Telehealth – A General Practitioner’s Point of View
03 Dec 2013
Following the introduction of Medicare incentives to conduct video consultations in a General Practice setting, in July 2011 the Stirk Medical Group carried out over 350 video consultations with their patients and a remote specialist. During these consultations, the patients were supported by a local clinician, with this role often being performed by the patient’s usual GP.
A simple patient feedback survey was performed following the video consultation to assess patient satisfaction with the process and to highlight potential problems and issues from a patient’s perspective. High levels of patient satisfaction were found in the analysis of the survey results. Patients particularly appreciated being supported by their local GP and having the consultation in a familiar environment they felt comfortable in.
Anecdotally, the support clinicians assisting the patients in their video consultation also found the process educational and useful for managing the care of their patients.
The Stirk Medical Group made a conscious decision to have the video consultation technology contained within a standalone unit. This unit comprised an entry level desktop box, high definition screen, wireless internet connectivity and reasonable quality audio equipment. The total financial outlay for such a unit would have been less than $2,500.
The practice ensured that a quality broadband wireless router was used to optimise signal strength throughout the surgery. This fully independent unit was able to be wheeled into the consulting room during the video consultation and the support clinician was able to access patient clinical records via the normal desktop clinical software, without concerns that the technology would have an impact on the function of the clinical software.
By having a fully independent unit, security and privacy concerns were addressed as any potential hacking of the session (a relatively small risk in my opinion) could not access any clinical records.
Despite some initial reservations that the predominantly elderly patients might find a video consultation uncomfortable, the very positive results we have had as a practice have left me in no doubt that this is an important adjunct to services that we can offer in General Practice.
Video consultations will not replace the gold standard of a face to face consultation, but they do have an important place in the provision of quality health care to patients.
Dr Michael Civil is a rural GP, Medical Director at Stirk Medical Group and a Member of MDA National.
Doctors Let's Talk: Get Yourself A Fricking GP
Get yourself a fricking GP stat! is a conversation with Dr Lam, 2019 RACGP National General Practitioner of the Year, rural GP and GP Anesthetics trainee, that explores the importance of finding your own GP as a Junior Doctor.
25 Oct 2022
Systematic efforts to reduce harms due to prescribed opioids – webinar recording
Efforts are underway across the healthcare system to reduce harms caused by pharmaceutical opioids. This 43-min recording of a live webinar, delivered 11 March 2021, is an opportunity for prescribers to check, and potentially improve, their contribution to these endeavours. Hear from an expert panel about recent opioid reforms by the Therapeutic Goods Administration and changes to the Pharmaceutical Benefits Scheme.
14 May 2021
Diplomacy in a hierarchy: tips for approaching a difficult conversation
Have you found yourself wondering how to broach a tough topic of conversation? It can be challenging to effectively navigate a disagreement with a co-worker, especially if they're 'above' you; however, it's vital for positive team dynamics and safe patient care. In this recording of a live webinar you'll have the opportunity to learn from colleagues' experiences around difficult discussions and hear from a diverse panel moderated by Dr Kiely Kim (medico-legal adviser and general practitioner). Recorded live on 2 September 2020.
05 Oct 2020
