Scaling up the use of remote video consultations: supporting a socio-technical systems approach to implementation and evaluation
The use of video as a method of consultation between clinician and patient has been gaining ground in recent years in the UK, and elsewhere, as part of national digital health strategies. The COVID-19 pandemic has further led to a major push to rapidly introduce this service model. However, video consultations fundamentally change the nature of outpatient care. This includes operational and cultural challenges, such as the need to develop new ways of organizing clinical and administrative work and train and support both staff and patients in technology use.
This DPhil project will involve the use of mixed-methods to inform the implementation of video consultations within 2-3 clinical services, with the aim of a) producing a rich and detailed understanding of the ways in which video technology can become successfully introduced, supported and routinized in a way that is acceptable and empowering for patients, and b) exploring the implications for the development of an implementation and evaluation framework for remote video consultations. The project will be will be conducted with services in one of 14 Scottish Health Boards, in collaboration with the Technology Enabled Care (TEC) team in Scotland.
This DPhil student will be based within the Interdisciplinary Research in Health Sciences (IRIHS) unit, supervised by Prof Trisha Greenhalgh (primary supervisor), Dr Chrysanthi Papoutsi and Dr Joe Wherton. IRIHS undertakes mixed-methods research and teaching in fields related to improvements in clinical practice, organisation and delivery of health services, health policy translational science, digital health and patient experience. This includes a broad range of research programmes to inform the design, distribution, installation and support of technology-supported services in health and social care. Of particular relevance to this DPhil is an ongoing programme of work on the implementation, spread and scale up of remote video consultations.
This studentship will be 3-years FTE funded, through the THIS Institute fellowship programme.