Collaborative domestication

How patients use and experience video consultations with their general practitioner

Authors

DOI:

https://doi.org/10.7146/mediekultur.v37i71.123374

Keywords:

Digital health, video consultations, collaborative domestication, qualitative approach, doctor-patient communication

Abstract

This article proposes an extension to domestication theory by introducing the concept of collaborative domestication, which we define as the ongoing mutual influence and interdependence of technology users in specific interactional contexts. This concept arose from our investigation of how patients integrate healthcare-related video consultations into their daily lives. In Denmark, the Covid-19 pandemic has expedited the implementation of video consultations in general practice, yet little is known about their use in this context. To address this, we conducted 13 interviews with patients and analysed the interviews from the perspective of domestication theory. We find that the general practitioner plays a central role throughout patients’ domestication processes, and the doctor–patient relationship significantly influences how patients experience video consultations. We argue that there is a collaborative aspect to domesticating video consultations that needs to be considered in both future studies and the ongoing implementation of video consultations

Author Biographies

Elle Christine Lüchau, University of Southern Denmark

Elle Christine Lüchau, Master of Arts, research assistant at the University of Southern Denmark, Media Sciences, Department for the Study of Culture, christine@sdu.dk. She carries out research into video consultations.

Anette Grønning, University of Southern Denmark

Anette Grønning, PhD, associate professor of Communication at the University of Southern Denmark, Media Sciences, Department for the Study of Culture, ahg@sdu.dk She carries out research into identity, social presence and roletaking in online communication. Since 2003, She has worked with online communication in different domains (public, private and commercial), in particular with email and chat interaction.

References

Bardram, J. E., & Houben, S. (2017). Collaborative affordances of medical records. Computer Supported Cooperative Work (CSCW), 27, 1–36. https://doi.org/10.1007/s10606-017-9298-5

Berker, T., Hartmann, M., Punie, Y., & Ward, K. (2006). Introduction. In T. Berker, M. Hartmann, Y. Punie, & K. Ward (Eds.), Domestication of media and technology (pp. 1–16). Open University Press.

Chang, F., Eriksson, A., & Ostlund, B. (2020, Jun 14). Discrepancies between expected and actual implementation: The Process Evaluation of PERS Integration in Nursing Homes. International Journal of Environmental Research and Public Health, 17(12), 4245.

https://doi.org/10.3390/ijerph17124245

Chudner, I., Drach-Zahavy, A., & Karkabi, K. (2019). Choosing video instead of in-clinic consultations in primary care in Israel: Discrete choice experiment among key stakeholders-patients, primary care physicians, and policy makers. Value Health, 22(10), 1187–1196. https://doi.org/10.1016/j.jval.2019.05.001

Danske Regioner [Danish Regions]. (2020). Danskerne er klar til det digitale sundhedsvæsen. https://www.regioner.dk/services/nyheder/2020/juni/danskerne-er-klar-til-det-digitale-sundhedsvaesen

Dansk Selskab for Almen Medicin [The Danish College of General Practitioners]. (2020). DSAM-notat om ”Omstilling og gradvis øget aktivitet i almen praksis”. https://www.dsam.dk/fi les/366/dsam_omstilling_og_gradvis_oeget_aktivitet_i_almen_praksis.pdf

Donaghy, E., Atherton, H., Hammersley, V., McNeilly, H., Bikker, A., Robbins, L., Campbell, J., & McKinstry, B. (2019, Sep). Acceptability, benefits, and challenges of video consulting: A qualitative study in primary care. British Journal of General Practice, 69(686), e586–e594. https://doi.org/10.3399/bjgp19X704141

Flyvbjerg, B. (2020). 5 misforståelser om casestudiet (O. Th ornye & B. Nake, Trans.). In S. Brinkmann & L. Tanggaard (Eds.), Kvalitative metoder: En grundbog (pp. 621–655). Hans Reitzels Forlag.

Gardner, M. R., Jenkins, S. M., O’Neil, D. A., Wood, D. L., Spurrier, B. R., & Pruthi, S. (2015). Perceptions of video-based appointments from the patient’s home: A patient survey. Telemedicine and e-Health, 21(4), 281–285. https://doi.org/10.1089/tmj.2014.0037

Haddon, L. (2003). Domestication and mobile telephony. https://www.researchgate.net/publication/243783202_Domestication_and_Mobile_Telephony

Hammersley, V., Donaghy, E., Parker, R., McNeilly, H., Atherton, H., Bikker, A., Campbell, J., & McKinstry, B. (2019). Comparing the content and quality of video, telephone, and face-to-face consultations: A non-randomised, quasi-experimental, exploratory study in UK primary care. British Journal of General Practice, 69(686), e595–e604. https://doi.org/10.3399/bjgp19X704573

Hartmann, M. (2013). From domestication to mediated mobilism. Mobile Media & Communication, 1(1), 42–49. https://doi.org/10.1177/2050157912464487

Heritage, J., & Robinson, J. (2006). Accounting for the visit: Giving reasons for seeking medical care. In J. Heritage, & D. Maynard (Eds.), Communication in medical care: Interaction between primary care physicians and patients (Studies in interactional sociolinguistics) (pp. 48–85). Cambridge University Press.

Huang, K. T., Lu, T. J., Alizadeh, F., & Mostaghimi, A. (2016). Homebound patients’ perspectives on technology and telemedicine: A qualitative analysis. Home Health Care Services Quarterly, 35(3-4), 172–181. https://doi.org/10.1080/01621424.2016.1264341

Islind, A. S., Snis, U. L., Lindroth, T., Lundin, J., Cerna, K., & Steineck, G. (2019). The virtual clinic: Twosided affordances in consultation practice. Computer Supported Cooperative Work (CSCW), 28(3-4), 435–468. https://doi.org/10.1007/s10606-019-09350-3

Iversen, S. M. (2017). Med NVivo som analysepartner. In K. Drotner, & S. M. Iversen (Eds.), Digitale metoder: At skabe, analysere og dele data (1st ed.) (pp. 147-163). Samfundslitteratur.

Kahn, J. M. (2015). Virtual visits - confronting the challenges of telemedicine. The New England Journal of Medicine, 372(18), 1684–1685. https://doi.org/10.1056/NEJMp1500533

Kvale, S., & Brinkmann, S. (2015). Interview: Det kvalitative forskningsinterview som håndværk (3rd ed.). Hans Reitzels Forlag.

Leng, S., MacDougall, M., & McKinstry, B. (2016, Jul 15). The acceptability to patients of video-consulting in general practice: Semi-structured interviews in three diverse general practices. Journal og Innovation in Health Informatics, 23(2), 141. https://doi.org/10.14236/jhi.v23i2.141

Lose, S., & Astman, U. (2018). Danske regioner: Sundhedsvæsenet skal være nemt og tilgængeligt. Altinget.dk. https://www.altinget.dk/sundhed/artikel/danske-regioner-sundhedsvaesenet-skal-vaere-nemt-ogtilgaengeligt

Lupton, D. (2018). Digital health: Critical and cross-disciplinary perspectives (1st ed.). Routledge.

Lüchau, E. C. (2020). Patienters brug og oplevelse af videokonsultationer med lægen: Et medieteoretisk casestudie [Kandidatspeciale, Syddansk Universitet, Odense, Denmark].

Lüchau, E. C., Jepsen, C., Grønning, A., & Hvidt, E. A. (2021). Reciprocal dynamics between patients’ choice of place and how they experience video consultations: A qualitative study. DIGITAL HEALTH, 7, 20552076211052158. https://doi.org/10.1177/20552076211052158

Medcom. (2021). Video i almen lægepraksis [Video in general practice]. Retrieved March 4, 2021, from https://www.medcom.dk/projekter/video-i-almen-laegepraksis

Melbye, T. (2020). 898 lægeklinikker tilbyder nu videokonsultation gennem app’en Min Læge. Retrieved March 4, 2021, from https://dagensmedicin.dk/898-laegeklinikker-tilbyder-nu-videokonsultation-gennem-appen-min-laege/

Morley, D. (2006). What’s ‘home’ got to do with it? Contradictory dynamics in the domestication of technology and the dislocation of domesticity. In T. Berker (Ed.), Domestication of media and technology (pp. 21-39. Open University Press.

Nymberg, V. M., Bolmsjo, B. B., Wolff , M., Calling, S., Gerward, S., & Sandberg, M. (2019). ‘Having to learn this so late in our lives...’ Swedish elderly patients’ beliefs, experiences, attitudes and expectations of e-health in primary health care. Scandinavian Journal of Primary Health Care, 37(1), 41–52. https://doi.org/10.1080/02813432.2019.1570612

Osman, M. A., Schick-Makaroff , K., Thompson, S., Featherstone, R., Bialy, L., Kurzawa, J., Okpechi, I. G., Habib, S., Shojai, S., Jindal, K., Klarenbach, S., & Bello, A. K. (2018). Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance specialist access to care: a scoping review protocol. BMJ open, 8(9), e022733. https://doi.org/10.1136/bmjopen-2018-022733

Oudshoorn, N. (2011). Telecare technologies and the transformation of healthcare. Palgrave Macmillan UK. https://doi.org/10.1057/9780230348967

Petersen, N. (2020). DSAM-formand vil afskaffe videokonsultationer efter corona-epidemi. Dagens Medicin. Retrieved April 4, 2021, from https://dagensmedicin.dk/dsam-formand-vil-afskaffe-videokonsultationer-efter-corona-epidemi/

Pols, J., & Willems, D. (2011). Innovation and evaluation: Taming and unleashing telecare technology. Sociology of Health & Illness, 33(3), 484–498. https://doi.org/10.1111/j.1467-9566.2010.01293.x

Powell, R. E., Henstenburg, J. M., Cooper, G., Hollander, J. E., & Rising, K. L. (2017). Patient perceptions of telehealth primary care video visits. Annals of Family Medicine, 15(3), 225–229. https://doi.org/10.1370/afm.2095

Praktiserende Lægers Organisation [PLO; The Danish Organisation of General Practitioners]. (2019). PLO faktaark 2018. https://www.laeger.dk/sites/default/fi les/plo_faktaark_2018.pdf

Praktiserende Lægers Organisation [PLO; The Danish Organisation of General Practitioners] & Sundheds og Ældreministeriet [Ministry of Health]. (n.d.). Min Læge [My Doctor]. https://minlaegeapp.dk/

Rasmussen, S. R., Bech, C. F., & Wentzer, H. S. (2017). Digitale tilbud til behandling af angst og depression - Forskningsrapport: Videnssøgning i Danmark. KORA

Reed, M. E., Huang, J., Parikh, R., Millman, A., Ballard, D. W., Barr, I., & Wargon, C. (2019). Patient-provider video telemedicine integrated with clinical care: Patient experiences. Annals of Internal Medicine, 171(3), 222–224. https://doi.org/10.7326/M18-3081

Sabesan, S., Allen, D., Caldwell, P., Loh, P. K., Mozer, R., Komesaroff , P. A., Talman, P., Williams, M., Shaheen, N., & Grabinski, O. (2014). Practical aspects of telehealth: Doctor-patient relationship and communication. Internal medicine journal, 44(1), 101–103. https://doi.org/10.1111/imj.12323

Scheerder, A. J., van Deursen, A. J. A. M., & van Dijk, J. A. G. M. (2019). Internet use in the home: Digital inequality from a domestication perspective. New Media & Society, 21(10), 2099–2118. https://doi.org/10.1177/1461444819844299

Silverstone, R. (2006). Domesticating domestication: Reflections on the life of a concept. In T. Berker, M. Hartmann, Y. Punie, & K. Ward (Eds.), Domestication of media and technology (pp. 229–247). Open University Press.

Silverstone, R., & Haddon, L. (1996). Design and the domestication of information and communication technologies: Technical change and everyday life. In R. Silverstone & R. Mansell (Eds.), Communication by design: The politics of Information and Communication Technologies (pp. 44–74). Oxford University Press.

Silverstone, R., Hirsch, E., & Morley, D. (1992). Information and communication technologies and the moral economy of the household. In R. Silverstone & E. Hirsch (Eds.), Consuming technologies: Media and information in domestic spaces (pp. 9–17). Routledge.

Stokke, R. (2017, September 15). “Maybe we should talk about it anyway”: A qualitative study of understanding expectations and use of an established technology innovation in caring practices. BMC Health Services Research, 17(1), 657. https://doi.org/10.1186/s12913-017-2587-3

Sundheds- og Ældreministeriet [Ministry of Health], Finansministeriet [Ministry of Finance], Danske Regioner [Danish Regions], & Kommunernes Landsforening [Local Government Denmark]. (2018). Ét sikkert og sammenhængende sundhedsnetværk for alle - Strategi for digital sundhed 2018-2022. Sundheds- og Ældreministeriet, Finansministeriet, Danske Regioner, & KL. https://sum.dk/Aktuelt/Publikationer/~/media/Filer%20-%20Publikationer_i_pdf/2018/Strategi-fordigital-

sundhed-januar-2018/Strategi%20for%20digital%20sundhed_Pages.pdf

Tarp, K., & Nielsen, A. S. (2017). Patient perspectives on videoconferencing-based treatment for alcohol use disorders. Alcoholism Treatment Quarterly, 35(4), 1544–4538. https://doi.org/10.1080/07347324.2017.1348785

Trondsen, M. V., Bolle, S. R., Stensland, G. Ø., & Tjora, A. (2012). VIDEOCARE: Decentralised psychiatric emergency care through videoconferencing. BMC Health service Research, 12(470). https://doi.org/10.1186/1472-6963-12-470

United Nations. (2020). COVID-19 pushing more government activities online despite persistent digital divide, annual e-government survey finds. https://publicadministration.un.org/Portals/1/E-Government%20Survey%202020%20Press%20Releases.pdf

Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). Sage.

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Published

2021-12-22 — Updated on 2022-01-04

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Lüchau, E. C., & Grønning, A. (2022). Collaborative domestication: How patients use and experience video consultations with their general practitioner. MedieKultur: Journal of Media and Communication Research, 37(71), 224–244. https://doi.org/10.7146/mediekultur.v37i71.123374 (Original work published December 22, 2021)

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Articles: Open section