2, 4 Patients may not disclose some health problems by telephone, including symptoms of serious disease such as cancer. 2, 3 Mitigating the positives are concerns that remote consultations may increase health inequalities, including for those without access to remote video consulting via smartphones, may disadvantage non-English speakers, and may negatively impact doctor–patient relationships, patient satisfaction, and patient safety. Remote consultations currently appear well-received by patients and clinicians, and may improve access to general practice for working age adults, patients with children, those with anxiety or agoraphobia, housebound patients, and those living in remote locations. Practices introduced a remote ‘total triage’ model in order to protect both patients and the workforce from COVID-19. The reluctance to introduce, and the limitations of technology to enable, video consultations vanished overnight.
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