Francesca Dakin
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View article: Social and Ethical Aspects of Remote and Hybrid Care in the Special Allocation Scheme in general practice (SEARCH): A mixed methods feasibility study protocol
Social and Ethical Aspects of Remote and Hybrid Care in the Special Allocation Scheme in general practice (SEARCH): A mixed methods feasibility study protocol Open
Background Despite the growing body of research on remote primary care and access for (digitally) excluded groups, very little is known about care for patients who have been deliberately excluded from mainstream services. The ‘Special All…
View article: Digitalization of triage in general practice in The Netherlands: Impact on work outcomes of staff
Digitalization of triage in general practice in The Netherlands: Impact on work outcomes of staff Open
Background An aging population with rising healthcare needs (i.e. chronic diseases), increased patient demands, and a shortage of healthcare professionals have put general practices increasingly under pressure. Digitalization of triage sys…
View article: Remote and digital services in UK general practice 2021–2023: the Remote by Default 2 longitudinal qualitative study synopsis
Remote and digital services in UK general practice 2021–2023: the Remote by Default 2 longitudinal qualitative study synopsis Open
Background Remote services (in which the patient and staff member are not physically colocated) and digital services (in which a patient encounter is digitally mediated in some way) were introduced extensively when the COVID-19 pandemic be…
View article: After the disruptive innovation: How remote and digital services were embedded, blended and abandoned in UK general practice – longitudinal study
After the disruptive innovation: How remote and digital services were embedded, blended and abandoned in UK general practice – longitudinal study Open
Background United Kingdom general practices transitioned rapidly to remote-by-default services in 2020 and subsequently considered whether and how to continue these practices. Their diverse responses provided a unique opportunity to study …
View article: International healthcare workers’ experiences and perceptions of the 2022 multi-country mpox outbreak
International healthcare workers’ experiences and perceptions of the 2022 multi-country mpox outbreak Open
In May 2022, the most widespread outbreak of sustained transmission of mpox outside of countries historically affected countries in Western and Central Africa occurred. We aimed to examine the personal and clinical experiences of internati…
View article: Technostress, technosuffering, and relational strain: a multi-method qualitative study of how remote and digital work affects staff in UK general practice
Technostress, technosuffering, and relational strain: a multi-method qualitative study of how remote and digital work affects staff in UK general practice Open
Background The introduction of remote and digital forms of working in UK general practice has driven the development of new routines and working styles. Aim To explore and theorise how new forms of work have affected general practice staff…
View article: International healthcare workers’ experiences and perceptions of the 2022 multi-country mpox outbreak
International healthcare workers’ experiences and perceptions of the 2022 multi-country mpox outbreak Open
In May 2022, the most widespread outbreak of sustained transmission of mpox outside of countries historically affected countries in Western and Central Africa occurred. We aimed to examine the personal and clinical experiences of internati…
View article: Challenges to quality in contemporary, hybrid general practice a multi-site longitudinal case study
Challenges to quality in contemporary, hybrid general practice a multi-site longitudinal case study Open
Background Since 2022, general practice has shifted from responding to the acute challenges of COVID-19 to restoring full services using a hybrid of remote, digital, and in-person care. Aim To examine how quality domains are addressed in c…
View article: Access and triage in contemporary general practice: A novel theory of digital candidacy
Access and triage in contemporary general practice: A novel theory of digital candidacy Open
To access contemporary healthcare, patients must find and navigate a complex socio-technical network of human and digital actors linked in multi-modal pathways. Asynchronous, digitally-mediated triage decisions have largely replaced synchr…
View article: Cross-sectional survey of sexual health professionals’ experiences and perceptions of the 2022 mpox outbreak in the UK
Cross-sectional survey of sexual health professionals’ experiences and perceptions of the 2022 mpox outbreak in the UK Open
Objective To understand the experiences and perceptions of sexual health professionals responding to the May 2022 mpox outbreak in the UK. Design Cross-sectional, anonymous, online survey collecting quantitative and qualitative data. Conve…
View article: Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis Open
Background Triage and clinical consultations increasingly occur remotely. We aimed to learn why safety incidents occur in remote encounters and how to prevent them. Setting and sample UK primary care. 95 safety incidents (complaints, settl…
View article: Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis Open
Background Problems in intrapartum electronic fetal monitoring with cardiotocography (CTG) remain a major area of preventable harm. Poor understanding of the range of influences on safety may have hindered improvement. Taking an interdisci…
View article: Training needs for staff providing remote services in general practice: a mixed-methods study
Training needs for staff providing remote services in general practice: a mixed-methods study Open
Background Contemporary general practice includes many kinds of remote encounter. The rise in telephone, video and online modalities for triage and clinical care requires clinicians and support staff to be trained, both individually and as…
View article: Supporting your support staff during crises: recommendations for practice leaders to develop a relational workplace
Supporting your support staff during crises: recommendations for practice leaders to develop a relational workplace Open
Background The workload and wellbeing of support staff in general practice has been critically understudied. This includes reception, secretarial and administrative workers who are critical in the daily practice function. Currently, only r…
View article: A qualitative study of the dynamics of access to remote antenatal care through the lens of candidacy
A qualitative study of the dynamics of access to remote antenatal care through the lens of candidacy Open
Objective We aimed to explore the experiences and perspectives of pregnant women, antenatal healthcare professionals, and system leaders to understand the impact of the implementation of remote provision of antenatal care during the COVID-…
View article: Remote care in UK general practice: baseline data on 11 case studies
Remote care in UK general practice: baseline data on 11 case studies Open
Background: Accessing and receiving care remotely (by telephone, video or online) became the default option during the coronavirus disease 2019 (COVID-19) pandemic, but in-person care has unique benefits in some circumstances. We are stud…
View article: Remote care in UK general practice: baseline data on 11 case studies
Remote care in UK general practice: baseline data on 11 case studies Open
Background: Accessing and receiving care remotely (by telephone, video or online) became the default option during the coronavirus disease 2019 (COVID-19) pandemic, but in-person care has unique benefits in some circumstances. We are stud…
View article: Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice
Protocol: Remote care as the ‘new normal’? Multi-site case study in UK general practice Open
Background: Following a pandemic-driven shift to remote service provision, UK general practices offer telephone, video or online consultation options alongside face-to-face. This study explores practices’ varied experiences over time as …
View article: Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders
Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders Open
Background High-quality antenatal care is important for ensuring optimal birth outcomes and reducing risks of maternal and fetal mortality and morbidity. The COVID-19 pandemic disrupted the usual provision of antenatal care, with much care…
View article: Creating an equitable evidence base for quality and safety in remote antenatal care
Creating an equitable evidence base for quality and safety in remote antenatal care Open
CommentaryCreating an equitable evidence base for quality and safety in remote antenatal careKarolina Kuberska1 (PhD, https://orcid.org/0000-0002-9610-1863)Francesca Dakin1 (MPhil, https://orcid.org/0000- 0000-0002-4105-4617)Mary Dixon-Woo…
View article: Objects As Polyagents: Tracing The Histories Of The Gweagal Spears
Objects As Polyagents: Tracing The Histories Of The Gweagal Spears Open
This paper explores the capacity for objects entangled in complex - and often painful - histories to become constituted of multiple agencies (Gell 1998) through their interaction with various actants in complex and ever-expanding networks …