Increasing demand for outpatient appointments (OPA) is a global challenge for healthcare providers. Non-attendance rates are high, not least because of the challenges of attending hospital OPAs due to transport difficulties, cost, poor health, caring and work responsibilities. Digital solutions may help ameliorate these challenges. This project aimed to implement codesigned outpatient video consultations across National Health Service (NHS) Highland using system-wide quality improvement approaches to implementation, involving patients, carers, clinical and non-clinical staff, national and local strategic leads. System mapping; an intensive codesign process involving extensive stakeholder engagement and real-time testing; Plan, Do, Study, Act cycles; and collection of clinician and patient feedback were used to optimise the service. Standardised processes were developed and implemented, which made video consulting easy to use for patients, embedded video into routine health service systems for clinicians and non-clinical staff, and automated much of the administrative burden. All clinicians and staff are using the system and both groups identified benefits in terms of travel time and costs saved. Transferable lessons for other services are identified, providing a practical blueprint for others to adapt and use in their own contexts to help implement and sustain video consultation services now and in the future.

中文翻译：

---

测试和实施门诊预约视频咨询：使用质量改进系统思维和协同设计原则

对门诊预约 (OPA) 需求的增加是医疗保健提供者面临的全球挑战。缺勤率很高，尤其是因为由于交通困难、成本、健康状况不佳、照顾和工作责任而导致住院 OPA 的挑战。数字解决方案可能有助于缓解这些挑战。该项目旨在使用全系统质量改进方法在整个国家卫生服务 (NHS) 高地实施共同设计的门诊视频咨询，涉及患者、护理人员、临床和非临床工作人员、国家和地方战略领导。系统映射；一个密集的协同设计过程，涉及广泛的利益相关者参与和实时测试；计划、执行、学习、行动周期；并收集临床医生和患者的反馈以优化服务。制定并实施了标准化流程，使患者易于使用视频咨询，将视频嵌入到临床医生和非临床工作人员的常规健康服务系统中，并使大部分行政负担自动化。所有临床医生和工作人员都在使用该系统，两个小组都确定了旅行时间和节省成本方面的好处。确定了其他服务的可转移经验教训，为其他人提供了一个实用的蓝图，以便在他们自己的环境中适应和使用，以帮助现在和将来实施和维持视频咨询服务。所有临床医生和工作人员都在使用该系统，两个小组都确定了旅行时间和节省成本方面的好处。确定了其他服务的可转移经验教训，为其他人提供了一个实用的蓝图，以便在他们自己的环境中适应和使用，以帮助现在和将来实施和维持视频咨询服务。所有临床医生和工作人员都在使用该系统，两个小组都确定了旅行时间和节省成本方面的好处。确定了其他服务的可转移经验教训，为其他人提供了一个实用的蓝图，以便在他们自己的环境中适应和使用，以帮助现在和将来实施和维持视频咨询服务。