Thematic Domain | Patienta | Primary Care Provider |
---|---|---|
Attitude | User: I like the virtual because you don’t have to leave your home. You don’t have to get dressed. | You don’t need to drive the 20 minutes to the clinic and wait for an hour in the waiting room for me to spend three minutes in the room and say, “Yeah, your toenail is infected. I’m going to send some antibiotics and do some warm soaks. Bye.” … that's like three hours out of their day for me to tell them that. |
Behavioral intention | User: But if it's going over results or something, or just going over something, then the video is fine. But, like, if I’m seeing them for the first time or they’re doing, obviously, some kind of test, or I have a concern, I’d rather be face-to-face. | I’ve got some repeat business on telemedicine, so some of them really like it. Some of them, I offer it and they say, “No, I’d rather come in person.” So we thought that when COVID was kind of dying down and we went back to in-office visits that we would continue to have a large portion of virtual visits and it really hasn’t panned out as much as we thought it would. |
Perceived behavioral control (subdomain facilitating conditions) | User: I tried that once. But the video would not connect. So I ended up talking to him over the phone. | They all start out as audio-visual but if the connection's bad, sometimes you’ll end up just calling them for the rest of the visit. |
Perceived usefulness | User: I’m able to see the doctor one-on-one. It's not physically in person, but it is. I’m able to talk to him…if I talk to him on the phone, just talking, sometimes it doesn’t do what it would do if I was talking to them through virtual. You can see when they go to talk to you. It's just better that way, it seems. | I mean, it's definitely a useful tool when it's used for the right reasons…medication follow-ups, established problems…Now, of course, if they have an MSK problem and it's something that requires an exam, I think it's just all knowing when to use it. |
Social influence | The one thing that's good that's coming out of the pandemic though is more of my older patients know how to video chat with their family now using their phone. Family members have even sent them phones to video chat. So, they know how to use the phone, how to text, and how to video chat. That's assisted during visits for me to be able to talk to family so that they understand things as well. | |
Other–wait time/workflow | User: But I found that many of them were not punctual with the time that they were supposed to be on the visit. They were always, I don’t know, I found that mine were always a little bit late. | My biggest gripe with telehealth is it's sometimes hard to communicate with the patient, like, that I’m coming, if I’m running a little behind or something. If you can’t just do virtual or in-person, that's almost impossible unless you’re really good about staying on time. |
↵aUser indicates that the patient uses digital technology, defined as patient portal, chronic disease remote monitoring, and/or telemedicine.
COVID, coronavirus disease 2019; MSK, musculoskeletal.