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Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice
BACKGROUND: Following a pandemic-driven shift to remote service provision, UK general practices offer telephone, video or online consultation options alongside face-to-face. This study explores practices’ varied experiences over time as they seek to establish remote forms of accessing and delivering...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
F1000 Research Limited
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593351/ https://www.ncbi.nlm.nih.gov/pubmed/37881300 http://dx.doi.org/10.3310/nihropenres.13289.1 |
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author | Greenhalgh, Trisha Shaw, Sara E Alvarez Nishio, Anica Booth, Amy Byng, Richard Clarke, Aileen Dakin, Francesca Davies, Roz Faulkner, Stuart Hemmings, Nina Husain, Laiba Kalin, Asli Ladds, Emma Moore, Lucy Rosen, Rebecca Rybczynska-Bunt, Sarah Wherton, Joseph Wieringa, Sietse |
author_facet | Greenhalgh, Trisha Shaw, Sara E Alvarez Nishio, Anica Booth, Amy Byng, Richard Clarke, Aileen Dakin, Francesca Davies, Roz Faulkner, Stuart Hemmings, Nina Husain, Laiba Kalin, Asli Ladds, Emma Moore, Lucy Rosen, Rebecca Rybczynska-Bunt, Sarah Wherton, Joseph Wieringa, Sietse |
author_sort | Greenhalgh, Trisha |
collection | PubMed |
description | BACKGROUND: Following a pandemic-driven shift to remote service provision, UK general practices offer telephone, video or online consultation options alongside face-to-face. This study explores practices’ varied experiences over time as they seek to establish remote forms of accessing and delivering care. METHODS: This protocol is for a mixed-methods multi-site case study with co-design and national stakeholder engagement. 11 general practices were selected for diversity in geographical location, size, demographics, ethos, and digital maturity. Each practice has a researcher-in-residence whose role is to become familiar with its context and activity, follow it longitudinally for two years using interviews, public-domain documents and ethnography, and support improvement efforts. Research team members meet regularly to compare and contrast across cases. Practice staff are invited to join online learning events. Patient representatives work locally within their practice patient involvement groups as well as joining an online patient learning set or linking via a non-digital buddy system. NHS Research Ethics Approval has been granted. Governance includes a diverse independent advisory group with lay chair. We also have policy in-reach (national stakeholders sit on our advisory group) and outreach (research team members sit on national policy working groups). RESULTS (ANTICIPATED): We expect to produce rich narratives of contingent change over time, addressing cross-cutting themes including access, triage and capacity; digital and wider inequities; quality and safety of care (e.g. continuity, long-term condition management, timely diagnosis, complex needs); workforce and staff wellbeing (including non-clinical staff, students and trainees); technologies and digital infrastructure; patient perspectives; and sustainability (e.g. carbon footprint). CONCLUSION: By using case study methods focusing on depth and detail, we hope to explain why digital solutions that work well in one practice do not work at all in another. We plan to inform policy and service development through inter-sectoral network-building, stakeholder workshops and topic-focused policy briefings. |
format | Online Article Text |
id | pubmed-10593351 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | F1000 Research Limited |
record_format | MEDLINE/PubMed |
spelling | pubmed-105933512023-10-25 Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice Greenhalgh, Trisha Shaw, Sara E Alvarez Nishio, Anica Booth, Amy Byng, Richard Clarke, Aileen Dakin, Francesca Davies, Roz Faulkner, Stuart Hemmings, Nina Husain, Laiba Kalin, Asli Ladds, Emma Moore, Lucy Rosen, Rebecca Rybczynska-Bunt, Sarah Wherton, Joseph Wieringa, Sietse NIHR Open Res Study Protocol BACKGROUND: Following a pandemic-driven shift to remote service provision, UK general practices offer telephone, video or online consultation options alongside face-to-face. This study explores practices’ varied experiences over time as they seek to establish remote forms of accessing and delivering care. METHODS: This protocol is for a mixed-methods multi-site case study with co-design and national stakeholder engagement. 11 general practices were selected for diversity in geographical location, size, demographics, ethos, and digital maturity. Each practice has a researcher-in-residence whose role is to become familiar with its context and activity, follow it longitudinally for two years using interviews, public-domain documents and ethnography, and support improvement efforts. Research team members meet regularly to compare and contrast across cases. Practice staff are invited to join online learning events. Patient representatives work locally within their practice patient involvement groups as well as joining an online patient learning set or linking via a non-digital buddy system. NHS Research Ethics Approval has been granted. Governance includes a diverse independent advisory group with lay chair. We also have policy in-reach (national stakeholders sit on our advisory group) and outreach (research team members sit on national policy working groups). RESULTS (ANTICIPATED): We expect to produce rich narratives of contingent change over time, addressing cross-cutting themes including access, triage and capacity; digital and wider inequities; quality and safety of care (e.g. continuity, long-term condition management, timely diagnosis, complex needs); workforce and staff wellbeing (including non-clinical staff, students and trainees); technologies and digital infrastructure; patient perspectives; and sustainability (e.g. carbon footprint). CONCLUSION: By using case study methods focusing on depth and detail, we hope to explain why digital solutions that work well in one practice do not work at all in another. We plan to inform policy and service development through inter-sectoral network-building, stakeholder workshops and topic-focused policy briefings. F1000 Research Limited 2022-08-08 /pmc/articles/PMC10593351/ /pubmed/37881300 http://dx.doi.org/10.3310/nihropenres.13289.1 Text en Copyright: © 2022 Greenhalgh T et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Study Protocol Greenhalgh, Trisha Shaw, Sara E Alvarez Nishio, Anica Booth, Amy Byng, Richard Clarke, Aileen Dakin, Francesca Davies, Roz Faulkner, Stuart Hemmings, Nina Husain, Laiba Kalin, Asli Ladds, Emma Moore, Lucy Rosen, Rebecca Rybczynska-Bunt, Sarah Wherton, Joseph Wieringa, Sietse Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice |
title | Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice |
title_full | Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice |
title_fullStr | Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice |
title_full_unstemmed | Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice |
title_short | Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice |
title_sort | protocol: remote care as the ‘new normal’? multi-site case study in uk general practice |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593351/ https://www.ncbi.nlm.nih.gov/pubmed/37881300 http://dx.doi.org/10.3310/nihropenres.13289.1 |
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