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Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients’ homes

Reforming the delivery of outpatient appointments (OPA) was high on the healthcare policy agenda prior to COVID-19. The current pandemic exacerbates the financial and associated resource limitations of OPA. Videoconsulting provides a safe method of real-time contact for some remotely residing patien...

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Autores principales: Beattie, Michelle, Morrison, Clare, MacGilleEathain, Rebecah, Gray, Nicola, Anderson, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7454184/
https://www.ncbi.nlm.nih.gov/pubmed/32855158
http://dx.doi.org/10.1136/bmjoq-2020-001035
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author Beattie, Michelle
Morrison, Clare
MacGilleEathain, Rebecah
Gray, Nicola
Anderson, Julie
author_facet Beattie, Michelle
Morrison, Clare
MacGilleEathain, Rebecah
Gray, Nicola
Anderson, Julie
author_sort Beattie, Michelle
collection PubMed
description Reforming the delivery of outpatient appointments (OPA) was high on the healthcare policy agenda prior to COVID-19. The current pandemic exacerbates the financial and associated resource limitations of OPA. Videoconsulting provides a safe method of real-time contact for some remotely residing patients with hospital-based clinicians. One factor in failing to move from introduction of service change to its general adoption may be lack of patient and public involvement. This project, based in the largest Island in the Inner Hebrides of Scotland, aimed to codesign the use of the NHS Near Me video consulting platform for OPA to take place in the patient’s home. A codesign model was used as a framework. This included: step 1—presenting a process flow map of the current system of using Near Me to public participants and establishing their ideas on various steps in the process, step 2—conducting numerous Plan, Do, Study, Act (PDSA) tests and creating a current process flow diagram based on learning and step 3—conducting telephone interviews and thematic analysis of transcripts (n=7) to explore participants’ perceptions of being involved in the codesign process. Twenty-five adaptations were made to the Near Me at Home video appointment process from participants’ PDSA testing. Four themes were identified from thematic analysis of participants’ feedback of the codesign process, namely: altruistic motivation, valuing community voices, the usefulness of the PDSA cycles and the power of ‘word of mouth’. By codesigning the use of Near Me with people living in a remote area of Scotland, multiple adaptations were made to the processes to suit the context in which Near Me at Home will be used. Learning from testing and adapting with the public will likely be useful for others embarking on codesign approaches to improve spread and sustainability of quality improvement projects.
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spelling pubmed-74541842020-09-02 Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients’ homes Beattie, Michelle Morrison, Clare MacGilleEathain, Rebecah Gray, Nicola Anderson, Julie BMJ Open Qual Quality Improvement Report Reforming the delivery of outpatient appointments (OPA) was high on the healthcare policy agenda prior to COVID-19. The current pandemic exacerbates the financial and associated resource limitations of OPA. Videoconsulting provides a safe method of real-time contact for some remotely residing patients with hospital-based clinicians. One factor in failing to move from introduction of service change to its general adoption may be lack of patient and public involvement. This project, based in the largest Island in the Inner Hebrides of Scotland, aimed to codesign the use of the NHS Near Me video consulting platform for OPA to take place in the patient’s home. A codesign model was used as a framework. This included: step 1—presenting a process flow map of the current system of using Near Me to public participants and establishing their ideas on various steps in the process, step 2—conducting numerous Plan, Do, Study, Act (PDSA) tests and creating a current process flow diagram based on learning and step 3—conducting telephone interviews and thematic analysis of transcripts (n=7) to explore participants’ perceptions of being involved in the codesign process. Twenty-five adaptations were made to the Near Me at Home video appointment process from participants’ PDSA testing. Four themes were identified from thematic analysis of participants’ feedback of the codesign process, namely: altruistic motivation, valuing community voices, the usefulness of the PDSA cycles and the power of ‘word of mouth’. By codesigning the use of Near Me with people living in a remote area of Scotland, multiple adaptations were made to the processes to suit the context in which Near Me at Home will be used. Learning from testing and adapting with the public will likely be useful for others embarking on codesign approaches to improve spread and sustainability of quality improvement projects. BMJ Publishing Group 2020-08-27 /pmc/articles/PMC7454184/ /pubmed/32855158 http://dx.doi.org/10.1136/bmjoq-2020-001035 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Quality Improvement Report
Beattie, Michelle
Morrison, Clare
MacGilleEathain, Rebecah
Gray, Nicola
Anderson, Julie
Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients’ homes
title Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients’ homes
title_full Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients’ homes
title_fullStr Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients’ homes
title_full_unstemmed Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients’ homes
title_short Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients’ homes
title_sort near me at home: codesigning the use of video consultations for outpatient appointments in patients’ homes
topic Quality Improvement Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7454184/
https://www.ncbi.nlm.nih.gov/pubmed/32855158
http://dx.doi.org/10.1136/bmjoq-2020-001035
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