在COVID-19大流行之后,视频咨询在世界许多国家的一般实践中被引入,作为向患者提供远程医疗保健的解决方案。据推测,视频咨询将在COVID-19后的一般实践中得到广泛采用。然而,北欧各国的采用率仍然很低,这表明全科医生和其他执业人员之间存在使用它的障碍。在这个观点中,我们采取比较的方法,反思5个北欧国家的视频咨询实施条件的异同\'一般实践设置可能对其在一般实践中的使用造成障碍。我们在2022年5月的跨学科研讨会上召集了来自5个北欧国家的研究人员和临床医生,他们在一般实践中拥有数字护理专业知识。这种观点是从那次研讨会的对话中产生的。我们已经反思了我们国家在一般实践环境中的障碍,例如缺乏对全科医生的技术和资金支持,我们认为这对未来几年采用视频咨询至关重要。此外,有必要进一步调查文化因素的贡献,比如职业规范和价值观,收养。这一观点可以为政策工作提供信息,以确保将来可以达到可持续的视频咨询使用水平,这反映了一般实践设置的现实,而不是政策乐观。
In the wake of the COVID-19 pandemic, video consultation was introduced in general practice in many countries around the world as a solution to provide remote health care to patients. It was assumed that video consultation would find widespread adoption in post-COVID-19 general practice. However, adoption rates remain low across countries in Northern Europe, suggesting that barriers to its use exist among general practitioners and other practice staff. In this
viewpoint, we take a comparative approach, reflecting on similarities and differences in implementation conditions of video consultations in 5 Northern European countries\' general practice settings that might have created barriers to its use within general practice. We convened at a cross-disciplinary seminar in May 2022 with researchers and clinicians from 5 Northern European countries with expertise in digital care in general practice, and this
viewpoint emerged out of dialogues from that seminar. We have reflected on barriers across general practice settings in our countries, such as lacking technological and financial support for general practitioners, that we feel are critical for adoption of video consultation in the coming years. Furthermore, there is a need to further investigate the contribution of cultural elements, such as professional norms and values, to adoption. This
viewpoint may inform policy work to ensure that a sustainable level of video consultation use can be reached in the future, one that reflects the reality of general practice settings rather than policy optimism.