Cited by 866Telemedicine and Telehealth ImplementationHealthcare during COVID-19 PandemicHealthcare Systems and Challenges

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Video consultations for covid-19

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Greenhalgh, Trisha, Wherton, Joe, Shaw, Sara, Morrison, Clare·2020·BMJ

DOI 10.1136/bmj.m998

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An opportunity in a crisis?

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“However, clinician willingness and acceptance of telehealth, reimbursement, and organization of the current health care systems continue to be major barriers to increased implementation outside of the emergency department.(11,15) In the U.”
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Electronic Medical Record–Assisted Telephone Follow-Up of Breast Cancer Survivors During the COVID-19 Pandemic: A Single Institution Experience
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“Virtual patients are also becoming increasingly similar to clinical practice, as more consultations are being undertaken on the internet [22-25].”
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Health Care Professionals’ Experiences With the Use of Video Consultation: Qualitative Study
Christensen, N. P., Skou, K. E., & Danbjørg, D. B. (2021) · JMIR Formative Research · doi:10.2196/27094 · Cited by 15
“It is no longer possible to shake hands with your doctor, and it will be interesting to observe how this will affect the doctor-patient relationship in the long run [2].”
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Improving Humanization Skills through Simulation-Based Computers Using Simulated Nursing Video Consultations
Jiménez‐Rodríguez, D., Pérez-Heredia, M., Jurado, M. D. M. M., Fuentes, M. D. C. P., & Arrogante, Ó. (2021) · Healthcare · doi:10.3390/healthcare10010037 · Cited by 15
“Ensuring adequate network access and the correct functioning of virtual platforms could mitigate these potential problems [9,12].”
Background
Impact of COVID‐19 on digital practice in UK paediatric speech and language therapy and implications for the future: A national survey
Ansari, R., Loraine, E., & Gréaux, M. (2022) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.12750 · Cited by 15
“Organization case studies show that introducing effective sustained digital care is a complex change extending far beyond adopting new technology (Greenhalgh et al., 2020).”
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Management of neurological care during the COVID-19 pandemic
Matías-Guiu, J., Porta-Etessam, J., Valdés, E. L., García‐Morales, I., Guerrero-Sola, A., & Matias-Guiu, J. A. (2020) · Neurología (English Edition) · doi:10.1016/j.nrleng.2020.04.001 · Cited by 15
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Telephone consultations to manage paediatric outpatient clinics during the COVID-19 pandemic: a service evaluation
Edwards, L. M., & Parry, M. (2021) · Irish Journal of Medical Science (1971 -) · doi:10.1007/s11845-021-02672-6 · Cited by 13
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“…be an enduring catalyst for change to how the profession practices and workforce advancement into the future (Dantas, Barreto, and Ferreira, 2020; Greenhalgh, Wherton, Shaw, and Morrison, 2020; Malliaras et al., 2021; Merolli et al., 2021, 2022; Rossettini et al., 2021; World Confederation for…”
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“Information can be accessed easily using social media and others [13].”
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“Not only has access to transplantation been limited, but in order o shield patients from exposure in healthcare environments, linics have transitioned to videoconference and telephone elivery of pre- and post-transplant care [10,11].”
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Shining a light on an additional clinical burden: work-related digital communication survey study–COVID-19 impact on NHS staff wellbeing
Bakhai, A., McCauley, L., Stones, L., Khalil, S., Mehta, J., Price, N., Krishnamurthy, V., Parker, L. H. H., & Hughes, D. (2022) · Humanities and Social Sciences Communications · doi:10.1057/s41599-022-01427-7 · Cited by 10
“With increased remote consultations (Greenhalgh et al. 2020), work from home or non-patient facing sites, email traffic and phone calls increase in volume during COVID-19 is a trend likely to continue beyond the pandemic, as remote working becomes a mainstay of clinical delivery (Murphy et al.”
Background
Micro-Impact of the Pandemic by Covid-19 in the General Medicine: Clinical and Epidemiological Reflections from the Situation in Spain March 2020
Turabián, J. L. (2020) · Epidemiology International Journal · doi:10.23880/eij-16000141 · Cited by 10
Global Evidence on the Sustainability of Telemedicine in Outpatient and Primary Care During the First 2 Years of the COVID-19 Pandemic: Scoping Review Using the Nonadoption, Abandonment, Scale-Up, Spread, and Sustainability (NASSS) Framework
Valdes, D., Shanker, A., Hijazi, G., Mensah, D., Bockarie, T., Lazar, I., Ibrahim, S. A., Zolfagharinia, H., Procter, R., Spencer, R. A., et al. (2024) · Interactive Journal of Medical Research · doi:10.2196/45367 · Cited by 13
“…promise, as it rationalized human resources allowing national or international experts to relay advice to other clinicians [3]; in the United Kingdom, the pandemic was deemed a “burning platform” to propel the UK National Health Service (NHS) toward widespread adoption of video consultations [4].”
Technological devices in COVID-19 primary care management: the Italian experience
Bressy, S., & Zingarelli, E. M. (2020) · Family Practice · doi:10.1093/fampra/cmaa055 · Cited by 10
“(3) in the UK, Kidd (6) in Australia and John (7) in India, the use of telemedicine consultation and the help of technology, has allowed us to monitor in an efficient way our patients at home, reducing inappropriate hospitalization and referring them to a hospital only when necessary.”
Background
Undergraduate medical teaching with remote consultations in general practice: a realist evaluation
Al-bedaery, R., Chaudhry, U. A. R., Jones, M. M., Noble, L., & Ibison, J. (2022) · BJGP Open · doi:10.3399/bjgpo.2021.0185 · Cited by 10
Pharmacist and patient experiences of primary care during the COVID-19 pandemic: An interview study
Gleeson, L. L., Ludlow, A., Clyne, B., Ryan, B., Argent, R., Barlow, J. W., Mellon, L., Brún, A. D., Pate, M., Kirke, C., et al. (2022) · Exploratory Research in Clinical and Social Pharmacy · doi:10.1016/j.rcsop.2022.100193 · Cited by 10
“While these changes served an important and timely role in helping prevent spread of infection and supporting continuity of patient care, by their nature they reduced opportunities for traditional face-to-face interaction and informal communication between patients and healthcare professionals about safe medicines use…”
Background
Telepsychology in Europe since COVID-19: How to Foster Social Telepresence?
Haddouk, L., Milcent, C., Schneider, B., Daele, T. V., & Witte, N. A. J. D. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12062147 · Cited by 12
The patient with heart failure in the face of the coronavirus disease 2019 pandemic: an expert opinion of the Heart Failure Working Group of the Polish Cardiac Society
Kałużna‐Oleksy, M., Gackowski, A., Jankowska, E. A., Kukulski, T., Lelonek, M., Nessler, J. M., Pawlak, A., Rozentryt, P., Rubiś, P., Straburzyńska‐Migaj, E., et al. (2020) · Kardiologia Polska · doi:10.33963/kp.15359 · Cited by 10
Telehealth and hospital performance: Does it matter?
Zhao, M., Hamadi, H. Y., Xu, J., Haley, D. R., Park, S., & Williams, C. (2020) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x20932440 · Cited by 11
“For those who were not diagnosed with the COVID-19 virus, telemedicine allowed patients to be evaluated and diagnosed in a lower-risk environment and discourages these individuals from presenting in an on-site and at-risk provider environment.(40) In addition, we found that hospital offering three or more telehealth s…”
Background
Development and Operation of a Video Teleconsultation System Using Integrated Medical Equipment Gateway: a National Project for Workers in Underserved Areas
Park, H. S., Kim, K. I., Soh, J. Y., Hyun, Y. H., Lee, B. E., Lee, J. H., Jo, J. G., Lee, H. C., & Kim, H. S. (2020) · Journal of Medical Systems · doi:10.1007/s10916-020-01664-w · Cited by 12
“Due to the COVID-19 pandemic, medical care providers are currently focusing their attention on telemedicine, which avoids face-toface contact between doctors and patients, and allows patients to receive necessary treatment [12, 13].”
Background
Experiences of telehealth e-mentoring within postgraduate musculoskeletal physical therapy education in the UK and Canada: a protocol for parallel mixed-methods studies and cross-cultural comparison
Heneghan, N. R., Nazareth, M., Johnson, W. J., Tyros, I., Sadi, J., Gillis, H., & Rushton, A. B. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-042602 · Cited by 10
Initial Results and Patient Survey of Virtual Inpatient Ophthalmology Consultations During the COVID-19 Pandemic
Kalra, G., Commiskey, P. W., Schempf, T. A., Williams, A. M., Bowers, E. M. R., Waxman, E. L., & Fu, R. (2021) · Seminars in Ophthalmology · doi:10.1080/08820538.2021.1890144 · Cited by 10
Rethinking Home-based Outpatient Parenteral Antibiotic Therapy for Persons Who Inject Drugs: An Opportunity for Change in the Time of COVID-19
Jawa, R., Rozansky, H. A., Clemens, D., Fagan, M. A., & Walley, A. Y. (2021) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000856 · Cited by 10
“In response to the current COVID-19 pandemic, OPAT services have been adapted and enhanced by incorporating telemedicine visits and providing antibiotic treatment to patients in their own homes to limit unnecessary exposure and comply with public health recommendations.(8) Similarly, addiction specialists have adapted…”
Background
HEALTHCARE IN UKRAINE DURING THE EPIDEMIC: DIFFICULTIES, CHALLENGES AND SOLUTIONS
Іваць-Чабіна, А. Р., Korolchuk, O., Kachur, A. Y., & Smiianov, V. A. (2021) · Wiadomości Lekarskie · doi:10.36740/wlek202105139 · Cited by 10
Contextualising clinical reasoning within the clinical swallow evaluation: A scoping review and expert consultation
Pillay, T., & Pillay, M. (2021) · South African Journal of Communication Disorders · doi:10.4102/sajcd.v68i1.832 · Cited by 10
Guidance for Implementing Video Consultations in Danish General Practice: Rapid Cycle Coproduction Study
Paust, A., Christensen, L. D., Larsen, L. L., Christensen, N. P., Kofod, F. G., Guassora, A. D., Merrild, C. H., & Hvidt, E. A. (2021) · JMIR Formative Research · doi:10.2196/27323 · Cited by 11
“However, the implementation is likely to be a difficult and resource-intensive task that would require both national and local strategic leadership [50].”
Background
Experiencing the SARS-CoV-2 Pandemic Whilst Living With Cancer
Page, A., Broom, A. F., Kenny, K., Lwin, Z., Wakefield, C. E., Itchins, M., & Khasraw, M. (2022) · Qualitative Health Research · doi:10.1177/10497323211057082 · Cited by 10
‘Necessity is the mother of invention’: Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multi-national survey (CovPall)Preprint
Dunleavy, L., Preston, N. J., Bajwah, S., Bradshaw, A., Cripps, R., Fraser, L., Maddocks, M. M., Hocaoğlu, M., Murtagh, F. E., Oluyase, A. O., et al. (2020) · medRxiv · doi:10.1101/2020.10.29.20215996 · Cited by 10
Remote home visits: Exploring the concept and applications of remote home visits within health and social care settings
Jones, N. L., Read, J., Field, B., Fegan, C., Simpson, E., Revitt, C., Lanfranchi, V., & Ciranvenga, F. (2022) · British Journal of Occupational Therapy · doi:10.1177/03080226211000265 · Cited by 9
“The COVID-19 crisis was a catalyst for widespread implementation of video conferencing (Greenhalgh et al., 2020).”
BackgroundMethodInfluential
Remote provision of breastfeeding support and education: Systematic review and meta‐analysis
Gavine, A. J., Marshall, J. L., Buchanan, P., Cameron, J. E., Leger, A., Ross, S., Murad, A. A., & McFadden, A. (2021) · Maternal and Child Nutrition · doi:10.1111/mcn.13296 · Cited by 17
“Remote healthcare provision has the added advantage that healthcare staff who are self‐isolating but well, can contribute to service provision without putting themselves or their patients at risk (Greenhalgh et al., 2020).”
Background
Are Sustainable Health Workforces Possible? Issues and a Possible Remedy
Rees, G. H., James, R., Samadashvili, L., & Scotter, C. (2023) · Sustainability · doi:10.3390/su15043596 · Cited by 10
Management strategies for patients with autoimmune diseases during the COVID-19 pandemic: A perspective from China
Liu, Y. L., Chang, C. C.-C., & Lu, Q. (2020) · European Journal of Rheumatology · doi:10.5152/eurjrheum.2020.2056 · Cited by 9
“Social media apps or teleconsultation systems can be used to manage patients (7).”
Background
Attend anywhere clinic: A virtual outpatient clinic experience in otolaryngology during the COVID ‐19 pandemic
Puttasiddaiah, P. M., Morris, S. R., Dwamena, S., & Sanu, A. (2021) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.557 · Cited by 9
CHARACTERISTIC OF ORAL MEDICINE PATIENT USING TELEDENTISTRY DURING COVID-19 PANDEMIC
Amtha, R., Gunardi, I., Astoeti, T. E., & Roeslan, M. O. (2021) · ODONTO Dental Journal · doi:10.30659/odj.8.1.18-27 · Cited by 9
Staff experiences of training and delivery of remote home monitoring services for patients diagnosed with COVID-19 in England: A mixed-methods study
Sidhu, M. S., Walton, H., Crellin, N. E., Ellins, J., Herlitz, L., Litchfield, I. J., Massou, E., Tomini, S. M., Vindrola‐Padros, C., & Fulop, N. (2023) · Journal of Health Services Research & Policy · doi:10.1177/13558196231172586 · Cited by 9
Telephone follow-up of patients with cardiovascular implantable electronic devices during the coronavirus disease 2019 pandemic: early results
Paskudzka, D., Kołodzińska, A., Cacko, A., Stolarz, P., Łyżwiński, Ł., Opolski, G., & Grabowski, M. (2020) · Kardiologia Polska · doi:10.33963/kp.15392 · Cited by 9
Answering the Challenge of COVID-19 Pandemic Through Innovation and Ingenuity
Kelley, K. C., Kamler, J., Garg, M., & Stawicki, S. P. (2021) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-63761-3_48 · Cited by 9
Hand Trauma Virtual Clinics Prove Effective During the COVID-19 Pandemic
Popova, D., Young, K., Hobday, D., Welman, T. J. P., & Pahal, G. S. (2021) · Hand · doi:10.1177/15589447211017210 · Cited by 9
Health policy experts’ perspectives on implementing mental health specialist video consultations in routine primary care – a qualitative interview study
Tönnies, J., Oeljeklaus, L., Wensing, M., Hartmann, M., Friederich, H., & Haun, M. W. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06676-x · Cited by 10
Remote Health Monitoring in the Workplace for Early Detection of COVID-19 Cases during the COVID-19 Pandemic Using a Mobile Health Application: COVIDApp.
Echeverría, P., Puig, J., Ruiz, J. M., Herms, J., Sarquella, M., Clotet, B., & Negredo, E. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19010167 · Cited by 10
“However, different to our application, no epidemiological data have been yet published from these platforms [17,18].”
Background
Digital NHS Wales: a coding reliability analysis based on the voices of 22 978 patients and clinicians on the benefits, challenges and sustainability of video consulting
Johns, G., Whistance, B., Khalil, S. D. S., Whistance, M., Thomas, B., Ogonovsky, M., & Ahuja, A. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-057874 · Cited by 9
Young people talk about primary care and telehealth: A survey of 15‐ to 25‐year olds in the Wellington region of New Zealand
Garrett, S. M., Rose, S. B., & McKinlay, E. M. (2022) · Health & Social Care in the Community · doi:10.1111/hsc.14076 · Cited by 9
“Situations identified by young people for telehealth consulting are similar to suggested recommendations for use of video consultations (Greenhalgh et al., 2020) including for administrative appointments (scripts, results), medications reviews, triage and chronic disease reviews.”
Background
The remote neuro-otology assessment – managing dizziness in the coronavirus disease 2019 era
Murdin, L. J., Saman, Y., & Rea, P. A. (2020) · The Journal of Laryngology & Otology · doi:10.1017/s0022215120002273 · Cited by 9
Survey protocol for exploring video and phone use in Aotearoa New Zealand general practice: considerations for future telehealth
Day, K., Hunter, I. M., Rao, V., Russell, G., Roskvist, R. P., Moir, F., Gill, E., & van der Werf, B. (2021) · BMJ Health & Care Informatics · doi:10.1136/bmjhci-2020-100309 · Cited by 9
Medication safety incidents associated with the remote delivery of primary care: a rapid review
Gleeson, L. L., Clyne, B., Barlow, J. W., Ryan, B., Murphy, P., Wallace, E., De Brún, A., Mellon, L., Hanratty, M., Ennis, M., et al. (2022) · International Journal of Pharmacy Practice · doi:10.1093/ijpp/riac087 · Cited by 9
The consultation open and close study: A feasibility study of a complex intervention
Murphy, M., Scott, A., Wong, G., Walter, S., Hancock, J., Palmer, T., & Salisbury, C. (2022) · NIHR Open Research · doi:10.3310/nihropenres.13267.1 · Cited by 9

Authors: Greenhalgh, T., Wherton, J., Shaw, S., & Morrison, C.
Affiliations: University of Oxford (GB)
Scottish Government (GB)
ORCID: Greenhalgh, Trisha
Shaw, Sara
Venue: BMJ
Publisher: BMJ
Published: 2020-03-12
Volume: 368
Pages: m998
ISSN: 1756-1833 (ISSN-L)
DOI: 10.1136/bmj.m998
OpenAlex: W3011614529
Semantic Scholar: 8a9610cac48251fe8680bab940a22f76121bab6e
Cited by: 866
References: 15
Citations by year: 2026: 55 · 2025: 67 · 2024: 63 · 2023: 87 · 2022: 143 · 2021: 222 · 2020: 227
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
Locations: BMJ (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Oxford University Research Archive (ORA) (University of Oxford) (submittedVersion)
Funders: Wellcome Trust (104830/Z/14/Z)
National Institute for Health and Care Research (NF-SI-0512-10031, PB-PG-1216-20012)
Economic and Social Research Council (ES/V010069/1)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Physical Sciences › Computer Science › Information Systems › Healthcare during COVID-19 Pandemic
Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Challenges
Keywords: video consultation, COVID-19 pandemic, telemedicine, teleconsultation
MeSH terms: COVID-19, Delivery of Health Care, Humans, Organizational Innovation, Pneumonia, Viral, Video Recording, Coronavirus Infections, Remote Consultation

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