Evidence map›Paper›PMID 38602749›Full record

ArticleJMIR research protocols2024

Preference-Based Implementation of Video Consultations in Urban and Rural Regions in Outpatient Care in Germany: Protocol for a Mixed Methods Study.

Lara Kleinschmidt, Anke Walendzik, Jürgen Wasem, Klemens Höfer, Beatrice Nauendorf, Matthias Brittner, Paul Brandenburg, André Aeustergerling, Udo Schneider, Anja Wadeck and 5 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lara KleinschmidtInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0009-0003-5917-0995
Anke WalendzikInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0001-9687-7525
Jürgen WasemInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0001-9653-168X
Klemens HöferInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0009-0009-5028-9184
Beatrice NauendorfKassenärztliche Vereinigung Berlin, Berlin, Germany.ORCID https://orcid.org/0009-0000-2380-2522
Matthias BrittnerKassenärztliche Vereinigung Westfalen-Lippe, Dortmund, Germany.ORCID https://orcid.org/0009-0005-7829-6387
Paul BrandenburgKassenärztliche Vereinigung Schleswig-Holstein, Bad Segeberg, Germany.ORCID https://orcid.org/0009-0005-7613-2493
André AeustergerlingKassenärztliche Vereinigung Mecklenburg-Vorpommern, Schwerin, Germany.ORCID https://orcid.org/0009-0005-9655-6138
Udo SchneiderTechniker Krankenkasse, Hamburg, Germany.ORCID https://orcid.org/0000-0001-7079-4721
Anja WadeckTechniker Krankenkasse, Hamburg, Germany.ORCID https://orcid.org/0009-0002-8204-2038
Stephanie SehlenAOK Nordost, Potsdam, Germany.ORCID https://orcid.org/0009-0005-9240-7047
Sebastian LierschAOK Nordost, Potsdam, Germany.ORCID https://orcid.org/0000-0002-8613-4434
Katharina SchwarzeAOK NordWest, Dortmund, Germany.ORCID https://orcid.org/0000-0003-0321-8673
Carsten SchwenkeSCO:SSiS, Minden, Germany.ORCID https://orcid.org/0000-0002-2501-7410
Theresa HüerInstitute for Health Care Management and Research, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0009-0008-7628-5707

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParticularly in rural regions, factors such as lower physician density and long travel distances complicate adequate outpatient care. However, urban regions can also be affected by deficits in care, for example, long waiting times. One model of care intending to improve the situation is the implementation of video consultations. The study protocol presents the methodology of the research project titled "Preference-based implementation of the video consultation in urban and rural regions" funded by the German Federal Joint Committee (funding number 01VSF20011).

objectiveThis study aims to identify existing barriers to the use of video consultation and the preferences of insured individuals and physicians as well as psychotherapists in order to optimize its design and thus increase acceptance and use of video consultations in urban and rural regions.

methodsBuilt on a mixed methods approach, this study first assesses the status quo of video consultation use through claims data analysis and carries out a systematic literature review on barriers and promoting factors for the use of video consultations. Based on this preliminary work, focus groups are conducted in order to prepare surveys with insureds as well as physicians and psychotherapists in the second study phase. The central element of the survey is the implementation of discrete choice experiments to elicit relevant preferences of (potential) user groups and service providers. The summarized findings are discussed in a stakeholder workshop and translated into health policy recommendations.

resultsThe methodological approach used in this study is the focus of this paper. The study is still ongoing and will continue until March 2024. The first study phase has already been completed, in which preliminary work has been done on potential applications and hurdles for the use of video consultations. Currently, the survey is being conducted and analyses are being prepared.

conclusionsThis study is intended to develop a targeted strategy for health policy makers based on actual preferences and perceived obstacles to the use of video consultations. The results of this study will contribute to further user-oriented development of the implementation of video consultations in German statutory health insurance. Furthermore, the iterative and mixed methods approach used in this study protocol is also suitable for a variety of other research projects. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/50932.

Indexed as

discrete choice experimente-consultationimplementationoutpatientpreference elicitationpreferencesremoterural areastrategystudy protocolteleconsultationtelemedicinevideo consultation

Identifiers

PMID38602749
PMCPMC11046389

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.