Exploring patients’ views on telephone consultations in the seizure clinic: A qualitative interview study
•Patients are generally positive about the convenience of telephone consultations.•Telephone consultations are seen as especially suitable for ‘minor’ appointments.•There are concerns about the impact on the neurologist-patient relationship.•Patients worry about misunderstandings arising from a lack...
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Published in | Epilepsy & behavior reports Vol. 28; p. 100705 |
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Main Authors | , |
Format | Journal Article |
Language | English |
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Elsevier Inc
01.01.2024
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Abstract | •Patients are generally positive about the convenience of telephone consultations.•Telephone consultations are seen as especially suitable for ‘minor’ appointments.•There are concerns about the impact on the neurologist-patient relationship.•Patients worry about misunderstandings arising from a lack of visual information.•Some face-to-face contact is important even if teleconsultations become the norm.
The COVID-19 pandemic brought telemedicine into mainstream medical practice. Although it is widely agreed that telemedicine could be beneficial for patients with seizures, there has been little prior research investigating patients’ views on this subject. In this qualitative study, we conducted semi-structured interviews with 10 patients and one companion about their experiences of telemedicine. We also received written thoughts from one additional patient. Participants’ views fell under three broad themes. The first, “Convenience and practicality”, saw participants praising the flexibility of telephone consultations while noting that such consultations could introduce new practical problems. The second, “(Lack of) shared presence”, covered participants’ generally negative feelings about not being in the same room as their neurologists. The third, “Situation dependency”, saw participants drawing fine distinctions about the circumstances in which face-to-face and telephone consultations were suitable. Overall, although patients with seizures are generally positive about the convenience of telephone consultations, they have concerns about how they may lead to misunderstandings or affect the doctor-patient relationship. These concerns could be assuaged to some extent by offering video consultations or scheduling alternating telephone and face-to-face consultations. |
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AbstractList | The COVID-19 pandemic brought telemedicine into mainstream medical practice. Although it is widely agreed that telemedicine could be beneficial for patients with seizures, there has been little prior research investigating patients' views on this subject. In this qualitative study, we conducted semi-structured interviews with 10 patients and one companion about their experiences of telemedicine. We also received written thoughts from one additional patient. Participants' views fell under three broad themes. The first, "Convenience and practicality", saw participants praising the flexibility of telephone consultations while noting that such consultations could introduce new practical problems. The second, "(Lack of) shared presence", covered participants' generally negative feelings about not being in the same room as their neurologists. The third, "Situation dependency", saw participants drawing fine distinctions about the circumstances in which face-to-face and telephone consultations were suitable. Overall, although patients with seizures are generally positive about the convenience of telephone consultations, they have concerns about how they may lead to misunderstandings or affect the doctor-patient relationship. These concerns could be assuaged to some extent by offering video consultations or scheduling alternating telephone and face-to-face consultations.The COVID-19 pandemic brought telemedicine into mainstream medical practice. Although it is widely agreed that telemedicine could be beneficial for patients with seizures, there has been little prior research investigating patients' views on this subject. In this qualitative study, we conducted semi-structured interviews with 10 patients and one companion about their experiences of telemedicine. We also received written thoughts from one additional patient. Participants' views fell under three broad themes. The first, "Convenience and practicality", saw participants praising the flexibility of telephone consultations while noting that such consultations could introduce new practical problems. The second, "(Lack of) shared presence", covered participants' generally negative feelings about not being in the same room as their neurologists. The third, "Situation dependency", saw participants drawing fine distinctions about the circumstances in which face-to-face and telephone consultations were suitable. Overall, although patients with seizures are generally positive about the convenience of telephone consultations, they have concerns about how they may lead to misunderstandings or affect the doctor-patient relationship. These concerns could be assuaged to some extent by offering video consultations or scheduling alternating telephone and face-to-face consultations. The COVID-19 pandemic brought telemedicine into mainstream medical practice. Although it is widely agreed that telemedicine could be beneficial for patients with seizures, there has been little prior research investigating patients' views on this subject. In this qualitative study, we conducted semi-structured interviews with 10 patients and one companion about their experiences of telemedicine. We also received written thoughts from one additional patient. Participants' views fell under three broad themes. The first, "Convenience and practicality", saw participants praising the flexibility of telephone consultations while noting that such consultations could introduce new practical problems. The second, "(Lack of) shared presence", covered participants' generally negative feelings about not being in the same room as their neurologists. The third, "Situation dependency", saw participants drawing fine distinctions about the circumstances in which face-to-face and telephone consultations were suitable. Overall, although patients with seizures are generally positive about the convenience of telephone consultations, they have concerns about how they may lead to misunderstandings or affect the doctor-patient relationship. These concerns could be assuaged to some extent by offering video consultations or scheduling alternating telephone and face-to-face consultations • Patients are generally positive about the convenience of telephone consultations. • Telephone consultations are seen as especially suitable for ‘minor’ appointments. • There are concerns about the impact on the neurologist-patient relationship. • Patients worry about misunderstandings arising from a lack of visual information. • Some face-to-face contact is important even if teleconsultations become the norm. The COVID-19 pandemic brought telemedicine into mainstream medical practice. Although it is widely agreed that telemedicine could be beneficial for patients with seizures, there has been little prior research investigating patients’ views on this subject. In this qualitative study, we conducted semi-structured interviews with 10 patients and one companion about their experiences of telemedicine. We also received written thoughts from one additional patient. Participants’ views fell under three broad themes. The first, “Convenience and practicality”, saw participants praising the flexibility of telephone consultations while noting that such consultations could introduce new practical problems. The second, “(Lack of) shared presence”, covered participants’ generally negative feelings about not being in the same room as their neurologists. The third, “Situation dependency”, saw participants drawing fine distinctions about the circumstances in which face-to-face and telephone consultations were suitable. Overall, although patients with seizures are generally positive about the convenience of telephone consultations, they have concerns about how they may lead to misunderstandings or affect the doctor-patient relationship. These concerns could be assuaged to some extent by offering video consultations or scheduling alternating telephone and face-to-face consultations . •Patients are generally positive about the convenience of telephone consultations.•Telephone consultations are seen as especially suitable for ‘minor’ appointments.•There are concerns about the impact on the neurologist-patient relationship.•Patients worry about misunderstandings arising from a lack of visual information.•Some face-to-face contact is important even if teleconsultations become the norm. The COVID-19 pandemic brought telemedicine into mainstream medical practice. Although it is widely agreed that telemedicine could be beneficial for patients with seizures, there has been little prior research investigating patients’ views on this subject. In this qualitative study, we conducted semi-structured interviews with 10 patients and one companion about their experiences of telemedicine. We also received written thoughts from one additional patient. Participants’ views fell under three broad themes. The first, “Convenience and practicality”, saw participants praising the flexibility of telephone consultations while noting that such consultations could introduce new practical problems. The second, “(Lack of) shared presence”, covered participants’ generally negative feelings about not being in the same room as their neurologists. The third, “Situation dependency”, saw participants drawing fine distinctions about the circumstances in which face-to-face and telephone consultations were suitable. Overall, although patients with seizures are generally positive about the convenience of telephone consultations, they have concerns about how they may lead to misunderstandings or affect the doctor-patient relationship. These concerns could be assuaged to some extent by offering video consultations or scheduling alternating telephone and face-to-face consultations. The COVID-19 pandemic brought telemedicine into mainstream medical practice. Although it is widely agreed that telemedicine could be beneficial for patients with seizures, there has been little prior research investigating patients’ views on this subject. In this qualitative study, we conducted semi-structured interviews with 10 patients and one companion about their experiences of telemedicine. We also received written thoughts from one additional patient. Participants’ views fell under three broad themes. The first, “Convenience and practicality”, saw participants praising the flexibility of telephone consultations while noting that such consultations could introduce new practical problems. The second, “(Lack of) shared presence”, covered participants’ generally negative feelings about not being in the same room as their neurologists. The third, “Situation dependency”, saw participants drawing fine distinctions about the circumstances in which face-to-face and telephone consultations were suitable. Overall, although patients with seizures are generally positive about the convenience of telephone consultations, they have concerns about how they may lead to misunderstandings or affect the doctor-patient relationship. These concerns could be assuaged to some extent by offering video consultations or scheduling alternating telephone and face-to-face consultations. |
ArticleNumber | 100705 |
Author | Reuber, Markus Ford, Joseph |
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Cites_doi | 10.1016/j.pec.2020.10.023 10.1016/j.yebeh.2020.107298 10.1089/tmj.2021.0174 10.1016/j.pec.2024.108171 10.1016/j.pec.2020.12.027 10.1191/1478088706qp063oa 10.1186/s12961-021-00812-z 10.1089/tmj.2009.0030 10.1016/j.clineuro.2021.106605 10.1089/107830200311806 10.1002/acn3.51293 10.3122/jabfm.2021.S1.200517 10.1097/PHM.0000000000001600 10.2196/28589 10.1089/tmj.2020.0570 10.1212/WNL.0000000000008693 10.1016/j.yebeh.2020.107211 10.1177/2192568220965521 |
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fullname: Guzik – volume: 2021 issue: 115 year: 2021 ident: 10.1016/j.ebr.2024.100705_b0095 article-title: LoVE in a time of CoVID: Clinician and patient experience using telemedicine for chronic epilepsy management publication-title: Epilepsy Behav contributor: fullname: Banks – volume: 111 year: 2020 ident: 10.1016/j.ebr.2024.100705_b0100 article-title: Emergency implementation of telemedicine for epilepsy in Spain: Results of a survey during SARS-CoV-2 pandemic publication-title: Epilepsy Behav doi: 10.1016/j.yebeh.2020.107211 contributor: fullname: Conde-Blanco – volume: 22 start-page: e20786 year: 2020 ident: 10.1016/j.ebr.2024.100705_b0030 article-title: Patient satisfaction with telemedicine during the COVID-19 pandemic: Retrospective cohort study publication-title: JMIR contributor: fullname: Ramaswamy – volume: 12 start-page: 812 year: 2020 ident: 10.1016/j.ebr.2024.100705_b0035 article-title: Spine patient satisfaction with telemedicine during the COVID-19 pandemic: A cross-sectional study publication-title: Global Spine J doi: 10.1177/2192568220965521 contributor: fullname: Satin |
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SubjectTerms | Seizures Teleconsultation Telemedicine Telephone |
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Title | Exploring patients’ views on telephone consultations in the seizure clinic: A qualitative interview study |
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