Remote-by-Default Care in the COVID-19 Pandemic

University of Oxford103 enrolled

Overview

18 month study, funded by ESRC COVID-19 research fund. The aim is to explore and support the rapid shift from face-to-face to remote (telephone and video) conversations in primary care. There are three components: a study of clinical interactions and decision making (micro); four locality-based organisational case studies of new models of care (meso); abd a a study of how digital innovation can support NHS infrastructure and vice versa (macro). The methods are mainly qualitative (interviews, virtual ethnography, analysis of documents, micro-analysis of conversations) and are designed to inform action research. Key deliverables: At least two evidence-based assessment tools: qualitative (questions for remote assessment of breathlessness) and quantitative (a COVID-19-specific early warning score) Transferable lessons about how to achieve rapid spread and scale-up, spread in real time through our extensive intersectoral networks Strengthened infrastructure for supporting digital innovation in the NHS

Study Type

OBSERVATIONAL

Enrollment

103

Conditions

COVID-19

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Inclusion criteria for interviews Willing and able to give informed consent for participation Aged 18 years or above Staff involved in delivering remote-by-default services in the frontline or 'back offices' Patients/carers who have crossed paths with primary care services during the Covid pandemic. Pharmacy case studies: Staff involved in delivering remote pharmacist consultation services in the frontline or 'back offices' Patients/carers who have crossed paths with community pharmacy primary care services during the COVID-19 pandemic. Inclusion criteria for video and telephone consultations Patients who have remote primary care consultation regarding symptoms associated with COVID-19 and their clinicians (based in Oxford/Thames Valley) who have agreed to participate in the study Inclusion criteria for focus groups Patients that have experienced self-reported 'long Covid' symptoms (for patient only focus groups) Clinicians that have experienced self-reported 'long Covid' symptoms (for clinician only focus groups) Exclusion Criteria: Patients or clinicians who are too ill to be interviewed \-

Locations (1)

University of Oxford

Oxford, United Kingdom

Outcomes

Primary Outcomes

Remote COVID-19 Assessment in Primary Care (RECAP) Early warning score

A set of questions and a predictive tool built into electronic records, designed to distinguish people with suspected covid-19 who need to go to hospital from those who can safely be monitored at home. The final Remote COVID-19 Assessment in Primary Care (RECAP) Early warning score score divides people into 'green' (stay at home, self-monitor), amber (professional monitoring e.g., via virtual wards with home oximetry), or red (assess in person promptly).

Time frame: 18 months

Data from ClinicalTrials.gov

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