the Australian general practice setting.

METHOD: Conversation analysis and sociolinguistic discourse analysis of recorded telehealth consultations will provide direct evidence of specific elements contributing to successful and less successful instances of telehealth communication. This analysis will be complemented by co-design techniques such as qualitative and reflective interviews and collaborative workshops with telehealth users, including both general practitioners and patients.

CONCLUSION: Effective communication is critical for telehealth consultations and is central to achieving optimal clinical outcomes and patient satisfaction. This study will co-develop with end-users, evidence-based guidelines encompassing effective telehealth communication strategies.

Copyright © 2021, The Authors.

Keywords: General practice; clinical communication; digital health; telehealth; telemedicine

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