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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Using information and communication technologies to consult with patients in Victorian primary care: the views of general practitioners

Lisa Hanna A C and Karen Fairhurst B
+ Author Affiliations
- Author Affiliations

A School of Health and Social Development, Deakin University, Melbourne, Vic. 3125, Australia.

B Centre for Population Health Sciences (General Practice Section), University of Edinburgh, Edinburgh, Scotland.

C Corresponding author. Email: lisa.hanna@deakin.edu.au

Australian Journal of Primary Health 19(2) 166-170 https://doi.org/10.1071/PY11153
Submitted: 8 December 2011  Accepted: 28 March 2012   Published: 2 May 2012

Abstract

Information and communication technologies such as email, text messaging and video messaging are commonly used by the general population. However, international research has shown that they are not used routinely by GPs to communicate or consult with patients. Investigating Victorian GPs’ perceptions of doing so is timely given Australia’s new National Broadband Network, which may facilitate web-based modes of doctor−patient interaction. This study therefore aimed to explore Victorian GPs’ experiences of, and attitudes toward, using information and communication technologies to consult with patients. Qualitative telephone interviews were carried out with a maximum variation sample of 36 GPs from across Victoria. GPs reported a range of perspectives on using new consultation technologies within their practice. Common concerns included medico-legal and remuneration issues and perceived patient information technology literacy. Policy makers should incorporate GPs’ perspectives into primary care service delivery planning to promote the effective use of information and communication technologies in improving accessibility and quality of general practice care.

Additional keywords: general practice, primary health care, qualitative research.


References

Adaji A, Schattner P, Jones K (2008) The use of information technology to enhance diabetes management in primary care: a literature review. Informatics in Primary Care 16, 229–237.

Australian Bureau of Statistics (2009) Household use of information technology, Australia, 2008–9. ABS catalogue no. 8146.0. Commonwealth of Australia, Canberra.

Australian Bureau of Statistics (2011) Household use of information technology, Australia, 2010–11. ABS catalogue no. 8146.0. Commonwealth of Australia, Canberra.

Australian Government Department of Broadband, Communications and the Digital Economy (2011) ‘National Broadband Network.’ Available at http://www.dbcde.gov.au/broadband/national_broadband_network [Verified 28 November 2011]

Australian Government Department of Health and Ageing (2009) Primary health care reform in Australia: report to support Australia’s first national primary health care strategy. Commonwealth of Australia, Canberra.

Australian Government Department of Health and Ageing (2011) ‘Telehealth − modernising Medicare by providing rebates for online consultations.’ Available at http://www.mbsonline.gov.au/telehealth [Verified 28 November 2011]

Car J, Sheikh A (2004a) Email consultations in health care: 1 − scope and effectiveness. BMJ (Clinical Research Ed.) 329, 435–438.
Email consultations in health care: 1 − scope and effectiveness.Crossref | GoogleScholarGoogle Scholar |

Car J, Sheikh A (2004b) Email consultations in health care: 2 − acceptability and safe application. BMJ (Clinical Research Ed.) 329, 439–442.
Email consultations in health care: 2 − acceptability and safe application.Crossref | GoogleScholarGoogle Scholar |

Clark RA, Yallop JJ, Piterman L, Croucher J, Tonkin A, Stewart S, Krum H (2007) Adherence, adaptation and acceptance of elderly chronic heart failure patients to receiving healthcare via telephone-monitoring. European Journal of Heart Failure 9, 1104–1111.
Adherence, adaptation and acceptance of elderly chronic heart failure patients to receiving healthcare via telephone-monitoring.Crossref | GoogleScholarGoogle Scholar |

Davis K, McEvoy Doty MM, Shea K, Stremikis K (2009) Health information technology and physician perceptions of quality of care and satisfaction. Health Policy 90, 239–246.
Health information technology and physician perceptions of quality of care and satisfaction.Crossref | GoogleScholarGoogle Scholar |

Esterberg KG (2002) ‘Qualitative methods in social research.’ (McGraw Hill: Boston)

Fairhurst K, May C, Hanna L (2008) Non face to face consultations in primary care: professionals’ experiences, interests and concerns. Scottish Government Health Directorates Chief Scientist Office, Edinburgh.

Goodyear-Smith F, Wearn A, Everts H, Huggard P, Halliwell J (2005) Pandora’s electronic box: GPs reflect upon email communication with their patients. Informatics in Primary Care 13, 195–202.

Hanna L, May C, Fairhurst K (2011a) The place of information and communication technology-mediated consultations in primary care: GPs’ perspectives. Family Practice
The place of information and communication technology-mediated consultations in primary care: GPs’ perspectives.Crossref | GoogleScholarGoogle Scholar |

Hanna L, May C, Fairhurst K (2011b) Non-face-to-face consultations and communications in primary care: the role and perspective of general practice managers in Scotland. Informatics in Primary Care 19, 17–24.

Hendy J, Fulop N, Reeves BC, Hutchings A, Collin S (2007) Implementing the NHS information technology programme: qualitative study of progress in acute trusts. BMJ (Clinical Research Ed.) 334, 1360–1364.
Implementing the NHS information technology programme: qualitative study of progress in acute trusts.Crossref | GoogleScholarGoogle Scholar |

Howard J, Friend D, Parker T, Streker G (2010) Use of SMS to support parents who experience violence from their adolescents. Australian Journal of Primary Health 16, 187–191.
Use of SMS to support parents who experience violence from their adolescents.Crossref | GoogleScholarGoogle Scholar |

King G, Heaney DJ, Boddy D, O’Donnell CA, Clark JS, Maria FS (2011) Exploring public perspectives on e-health: findings from two citizen juries. Health Expectations 14, 351–360.
Exploring public perspectives on e-health: findings from two citizen juries.Crossref | GoogleScholarGoogle Scholar |

Neville R, Marsden W, McCowan C, Pagliari C, Mullen H, Fannin A (2004) Email consultations in general practice. Informatics in Primary Care 12, 207–214.

Neville RG, Reed C, Boswell B, Sergeant P, Sullivan T, Sullivan FM (2008) Early experience of the use of short message service (SMS) technology in routine clinical care. Informatics in Primary Care 16, 203–211.

Primary Health Victorian Government Department of Human Services (2009) Primary health care in Victoria: a discussion paper. Primary Health Victorian Government Department of Human Services, Melbourne.

Richards H, King G, Reid M, Selvaraj S, McNicol I, Brebner E, Godden D (2005) Remote working: survey of attitudes to eHealth of doctors and nurses in rural general practices in the United Kingdom. Family Practice 22, 2–7.
Remote working: survey of attitudes to eHealth of doctors and nurses in rural general practices in the United Kingdom.Crossref | GoogleScholarGoogle Scholar |

Sandelowski M (2000) Whatever happened to qualitative description? Research in Nursing & Health 23, 334–340.
Whatever happened to qualitative description?Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3cvhsFCmtw%3D%3D&md5=4c098a260f6393994437c75ba597642fCAS |

Schattner P, Pleteshner C, Bhend H, Brouns J (2007) Guidelines for computer security in general practice. Informatics in Primary Care 15, 73–82.

Schoen C, Osborn R, Doty MM, Squires D, Peugh J, Applebaum S (2009) A survey of primary care physicians in 11 countries, 2009: perspectives on care, costs and experiences. Health Affairs Web Exclusive, Nov. 5, w1171–w1183.

Usher W (2011) Developing policies for e-health: use of online health information by Australian health professionals and their patients. Health Information Management Journal 40, 15–22.

Usher WT (2012) Australian health professionals’ social media (Web 2.0) adoption trends: early 21st century health care delivery and practice promotion. Australian Journal of Primary Health 18, 31–41.
Australian health professionals’ social media (Web 2.0) adoption trends: early 21st century health care delivery and practice promotion.Crossref | GoogleScholarGoogle Scholar |

Walker J, Hill R, Green L (2000) Tassie’s tele-riffic telehealth network: linking primary health care services for better rural health outcomes. Australian Journal of Primary Health 6, 108–117.
Tassie’s tele-riffic telehealth network: linking primary health care services for better rural health outcomes.Crossref | GoogleScholarGoogle Scholar |