Abstract：
In response to the COVID-19 pandemic, face-to-face consultations within healthcare settings were suspended. Remote consultations became crucial for managing musculoskeletal conditions alongside Patient Initiated Follow-ups, leading to the development of the DiAL programme at a large National Health Service Community Trust. Previous research has focused on quantitative data, little is known about staff experiences with this programme.
To explore the perceptions and opinions of physiotherapy staff using DiAL, in order to highlight the benefits and challenges of this service with identification of areas for future development.
Qualitative focus groups.
Two virtual focus groups were conducted via Microsoft Teams, involving a purposive sample of physiotherapy staff in the musculoskeletal services known to have used DiAL. Thematic analysis was conducted.
Ten clinicians participated in the study, generating two main themes: Clinician Autonomy and Institutional Needs. These themes encompassed several subthemes.
Clinicians reported higher job satisfaction and improved accessibility for patients, attributing these positive outcomes to the autonomy and flexibility provided by the platform. While the programme met National Health Service targets for Patient Initiated Follow-ups, there was a desire for ongoing improvements and a recognition that previous audits failed to capture all the benefits. DiAL serves as a treatment choice, supporting evidence on the advantages of remote consultations and contributing to the National Health Services\' goal of reducing its carbon footprint. There is a collective desire for the platform to continue with future recommendations including expanding its use and exploring additional audit metrics.
To explore the perceptions and opinions of physiotherapy staff using DiAL, in order to highlight the benefits and challenges of this service with identification of areas for future development.
Qualitative focus groups.
Two virtual focus groups were conducted via Microsoft Teams, involving a purposive sample of physiotherapy staff in the musculoskeletal services known to have used DiAL. Thematic analysis was conducted.
Ten clinicians participated in the study, generating two main themes: Clinician Autonomy and Institutional Needs. These themes encompassed several subthemes.
Clinicians reported higher job satisfaction and improved accessibility for patients, attributing these positive outcomes to the autonomy and flexibility provided by the platform. While the programme met National Health Service targets for Patient Initiated Follow-ups, there was a desire for ongoing improvements and a recognition that previous audits failed to capture all the benefits. DiAL serves as a treatment choice, supporting evidence on the advantages of remote consultations and contributing to the National Health Services\' goal of reducing its carbon footprint. There is a collective desire for the platform to continue with future recommendations including expanding its use and exploring additional audit metrics.
摘要：
背景：为了应对COVID-19大流行，医疗机构内的面对面咨询被暂停.远程咨询对于管理肌肉骨骼疾病以及患者发起的随访至关重要，导致在大型国家卫生服务社区信托基金中开发DiAL计划。以前的研究集中在定量数据上，对该计划的员工经验知之甚少。
目的：为了探索使用DiAL的理疗人员的看法和意见，为了突出这项服务的好处和挑战，确定未来发展的领域。
方法：定性焦点小组。
方法：通过微软团队进行了两个虚拟焦点小组，涉及已知使用DiAL的肌肉骨骼服务中的物理治疗人员的目的样本。进行了专题分析。
结果：10名临床医生参与了这项研究，产生两个主要主题：临床医师自治和机构需求。这些主题包括几个次主题。
结论：临床医生报告了更高的工作满意度和改善患者的可及性，将这些积极成果归因于平台提供的自主性和灵活性。虽然该计划达到了国家卫生服务对患者发起的随访目标，人们渴望不断改进，并认识到以前的审计未能抓住所有的好处。DiAL作为一种治疗选择，支持远程咨询优势的证据，并有助于国家卫生服务减少碳足迹的目标。该平台集体希望继续提出未来的建议，包括扩大其使用范围和探索其他审计指标。
目的：为了探索使用DiAL的理疗人员的看法和意见，为了突出这项服务的好处和挑战，确定未来发展的领域。
方法：定性焦点小组。
方法：通过微软团队进行了两个虚拟焦点小组，涉及已知使用DiAL的肌肉骨骼服务中的物理治疗人员的目的样本。进行了专题分析。
结果：10名临床医生参与了这项研究，产生两个主要主题：临床医师自治和机构需求。这些主题包括几个次主题。
结论：临床医生报告了更高的工作满意度和改善患者的可及性，将这些积极成果归因于平台提供的自主性和灵活性。虽然该计划达到了国家卫生服务对患者发起的随访目标，人们渴望不断改进，并认识到以前的审计未能抓住所有的好处。DiAL作为一种治疗选择，支持远程咨询优势的证据，并有助于国家卫生服务减少碳足迹的目标。该平台集体希望继续提出未来的建议，包括扩大其使用范围和探索其他审计指标。
