Document Type
Journal Article
Publication Title
Digital Health
Volume
9
Publisher
SAGE
School
School of Medical and Health Sciences / Centre for Precision Health
RAS ID
58275
Funders
New South Wales Health Early-Mid Career Fellowship / National Health and Medical Research Council / UK National Institute for Health Research School of Primary Care Research
Grant Number
NHMRC Numbers : APP1134919, 1170937
Abstract
Objective: To analyse general practitioner–patient consultations about type 2 diabetes mellitus or cardiovascular diseases and describe (i) the nature of self-management discussions; (ii) actions required from patients during and after consultation regarding self-management; and (iii) implications for digital health to support patients during (and after) consultation. Method: This study screened 281 general practitioner consultations conducted in 2017 within the UK general practice setting from an existing dataset containing videos and transcripts of consultations between GPs and patients. Secondary analysis was conducted using a multi-method approach, including descriptive, content, and visualisation analysis, to inform the nature of self-management discussions, what actions are required from patients, and whether digital technology was mentioned during the consultation to support self-management. Results: Analysis of eligible 19 consultations revealed a discord between what self-management actions are required of patients during and after consultations. Lifestyle discussions are often discussed in depth, but these discussions rely heavily on subjective inquiry and recall. Some patients in these cohorts are overwhelmed by self-management, to the detriment of their personal health. Digital support for self-management was not a major topic of discussion, however, we identified a number of emergent gaps where digital technology can support self-management concerns. Conclusion: There is potential for digital technology to reconcile what actions are required of patients during and after consultations. Furthermore, a number of emergent themes around self-management have implications for digitalisation.
DOI
10.1177/20552076231176162
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Comments
Rohilla, U., Ramarao, J. P., Land, J., Khatri, N. N., Smith, J., Yin, K., & Lau, A. Y. S. (2023). How general practitioners and patients discuss type 2 diabetes mellitus and cardiovascular diseases concerns during consultations: Implications for digital health. Digital Health, 9.
https://doi.org/10.1177/20552076231176162