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How does the use of digital consulting change the meaning of being a patient and/or a health professional? Lessons from the Long-term Conditions Young People Networked Communication study

BACKGROUND: While studies have examined the impact of digital communication technology on healthcare, there is little exploration of how new models of digital care change the roles and identities of the health professional and patient. The purpose of the current study is to generate multidisciplinar...

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Autores principales: Sturt, Jackie, Huxley, Caroline, Ajana, Btihaj, Gainty, Caitjan, Gibbons, Chris, Graham, Tanya, Khadjesari, Zarnie, Lucivero, Federica, Rogers, Rebecca, Smol, Annie, Watkins, Jocelyn A, Griffiths, Frances
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7375714/
https://www.ncbi.nlm.nih.gov/pubmed/32742716
http://dx.doi.org/10.1177/2055207620942359
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author Sturt, Jackie
Huxley, Caroline
Ajana, Btihaj
Gainty, Caitjan
Gibbons, Chris
Graham, Tanya
Khadjesari, Zarnie
Lucivero, Federica
Rogers, Rebecca
Smol, Annie
Watkins, Jocelyn A
Griffiths, Frances
author_facet Sturt, Jackie
Huxley, Caroline
Ajana, Btihaj
Gainty, Caitjan
Gibbons, Chris
Graham, Tanya
Khadjesari, Zarnie
Lucivero, Federica
Rogers, Rebecca
Smol, Annie
Watkins, Jocelyn A
Griffiths, Frances
author_sort Sturt, Jackie
collection PubMed
description BACKGROUND: While studies have examined the impact of digital communication technology on healthcare, there is little exploration of how new models of digital care change the roles and identities of the health professional and patient. The purpose of the current study is to generate multidisciplinary reflections and questions around the use of digital consulting and the way it changes the meaning of being a patient and/or a health professional. METHOD: We used a large pre-existing qualitative dataset from the Long-term Conditions Young People Networked Communication (LYNC) study which involved interviews with healthcare professionals and a group of 16–24 years patients with long-term physical and mental health conditions. We conducted a three-stage mixed methods analysis. First, using a small sample of interview data from the LYNC study, we identified three key themes to explore in the data and relevant academic literature. Second, in small groups we conducted secondary analysis of samples of patient and health professional LYNC interview data. Third, we ran a series of rapid evidence reviews. FINDINGS: We identified three key themes: workload/flow, impact of increased access to healthcare and vulnerabilities. Both health professionals and patients were 'on duty' in their role more often. Increased access to healthcare introduced more responsibilities to both patients and health professionals. Traditional concepts in medical ethics, confidentiality, empathy, empowerment/power, efficiency and mutual responsibilities are reframed in the context of digital consulting. CONCLUSIONS: Our collaboration identified conflicts and constraints in the construction of digital patients and digital clinicians. There is evidence that digital technologies change the nature of a medical consultation and with it the identities and the roles of clinicians and patients which, in turn, calls for a redefinition of traditional concepts of medical ethics. Overall, digital consulting has the potential to significantly reduce costs while maintaining or improving patient care and clinical outcomes. Timely study of digital engagement in the National Health Service is a matter of critical importance.
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spelling pubmed-73757142020-07-31 How does the use of digital consulting change the meaning of being a patient and/or a health professional? Lessons from the Long-term Conditions Young People Networked Communication study Sturt, Jackie Huxley, Caroline Ajana, Btihaj Gainty, Caitjan Gibbons, Chris Graham, Tanya Khadjesari, Zarnie Lucivero, Federica Rogers, Rebecca Smol, Annie Watkins, Jocelyn A Griffiths, Frances Digit Health Review Article BACKGROUND: While studies have examined the impact of digital communication technology on healthcare, there is little exploration of how new models of digital care change the roles and identities of the health professional and patient. The purpose of the current study is to generate multidisciplinary reflections and questions around the use of digital consulting and the way it changes the meaning of being a patient and/or a health professional. METHOD: We used a large pre-existing qualitative dataset from the Long-term Conditions Young People Networked Communication (LYNC) study which involved interviews with healthcare professionals and a group of 16–24 years patients with long-term physical and mental health conditions. We conducted a three-stage mixed methods analysis. First, using a small sample of interview data from the LYNC study, we identified three key themes to explore in the data and relevant academic literature. Second, in small groups we conducted secondary analysis of samples of patient and health professional LYNC interview data. Third, we ran a series of rapid evidence reviews. FINDINGS: We identified three key themes: workload/flow, impact of increased access to healthcare and vulnerabilities. Both health professionals and patients were 'on duty' in their role more often. Increased access to healthcare introduced more responsibilities to both patients and health professionals. Traditional concepts in medical ethics, confidentiality, empathy, empowerment/power, efficiency and mutual responsibilities are reframed in the context of digital consulting. CONCLUSIONS: Our collaboration identified conflicts and constraints in the construction of digital patients and digital clinicians. There is evidence that digital technologies change the nature of a medical consultation and with it the identities and the roles of clinicians and patients which, in turn, calls for a redefinition of traditional concepts of medical ethics. Overall, digital consulting has the potential to significantly reduce costs while maintaining or improving patient care and clinical outcomes. Timely study of digital engagement in the National Health Service is a matter of critical importance. SAGE Publications 2020-07-20 /pmc/articles/PMC7375714/ /pubmed/32742716 http://dx.doi.org/10.1177/2055207620942359 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc-nd/4.0/ Creative Commons Non Commercial-NoDerivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review Article
Sturt, Jackie
Huxley, Caroline
Ajana, Btihaj
Gainty, Caitjan
Gibbons, Chris
Graham, Tanya
Khadjesari, Zarnie
Lucivero, Federica
Rogers, Rebecca
Smol, Annie
Watkins, Jocelyn A
Griffiths, Frances
How does the use of digital consulting change the meaning of being a patient and/or a health professional? Lessons from the Long-term Conditions Young People Networked Communication study
title How does the use of digital consulting change the meaning of being a patient and/or a health professional? Lessons from the Long-term Conditions Young People Networked Communication study
title_full How does the use of digital consulting change the meaning of being a patient and/or a health professional? Lessons from the Long-term Conditions Young People Networked Communication study
title_fullStr How does the use of digital consulting change the meaning of being a patient and/or a health professional? Lessons from the Long-term Conditions Young People Networked Communication study
title_full_unstemmed How does the use of digital consulting change the meaning of being a patient and/or a health professional? Lessons from the Long-term Conditions Young People Networked Communication study
title_short How does the use of digital consulting change the meaning of being a patient and/or a health professional? Lessons from the Long-term Conditions Young People Networked Communication study
title_sort how does the use of digital consulting change the meaning of being a patient and/or a health professional? lessons from the long-term conditions young people networked communication study
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7375714/
https://www.ncbi.nlm.nih.gov/pubmed/32742716
http://dx.doi.org/10.1177/2055207620942359
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