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Cross-tabulation shows the differences in percentage distributions in how all respondents had experienced the VC (Table 8). A large majority (95,3%) of the KUH professionals completely agreed with that VC addressed important issues and irrelevant issues were set aside. According to primary health care professionals, nearly all (92%) of the respondents thought the important issues were considered in every VC. Approximately 2% of the KUH professionals stated that important issues were agreed to some extent. Comparing to primary care professionals´

responses, 6% stated agreeing to some extent that VC meetings were addressing important

issues. About 2% of the primary care respondents could not say did the VC address important issues.

Table 8. The video conference addressed important issues

KUH professionals n (%) Primary Care professionals n (%)

Completely agree 41 (95,3) 46 (92)

Agreeing to some extent 2 (2) 3 (6)

Neither agree nor disagree 0 0

Somewhat disagree 0 0

Completely disagree 0 0

I cannot say. 0 1 (2)

Comparing responses in how the participants experiences the VC is illustrated in Table 9. A majority (86%) of the KUH professionals stated that they completely agreed that it was easy and natural to talk in VC. Also, about 62% of the primary care professionals thought it was comfortable and fluent to communicate in VC. A minor proportion of 11,6% of the KUH respondents stated agreeing to some extend that VC addressed important issues. A slightly greater percentage (34%) of the primary care professionals undergo that VC addressed important topics. Insignificant proportion of 2,3% of the KUH professionals neither agreed nor disagreed with the topic. In addition, primary care professionals 2% somewhat disagreed and 2% cannot say did the VC address important issues. However, 0% of the total respondents completely disagreed.

Table 9. I found it natural to talk about things in a video conference

KUH professionals n (%) Primary Care professionals n (%)

Completely agree 37 (86) 31 (62)

Agreeing to some extent 5 (11,6) 17 (34)

Neither agree nor disagree 1 (2,3) 0

Somewhat disagree 0 1 (2)

Completely disagree 0 0

I cannot say. 0 1 (2)

The following (Table 10) examines the differences between KUH and primary care professionals´ responses of were their opinions appreciated in a VC. There was more distribution in the responses to this question than the previous ones. Nearly all of the KUH professionals´ respondents (97,7%) stated complete agreeing that their opinion was appreciated.

Comparing to primary care professionals´ responses, a large majority of 81,6% also completely agreed their opinion was taken into account. Only 2,3% of the KUH respondents agreed to some extent. As opposite to primary care professionals´ responses (10,2%) did agreed to some extent and their opinions were taken account. Moreover, 4,1% of the primary care professionals neither agreed nor disagreed and was not able to say if their opinion were considered.

Table 10. My opinion was appreciated in a video conference

KUH professionals n (%) Primary Care professionals n (%)

Completely agree 42 (97,7) 40 (81,6)

Agreeing to some extent 1 (2,3) 5 (10,2)

Neither agree nor disagree 0 2 (4,1)

Somewhat disagree 0 0

Completely disagree 0 0

I cannot say. 0 2 (4,1)

The following (Table 11) demonstrate the percentages of the responses if the VC had achieved its goal. As shown in the table below, about 69,8% of the KUH professionals´ completely agreed that VC accomplished the desired goal. Comparing to primary health care professionals´

perspective, about 74% completely agreed that VC accomplished the goal. Secondly, the majority of KUH respondents with 20,9% agreed with some extend. Similarly, 18% of the primary care professionals responded the question in the same way. Only 9,3% of the KUH respondents perceived that the goal was achieved or not achieved. Their answers consist of neither agree nor disagree opinion. A minor proportion of 4% of primary care professionals´

experienced the same. Moreover, primary care professionals´ answers consisted of alternative options of somewhat disagree (2%) and I cannot say (2%).

Table 11. The goal of video conferencing was well achieved

KUH professionals n (%) Primary Care professionals n (%)

Completely agree 30 (69,8) 37 (74)

Agreeing to some extent 9 (20,9) 9 (18)

Neither agree nor disagree 4 (9,3) 2 (4)

Somewhat disagree 0 1 (2)

Completely disagree 0 0

I cannot say. 0 1 (2)

The question regarding technical aspects sparked debate among two respondent groups. Open-ended answers added several perspectives to the next question. The question address operability of the video connection. A little over half (60,5%) of KUH professionals completely agreed that video connection worked without any problems. Comparing to primary care professionals´

responses, 44,9% stated that connection worked well. Agreeing to some extent, almost one third (27,9%) of KUH professionals stated that connection worked. Contrary to KUH professionals, with 38.8% of the primary care professionals answered, “agreed to some extent.” Fair-minded answer “neither agree nor disagree” 7% stated KUH professionals and 8,2% of primary care professionals. Only small proportion of KUH respondents (2,3%) somewhat disagree and completely disagree that the connection worked well. Compared to the same answer options, 4,1% of the primary care respondents disagreed with the functional video connection. See the results in the Table 12.

Table 12. The video connection worked well

KUH professionals n (%) Primary Care professionals n (%)

Completely agree 26 (60,5) 22 (44,9)

Agreeing to some extent 12 (27,9) 19 (38,8)

Neither agree nor disagree 3 (7) 4 (8,2)

Somewhat disagree 1 (2,3) 2 (4,1)

Completely disagree 1 (2,3) 2 (4,1)

I cannot say. 0 0

In both respondent group open-ended answers included general perceptions of technical problems, incomplete background information and overall positive aspects of the VC. KUH professionals emphasized importance of functioning technical framework. Technical problems consisted of audio problems (n=9), image problem (n=3) and unexpected disconnection (=2).

Negative feedback was given about the incomplete initial information of the case. Many respondents experienced that with extensive background information of the child and the situation would have reached a more precise result in a VC. However, several KUH respondents stated positive aspects about ease of use, working connection, present topic and strengthening cooperation between several actors.

KUH professionals related their experiences of the VC

”..At first, the primary care professional´s image was stuck and with the audio connection, the dilemma was to speak emphatically slowly. These problems were resolved, and the final negotiation went more smoothly. Video conferencing really worked to strengthen and support

primary care work, nothing new stand up (I don't know if it was even the intention)..”

”..Audio and video connections work well. The child's mother was motivated for the consultation and in cooperation with the child health clinic nurse we found solutions that

would alleviate the situation for the child and the family..”

”..With the sound inconvenient, what volume / output signal seemed weak; had to talk to a microphone at a distance of 20-30 cm to ensure adequate coverage..”

”..I think the goal of the video consultation was well achieved..”

”..The background information gathered at the basic level on the situation was incomplete, which is why I think that we could have reached an even more precise result already in this

consultation..”

Equivalent question was asked from the primary care professionals. Open-ended answers consist of problems with the audio connection (n=8) and image problem (n=1). Major of the comments were about the positive user experience (n=15). Positive comments consisted of child´s parental satisfaction, receiving quick help from the child psychiatric clinic, easy and

relaxed VC situation, increased user-friendliness without any technical problems and the additional tools offered by KUH for primary care professionals.

Primary care professionals´ comments related their VC experience

”..The child´s parent was very happy with the video conference. The family got the help they needed quickly and easily. Also, the nurse was given tools for her own work..”

”..The sound was badly cut off at times and therefore it was difficult to find out what the child psychiatrist suggested as a measure..”

”..Audio connection could not be established. Succeeded reasonably well through the phone’s speaker, but at times it sounded worse..”

”..This time there were hardly any technical issues, which increased the user-experience a lot..”

”..A useful and very successful discussion in all respects..”

As shown in the Table 13, 100% of the KUH professionals would participate in a VC again. A great proportion of 96% of the primary care professionals would also attend VC in the future.

Moreover, 4% of the primary care professionals could agreed to some extent to participate in a VC again.

Table 13. I can very well participate in a video conference again.

KUH professionals n (%) Primary Care professionals n (%)

Completely agree 42 (100) 48 (96)

Agreeing to some extent 0 2 (4)

Neither agree nor disagree 0 0

Somewhat disagree 0 0

Completely disagree 0 0

I cannot say. 0 0

Both respondent groups were asked about their overall opinion of the VC. Their opinions were asked with graphical presentation options. The options were categorised as excellent, very good, good, decent and poor. According to KUH professionals 60,5% (n=26) experienced that they overall opinion of the VC was excellent and 39,5% (n=17) thought it was very good.

Comparing to primary care professionals´ answers, 71,4% (n=35) of them experienced the overall opinion of excellent and 26,5% (n=13) as very good. One answer (2%) experiences the VC as poor.

5.5 WHAT SHOULD THE CHILD PSYCHIATRIC VC MEETINGS BE LIKE IN THE