The rules for online clinical engagement in the COVID era
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Abstract
COVID-19 has generated a need to rapidly increase online consulting in secondary care, an area in which it has
previously been underutilised. We sought to review the guidance around conducting remote consultations and found
that while there is a large amount of information about the implementation of remote consultations at an organisation
level, there is a paucity of high-quality papers considering the guidelines for online consultations alongside practical
advice for their implementation at the individual level. We reviewed guidelines from reputable medical sources and
generated practical advice to assist practitioners in performing safe and effective video consultation. Additionally, we
noted reports in the literature of a lack of transparency and resulting confusion regarding the choice of telemedicine
platforms. We therefore sought to summarise key characteristics of a number of major telemedicine platforms. We
recognised a lack of clarity regarding the legal status of performing remote consultations, and reviewed advice from
medicolegal sources. Finally, we address the sources of these individual uncertainties, and give recommendations on
how these might be addressed systematically, so the practitioners are well trained and competent in the use of online
consultations, which will inevitably play an increasingly large role in both primary and secondary care settings in the
future.
Palabras clave
COVID; Clinical engagementLink to resource
https://doi.org/10.1016/j.bjps.2020.08.045Collections
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