Escape to the future: a qualitative study of physicians' views on the work environment, education, and support in a digital context

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Hägglund, Maria,Lektor,1975-Uppsala University,Karolinska Institute,Uppsala universitet,E-hälsa och hälsodata,Uppsala University Hospital, Uppsala, Sweden; Health Informatics Center, Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, Sweden (författare)

Escape to the future : a qualitative study of physicians' views on the work environment, education, and support in a digital context

Artikel/kapitelEngelska2023

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BioMed Central (BMC),2023
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LIBRIS-ID:oai:DiVA.org:uu-514656
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-514656URI
https://doi.org/10.1186/s12911-023-02337-7DOI
https://lup.lub.lu.se/record/b812a9ba-5760-45c9-b76e-8973f4031f55URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:154150412URI

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Språk:engelska
Sammanfattning på:engelska

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BackgroundThe use of remote services such as video consultations (VCs) has increased significantly in the wake of the COVID-19 pandemic. In Sweden, private healthcare providers offering VCs have grown substantially since 2016 and have been controversial. Few studies have focused on physicians’ experiences providing care in this context. Our aim was to study physicians’ experiences of VCs, focusing on the work environment, quality of care, and educational needs.MethodsTwenty-two semi-structured interviews were performed with physicians working with VCs in Sweden, and analyzed through inductive content analysis.ResultsWe identified five categories; flexibility, social work environment, impact on care and society, continuous learning and career development, and organizational support. Flexibility and accessibility were considered positive features of working digitally by giving physicians control over their time and workplace and increasing patients’ timely access to healthcare. Regarding collegial contact and social activities in a digital context, the majority of the participants did not experience any significant difference compared to the physical context. Access to technical support services, educational support, and collegial support in decision-making, guidance, and consultations were described as well-functioning. Satisfied patients positively impacted the work environment, and participants felt that VCs have a positive socio-economic effect. Continuity of care was considered supported, but patients did not always prioritize this. Privacy risks were considered a challenge, as were poor development of clinical skills due to the low variation of patient cases. Working for an online healthcare provider was contributing to career advancements for junior clinicians.ConclusionsPhysicians appreciate the flexibility of the digital context and seem satisfied with a work environment where they have a high level of control, but few consider this a full-time career option. The pandemic year 2020 has led to a significant increase in the implementation of VCs in traditional care systems. How this affects the work environment and continuous education needs and career development remains to be seen.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap Övrig annan medicin och hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences Other Medical and Health Sciences not elsewhere specified hsv//eng
SAMHÄLLSVETENSKAP Annan samhällsvetenskap Arbetslivsstudier hsv//swe
SOCIAL SCIENCES Other Social Sciences Work Sciences hsv//eng
Video consultations
Telemedicine
Work environment
eHealth
Medical Informatics
Medicinsk informatik
eHealth
Telemedicine
Video consultations
Work environment

Biuppslag (personer, institutioner, konferenser, titlar ...)

Ekwall, Anna KristenssonLund University,Lunds universitet,Barns och familjers hälsa,Forskargrupper vid Lunds universitet,Child and Family Health,Lund University Research Groups(Swepub:lu)cvv-aek (författare)
Davoody, NadiaKarolinska Institutet,Karolinska Institute (författare)
Farrokhnia, NasimKarolinska Institute (författare)
Uppsala universitetE-hälsa och hälsodata (creator_code:org_t)

Sammanhörande titlar

Ingår i:BMC Medical Informatics and Decision Making: BioMed Central (BMC)23:11472-6947

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Av författaren/redakt...: Hägglund, Maria, ...; Ekwall, Anna Kri ...; Davoody, Nadia; Farrokhnia, Nasi ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Hälso och sjukvå ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Annan medicin oc ...; och Övrig annan medi ...

SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Annan samhällsve ...; och Arbetslivsstudie ...

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Av lärosätet: Uppsala universitet; Lunds universitet; Karolinska Institutet

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