The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

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
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
2044-6055
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.
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).

Record type: Article

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
Available under License Creative Commons Attribution.
Download (1MB)

More information

Accepted/In Press date: 9 February 2021
e-pub ahead of print date: 25 February 2021
Published date: February 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
ORCID for Maria Stokes: ORCID iD orcid.org/0000-0002-4204-0890
ORCID for Carl May: ORCID iD orcid.org/0000-0002-0451-2690

Catalogue record

Date deposited: 02 Mar 2021 17:31
Last modified: 26 Nov 2021 02:56

Export record

Altmetrics

Contributors

Author: Anthony W. Gilbert
Author: Jeremy Jones
Author: Maria Stokes ORCID iD
Author: Carl May ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×