Fremtidens sundhedsvæsen: "Videokonsultationer"

Vicki Buitenhuis & Margit Winberg

Student thesis: Master executive thesis


The purpose of this thesis is to investigate the challenges that management face in relation to when doctors work with video consultation in connection with outpatient examination and treatment in the urology department in the Capital Region and the Zealand Region.
The thesis is based on the phenomenological approach, where we have conducted qualitative interviews with seven doctors from the urology department in the Region Zealand and the Capital Region, two doctors from oncology departments at Herlev/Gentofte Hospital and a deputy director from psychiatry in the Region Zealand. The investigation is supplemented with an observational study and compiled statistics on virtual consultations. We have made use of several theorists within sensemaking, motivation and strategic management for our analysis of the empirical evidence.
The study shows that doctors can see the advantage of being able to offer patients this additional option for video consultation. The doctors state that they believe that the choice to offer a video consultation should be their decision and not the patients. The possibility of flexible work organization opens up when the doctors can sit at home and carry out video consultations, which they find positive. The analysis shows the importance of involving the doctors individually in relation to their sensemaking. The doctors are motivated intrinsically and by public service motivation to participate in an implementation of video consultations. In this process, agers must think of strategy from the bottom up, and this requires us as managers to be close to everyday life in order to understand and feel the practice. The implementation must be managed in close collaboration with the doctors who must carry out video consultations. It is essential that there is ongoing dialogue with adjustment of expectations and experiences.
The doctors biggest concern is the technical solution. Can patients figure it out? Can the doctors figure it out themselves? Is the connection working? In terms of time, it is not the opinion of the doctors that there is any gain for the doctors in relation to current consultations. The doctors do not prescribe video consultations if they do not see the point of it. Finally, our analysis shows that it should not be a top-down process, which is dragged down over the doctors heads, as it is important that they can see the potential and are motivated.
In a national and international health context, the mentioned studies have provided knowledge about the use of video consultations. They each contribute their results to the overall knowledge in the field. Our results have been achieved precisely through a special combination of focus on the doctors sensemaking, motivation and how the further strategic work can be handled, which makes our contribution unique.

EducationsMaster of Public Governance, (Executive Master Programme) Final Thesis
Publication date2023
Number of pages78
SupervisorsThomas Lopdrup-Hjorth