Interaction at the primary–secondary care interface

Bibliographic Details
Main Author: Maria, Ana Rita J.
Publication Date: 2022
Other Authors: Serra, Helena, Castro, Maria G., Heleno, Bruno
Format: Article
Language: eng
Source: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Download full: http://hdl.handle.net/10362/146153
Summary: Funding Information: The Regional Health Administration of Lisbon and Tagus Valley funded Dr. Maria's salary and had no role in the study design, data collection, analysis or writing of this article. The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © The Author(s) 2022.
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spelling Interaction at the primary–secondary care interfacePatients’ and physicians’ perceptions of teleconsultationsHealth PolicyHealth InformaticsComputer Science ApplicationsHealth Information ManagementSDG 3 - Good Health and Well-beingFunding Information: The Regional Health Administration of Lisbon and Tagus Valley funded Dr. Maria's salary and had no role in the study design, data collection, analysis or writing of this article. The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © The Author(s) 2022.Introduction: Previous qualitative research on teleconsultations has focused on synchronous communication between a patient and a clinician. This study aims to explore physicians' and patients' perceptions of the interaction on the interface between primary care and the Cardiology service of a referral hospital through teleconsultations. Methods: This qualitative study was embedded in an organizational case study concerning the introduction and rollout of a new service model that took place at the point of care. The patients and physicians were recruited for semi-structured interviews until thematic saturation was achieved, between September 2019 - January 2020. The interviews were audiorecorded and anonymized. The transcribed interviews were stored, coded, and analyzed in MAXQDA, following the steps for conventional content analysis. Results: A total of 29 participants were interviewed. Patients and physicians presented clear views about the role of the GP and the cardiologist and their function in overall structure of healthcare. GPs felt their role was to bring expertise in the patient which could supplement the cardiologists' expertise on the condition. However, GPs had to renegotiate roles in the teleconsultations when they saw themselves in a new situation, together with another physician and the patient. Conclusions: Our findings suggest that joint teleconsultations can promote continuity of care for patients in the primary/secondary care interface. Active coordination between physicians with delineation of roles throughout primary-secondary care interface is needed to manage selected patients who may benefit the most from shared care.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSFaculdade de Ciências Sociais e Humanas (FCSH)Centro Interdisciplinar de Ciências Sociais (CICS.NOVA - NOVA FCSH)RUNMaria, Ana Rita J.Serra, HelenaCastro, Maria G.Heleno, Bruno2022-12-12T22:15:21Z2022-012022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/146153eng2055-2076PURE: 48268264https://doi.org/10.1177/20552076221133698info: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:RCAAP2024-03-11T05:27:12Zoai:run.unl.pt:10362/146153Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:52:30.866108Repositório 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 Interaction at the primary–secondary care interface
Patients’ and physicians’ perceptions of teleconsultations
title Interaction at the primary–secondary care interface
spellingShingle Interaction at the primary–secondary care interface
Maria, Ana Rita J.
Health Policy
Health Informatics
Computer Science Applications
Health Information Management
SDG 3 - Good Health and Well-being
title_short Interaction at the primary–secondary care interface
title_full Interaction at the primary–secondary care interface
title_fullStr Interaction at the primary–secondary care interface
title_full_unstemmed Interaction at the primary–secondary care interface
title_sort Interaction at the primary–secondary care interface
author Maria, Ana Rita J.
author_facet Maria, Ana Rita J.
Serra, Helena
Castro, Maria G.
Heleno, Bruno
author_role author
author2 Serra, Helena
Castro, Maria G.
Heleno, Bruno
author2_role author
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)
Centro Interdisciplinar de Ciências Sociais (CICS.NOVA - NOVA FCSH)
RUN
dc.contributor.author.fl_str_mv Maria, Ana Rita J.
Serra, Helena
Castro, Maria G.
Heleno, Bruno
dc.subject.por.fl_str_mv Health Policy
Health Informatics
Computer Science Applications
Health Information Management
SDG 3 - Good Health and Well-being
topic Health Policy
Health Informatics
Computer Science Applications
Health Information Management
SDG 3 - Good Health and Well-being
description Funding Information: The Regional Health Administration of Lisbon and Tagus Valley funded Dr. Maria's salary and had no role in the study design, data collection, analysis or writing of this article. The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © The Author(s) 2022.
publishDate 2022
dc.date.none.fl_str_mv 2022-12-12T22:15:21Z
2022-01
2022-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/146153
url http://hdl.handle.net/10362/146153
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2055-2076
PURE: 48268264
https://doi.org/10.1177/20552076221133698
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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