Exploring the intersection of Technology & Medicine | Ethics, Bias, Safety | Educational account only. Not medical advice | #MedEd #MedicalEthics
Open remote profile ↗"From talk to text: Extending the arc of doctor patient communication research to real-time visit documentation" highlights EHR-related distractions and documentation risks, and the Four Habits of Highly Effective Clinicians as a framework for better communication. #EHR #PatientCommunication https://doi.org/10.1016/j.pec.2026.109519
"How is primary care access changing? A retrospective, repeated cross-sectional study of patient-initiated demand at general practices in England using a modern access model, 2019–2022" analyzes 10M+ primary care requests in England. Digital access grew while multimodal triage supported patient-centered care. #DigitalHealth #Telemedicine #PrimaryCare https://bmjopen.bmj.com/content/13/8/e072944
BMJ OpenHow is primary care access changing? A retrospective, repeated cross-sectional study of patient-initiated demand at general practices in England using a modern access model, 2019–2Objectives To explore trends in patient-initiated requests for general practice services and the association between patient characteristics including demographics, preferences for care and clinical needs and modes of patient contact (online vs telephone), and care delivery (face-to-face vs remote) at practices using a modern access model.
Design Retrospective repeated cross-sectional study spann
"Access systems in general practice: a systematic scoping review" reviews 49 studies on GP access models. Findings show that digital consultations, telephone triage and scheduling approaches mainly target demand management, while patient outcomes and equity remain underexplored. #PrimaryCare #DigitalHealth #HealthAccess https://bjgp.org/content/74/747/e674
British Journal of General PracticeAccess systems in general practice: a systematic scoping reviewBackground Access to GP appointments is increasingly challenging in many high-income countries, with an overstretched workforce and rising demand. Various access systems have been developed and evaluated internationally.
Aim To systematically consolidate the current international evidence base related to different types of GP access systems.
Design and setting Scoping review examining internatio
Asynchronous telemedicine can support diagnosis, prescribing and timely primary care access. Challenges include workload, workflow integration, safety and equity issues. #Telemedicine #DigitalHealth #PrimaryCare https://bjgpopen.org/content/8/1/BJGPO.2023.0177
BJGP OpenEffectiveness and safety of asynchronous telemedicine consultations in general practice: a systematic reviewBackground There is a focus on increasing asynchronous telemedicine use, which allows medical data to be transmitted, stored, and interpreted later; however, limited evidence of the quality of care it allows in general practice hinders its use.
Aim To investigate uses and effectiveness of asynchronous telemedicine in general practice, according to the domains of healthcare quality, and describe h
Digital and telephone access channels are used unevenly across patient groups, highlighting the need to address #DigitalHealth inequalities in #PrimaryCare. https://doi.org/10.3399/BJGPO.2020.0179
"What helps patients access web-based services in primary care? Free-text analysis of patient responses to the Di-Facto questionnaire" identifies barriers and facilitators for digital primary care access, highlighting usability, trust, support and hybrid care models. #eHealth #DigitalHealth https://link.springer.com/article/10.1186/s12875-023-02257-5
SpringerLinkWhat helps patients access web-based services in primary care? Free-text analysis of patient responses to the Di-Facto questionnaire - BMC Primary CareBackground The National Health Service (NHS) and general practice are increasingly adopting digital services. These services can impact both positively and negatively upon patient experiences, and access to digital services is not equal amongst all groups. Within a wider project examining digital facilitation (the Di-Facto study) our team conducted a patient survey amongst English primary care pra
Digital facilitation in primary care is often reactive and passive. Clear responsibilities, staff training and targeted support are needed to improve #DigitalHealth access and equity. #PrimaryCare https://humanfactors.jmir.org/2024/1/e52516
Digital support in primary care is often passive or ad hoc. More proactive support could improve access, especially for older patients. #DigitalHealth #PrimaryCare #eHealth https://www.jmir.org/2024/1/e56528
"Empowering Capabilities of People With Chronic Conditions Supported by Digital Health Technologies: Scoping Review" identifies 3 core capabilities: health knowledge, self-management, and emotional & social support. #DigitalHealth #PatientEmpowerment https://pmc.ncbi.nlm.nih.gov/articles/PMC12254712/
"Body Image and Eating Disorder Education Chatbot, JEM, in Australia and Canada: First 6-Month Real-World Survey Evaluation" reports high satisfaction and excellent usability, with short-term mood and body image changes. #DigitalHealth #MentalHealth #Chatbots https://humanfactors.jmir.org/2026/1/e90783/
"Guidelines for Patient-Centered Documentation in the Era of Open Notes: Qualitative Study" identifies 10 guidelines to reduce stigma, improve clarity and empower patients. #OpenNotes #PatientCenteredCare #HealthCommunication https://mededu.jmir.org/2025/1/e59301/
"The person-based development and realist evaluation of a pre-consultation form for GP consultations" found more issues disclosed and tailored support in selected GP consultations. #DigitalHealth #PrimaryCare https://doi.org/10.3310/nihropenres.13249.2