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Teleconsultations and their implications for health care

2022-06Artigo científico Acesso aberto
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dc.contributor.authorMaria, Ana Rita J.
dc.contributor.authorSerra, Helena
dc.contributor.authorHeleno, Bruno
dc.contributor.authorHeleno, Bruno
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.institutionFaculdade de Ciências Sociais e Humanas (FCSH)
dc.contributor.pblElsevier Science B.V., Amsterdam.
dc.date.accessioned2022-04-06T22:46:05Z
dc.date.available2022-04-06T22:46:05Z
dc.date.issued2022-06
dc.descriptionFunding: The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).
dc.description.abstractBackground: 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent438854
dc.identifier.doi10.1016/j.ijmedinf.2022.104751
dc.identifier.issn1386-5056
dc.identifier.otherPURE: 42943863
dc.identifier.otherPURE UUID: d87a1ab1-aa52-45f7-8caa-ce46d115974f
dc.identifier.otherScopus: 85126987477
dc.identifier.otherPubMed: 35339887
dc.identifier.otherORCID: /0000-0002-3943-1858/work/111074260
dc.identifier.otherORCID: /0000-0001-9527-1214/work/113263253
dc.identifier.otherWOS: 000790899700008
dc.identifier.urihttp://hdl.handle.net/10362/135986
dc.identifier.urlhttps://www.scopus.com/pages/publications/85126987477
dc.language.isoeng
dc.peerreviewedyes
dc.subjectPrimary health care
dc.subjectQualitative research
dc.subjectReferral
dc.subjectTeleconsultations
dc.subjectHealth Informatics
dc.titleTeleconsultations and their implications for health careen
dc.title.subtitleA qualitative study on patients’ and physicians’ perceptionsen
dc.typejournal article
degois.publication.titleInternational Journal of Medical Informatics
degois.publication.volume162
dspace.entity.typePublication
person.familyNameHeleno
person.givenNameBruno
person.identifier.ciencia-id8B1D-AC7D-5CB2
person.identifier.orcid0000-0002-3943-1858
person.identifier.scopus-author-id54937604600
rcaap.rightsopenAccess
relation.isAuthorOfPublication2a89b92b-0b51-4df1-911c-da2e71efae1b
relation.isAuthorOfPublication.latestForDiscovery2a89b92b-0b51-4df1-911c-da2e71efae1b

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