Digital Consultations During COVID-19: A Multiperspective Mixed-Methods Study in an Integrative Medicine Setting in Switzerland
JournalJournal of Alternative and Complementary Medicine (New York, N.Y.)
PublisherMary Ann Liebert Inc.
MetadataShow full item record
AbstractObjective: We evaluated digital consultations at a University Hospital in Switzerland within an integrative medicine outpatient setting. Patients' and treatment providers' (physicians and therapists) evaluated digital conversation-based consultations as well as the digital delivery of practical exercises. Methods: Digital consultations between March 15, 2020 and April 30, 2020 were identified. Between June and July 2020, patients and treatment providers completed online questionnaires addressing challenges and advantages of their digital consultations. Both groups documented their satisfaction and working alliance (Working Alliance Inventory). In addition, semistructured qualitative interviews with treatment providers were conducted. Findings: A total of 82 online surveys (response rate 47%) about the digital consultations were available for analyses, with 60 patients correctly identifying at least one treatment provider, and 9 interviews were performed. Patients and treatment providers overall evaluated the new setting of digital consultation as feasible and an efficient consultation format. Interestingly, the working alliance was rated as good. Technical problems were mentioned as the main challenge and the delivery of practical exercises in digital consultations was seen more challenging than having digital conversation-based consultations. Conclusion: Digital consultations were established with overall positive evaluations and with a good working alliance between patients and providers. For the delivery of practical exercises it might be required to develop more innovative digital settings to overcome shortcomings of the digital format. Hybrid settings that combine the best of both settings could be a good option for future in postpandemic times.
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/16260
- System-Wide Accelerated Implementation of Telemedicine in Response to COVID-19: Mixed Methods Evaluation.
- Authors: Garcia-Huidobro D, Rivera S, Valderrama Chang S, Bravo P, Capurro D
- Issue date: 2020 Oct 6
- Patient and clinician experience with a rapidly implemented large-scale video consultation program during COVID-19.
- Authors: Barkai G, Gadot M, Amir H, Menashe M, Shvimer-Rothschild L, Zimlichman E
- Issue date: 2021 Feb 20
- Characteristics of Online Health Care Services From China's Largest Online Medical Platform: Cross-sectional Survey Study.
- Authors: Jiang X, Xie H, Tang R, Du Y, Li T, Gao J, Xu X, Jiang S, Zhao T, Zhao W, Sun X, Hu G, Wu D, Xie G
- Issue date: 2021 Apr 15
- Rapid Transition to Telehealth and the Digital Divide: Implications for Primary Care Access and Equity in a Post-COVID Era.
- Authors: Chang JE, Lai AY, Gupta A, Nguyen AM, Berry CA, Shelley DR
- Issue date: 2021 Jun
- Integrative Oncology Consultations Delivered via Telehealth in 2020 and In-Person in 2019: Paradigm Shift During the COVID-19 World Pandemic.
- Authors: Narayanan S, Lopez G, Powers-James C, Fellman BM, Chunduru A, Li Y, Bruera E, Cohen L
- Issue date: 2021 Jan-Dec