Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/27199
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Evaluation of a Digital Consultation and Self-Care Advice Tool in Primary Care: A Multi-Methods Study
Author(s): Cowie, Julie
Calveley, Eileen
Bowers, Gillian
Bowers, John
Contact Email: julie.cowie@stir.ac.uk
Keywords: digital health
primary care
self-management
implementation
Issue Date: 2-May-2018
Citation: Cowie J, Calveley E, Bowers G & Bowers J (2018) Evaluation of a Digital Consultation and Self-Care Advice Tool in Primary Care: A Multi-Methods Study. International Journal of Environmental Research and Public Health, 15 (5), Art. No.: 896. https://doi.org/10.3390/ijerph15050896
Abstract: Digital services are often regarded as a solution to the growing demands on primary care services. Provision of a tool offering advice to support self-management as well as the ability to digitally consult with a General Practitioner (GP) has the potential to alleviate some of the pressure on primary care. This paper reports on a Phase II, 6-month evaluation of eConsult, a web-based triage and consultation system that was piloted across 11 GP practices across Scotland. Through a multi-method approach the evaluation explored eConsult use across practices, exposing both barriers and facilitators to its adoption. Findings suggest that expectations that eConsult would offer an additional and alternative method of accessing GP services were largely met. However, there is less certainty that it has fulfilled expectations of promoting self-help. In addition, low uptake meant that evaluation of current effectiveness was difficult for practices to quantify. The presence of an eConsult champion(s) within the practice was seen to be a significant factor in ensuring successful integration of the tool. A lack of patient and staff engagement, insufficient support and lack of protocols around processes were seen as barriers to its success.
DOI Link: 10.3390/ijerph15050896
Rights: © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

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