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International Journal of Telemedicine and Applications
Volume 2014, Article ID 143824, 7 pages
http://dx.doi.org/10.1155/2014/143824
Research Article

Patients’ Experiences with Specialist Care via Video Consultation in Primary Healthcare in Rural Areas

Division of Nursing, Department of Health Science, Luleå University of Technology, 971 87 Luleå, Sweden

Received 6 May 2014; Revised 9 July 2014; Accepted 28 July 2014; Published 24 August 2014

Academic Editor: Max E. Stachura

Copyright © 2014 Annette M. Johansson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Video consultation (VC) can improve access to specialist care, especially for individuals who live in rural areas that are long distances from specialist clinics. Aim. The aim of this study was to describe patients’ experiences with specialist care via VC encounters. Method. Interviews were conducted with 26 patients who had participated in a VC encounter. The data were analysed using thematic content analysis. Result. The analysis resulted in two themes. The theme “confident with the technology” was constructed from the categories “possibilities and obstacles in using VC encounters” and “advantages and disadvantages of the technology.” The theme “personal satisfaction with the VC encounters” was constructed from the categories “support from the healthcare personnel,” “perceived security,” and “satisfaction with the specialist consultation.” Conclusion. The patients who did not think that the VC was the best care still considered that the visit was adequate because they did not have to travel. An important finding was that the patients’ perceived even short distances to specialty care as expensive journeys because many patients had low incomes. Among the patients who had more than one VC, the second encounter was perceived as safer. Additionally, good communication was essential for the patient’s perception of security during the VC encounter.