Teleconsultations and their implications for health care

Detalhes bibliográficos
Autor(a) principal: Maria, Ana Rita J.
Data de Publicação: 2022
Outros Autores: Serra, Helena, Heleno, Bruno
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/135986
Resumo: Funding: The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).
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spelling Teleconsultations and their implications for health careA qualitative study on patients’ and physicians’ perceptionsPrimary health careQualitative researchReferralTeleconsultationsHealth InformaticsFunding: The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).Background: Digitization in everyday medical practice has gained importance along with the drive to expand teleconsultations arising from the COVID-19 pandemic. Previous qualitative research on teleconsultations has focused on synchronous communication between patients and clinicians. This study aims to explore physicians’ and patients’ perspectives on the adoption of teleconsultations between primary care and the referral cardiology department. Methods: Participants were recruited for semi-structured interviews between September 2019 and January 2020. The interviews were audio-recorded and pseudonymized. The transcribed interviews were stored, coded, and content analysis was performed in MAXQDA. Results: A total of 29 participants were interviewed. Patients and physicians merged in their views on ‘process’ issues, i.e., those concerning a better prioritization of patients and an improved collaborative practice, albeit with possible technological constraints. Physicians recognized that teleconsultations presented an educational opportunity for managing patients’ health problems. Our findings suggest that not all patients would require equally intensive collaborative activities across the health system. The barriers described included difficulties using the system (technical issues) and concerns about workload as a consequence of the disruption of traditional clinical routines. Increasing the range of collaborative strategies available to health care providers may require a broader assessment of the way that care processes are structured between levels of care. Patients revealed strong support for teleconsultation on the grounds of interprofessional collaboration and avoidance of unnecessary hospital visits. Conclusions: The implementation of teleconsultations between levels of care may be facilitated when patients, caregivers and physicians see the added value of this service, that adequate resources are put in place and that there is flexible implementation. This work adds an in-depth understanding of participants’ perceptions of this intervention in a case study. Obtaining context-dependent knowledge will help program leaders better understand how to establish telemedicine services as a real-world sustainable option.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSFaculdade de Ciências Sociais e Humanas (FCSH)RUNMaria, Ana Rita J.Serra, HelenaHeleno, Bruno2022-04-06T22:46:05Z2022-062022-06-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/135986eng1386-5056PURE: 42943863https://doi.org/10.1016/j.ijmedinf.2022.104751info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:14:17Zoai:run.unl.pt:10362/135986Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:48:34.374385Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Teleconsultations and their implications for health care
A qualitative study on patients’ and physicians’ perceptions
title Teleconsultations and their implications for health care
spellingShingle Teleconsultations and their implications for health care
Maria, Ana Rita J.
Primary health care
Qualitative research
Referral
Teleconsultations
Health Informatics
title_short Teleconsultations and their implications for health care
title_full Teleconsultations and their implications for health care
title_fullStr Teleconsultations and their implications for health care
title_full_unstemmed Teleconsultations and their implications for health care
title_sort Teleconsultations and their implications for health care
author Maria, Ana Rita J.
author_facet Maria, Ana Rita J.
Serra, Helena
Heleno, Bruno
author_role author
author2 Serra, Helena
Heleno, Bruno
author2_role author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Comprehensive Health Research Centre (CHRC) - pólo NMS
Faculdade de Ciências Sociais e Humanas (FCSH)
RUN
dc.contributor.author.fl_str_mv Maria, Ana Rita J.
Serra, Helena
Heleno, Bruno
dc.subject.por.fl_str_mv Primary health care
Qualitative research
Referral
Teleconsultations
Health Informatics
topic Primary health care
Qualitative research
Referral
Teleconsultations
Health Informatics
description Funding: The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).
publishDate 2022
dc.date.none.fl_str_mv 2022-04-06T22:46:05Z
2022-06
2022-06-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/135986
url http://hdl.handle.net/10362/135986
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1386-5056
PURE: 42943863
https://doi.org/10.1016/j.ijmedinf.2022.104751
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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