Factors that influence patient preferences for virtual consultations in an orthopaedic rehabilitation setting: a qualitative study
Factors that influence patient preferences for virtual consultations in an orthopaedic rehabilitation setting: a qualitative study
Objectives To identify, characterise and explain factors that influence patient preferences, from the perspective of patients and clinicians, for virtual consultations in an orthopaedic rehabilitation setting.
Design Qualitative study using semi-structured interviews and abductive analysis.
Setting A physiotherapy and occupational therapy department situated within a tertiary orthopaedic centre in the UK.
Participants Patients who were receiving orthopaedic rehabilitation for a musculoskeletal problem. Occupational therapists, physiotherapists or therapy technicians involved in the delivery of orthopaedic rehabilitation for patients with a musculoskeletal problem.
Results Twenty-two patients and 22 healthcare professionals were interviewed. The average interview length was 48 minutes. Four major factors were found to influence preference: the situation of care (the ways that patients understand and explain their clinical status, their treatment requirements and the care pathway), the expectations of care (influenced by a patients desire for contact, psychological status, previous care and perceived requirements), the demands on the patient (due to each patients respective social situation and the consequences of choice) and the capacity to allocate resources to care (these include financial, infrastructural, social and healthcare resources).
Conclusion This study has identified key factors that appear to influence patient preference for virtual consultations in orthopaedic rehabilitation. A conceptual model of these factors, derived from empirical data, has been developed highlighting how they combine and compete. A series of questions, based on these factors, have been developed to support identification of preferences in a clinical setting.
health services administration & management, orthopaedic & trauma surgery, qualitative research
Gilbert, Anthony W.
a450c811-c6d3-4853-ae35-9f5287db8efa
Jones, Jeremy
270b303b-6bad-4be7-8ea0-63d0e8015c91
Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
25 February 2021
Gilbert, Anthony W.
a450c811-c6d3-4853-ae35-9f5287db8efa
Jones, Jeremy
270b303b-6bad-4be7-8ea0-63d0e8015c91
Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
May, Carl
17697f8d-98f6-40d3-9cc0-022f04009ae4
Gilbert, Anthony W., Jones, Jeremy, Stokes, Maria and May, Carl
(2021)
Factors that influence patient preferences for virtual consultations in an orthopaedic rehabilitation setting: a qualitative study.
BMJ Open, 11 (2), [e041038].
(doi:10.1136/bmjopen-2020-041038).
Abstract
Objectives To identify, characterise and explain factors that influence patient preferences, from the perspective of patients and clinicians, for virtual consultations in an orthopaedic rehabilitation setting.
Design Qualitative study using semi-structured interviews and abductive analysis.
Setting A physiotherapy and occupational therapy department situated within a tertiary orthopaedic centre in the UK.
Participants Patients who were receiving orthopaedic rehabilitation for a musculoskeletal problem. Occupational therapists, physiotherapists or therapy technicians involved in the delivery of orthopaedic rehabilitation for patients with a musculoskeletal problem.
Results Twenty-two patients and 22 healthcare professionals were interviewed. The average interview length was 48 minutes. Four major factors were found to influence preference: the situation of care (the ways that patients understand and explain their clinical status, their treatment requirements and the care pathway), the expectations of care (influenced by a patients desire for contact, psychological status, previous care and perceived requirements), the demands on the patient (due to each patients respective social situation and the consequences of choice) and the capacity to allocate resources to care (these include financial, infrastructural, social and healthcare resources).
Conclusion This study has identified key factors that appear to influence patient preference for virtual consultations in orthopaedic rehabilitation. A conceptual model of these factors, derived from empirical data, has been developed highlighting how they combine and compete. A series of questions, based on these factors, have been developed to support identification of preferences in a clinical setting.
Text
Factors that influence patient preferences for virtual consultations in an orthopaedic rehabilitation setting a qualitative study
- Accepted Manuscript
More information
Accepted/In Press date: 9 February 2021
e-pub ahead of print date: 25 February 2021
Published date: 25 February 2021
Additional Information:
Funding Information:
Funding Anthony Gilbert is funded by a National Institute for Health Research (NIHR), Clinical Doctoral Research Fellowship for this research project (ICA-CDRF-2017-03-025). Anthony Gilbert and Carl May are supported by the NIHR ARC North Thames. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.
Publisher Copyright:
© Author(s) (or their employer(s)) 2021
Keywords:
health services administration & management, orthopaedic & trauma surgery, qualitative research
Identifiers
Local EPrints ID: 447051
URI: http://eprints.soton.ac.uk/id/eprint/447051
ISSN: 2044-6055
PURE UUID: 979b7a15-5f93-4606-8fe1-ed467db553e3
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Date deposited: 02 Mar 2021 17:31
Last modified: 17 Mar 2024 02:56
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Author:
Anthony W. Gilbert
Author:
Carl May
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