{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:39:48Z","timestamp":1792647588779,"version":"4.5.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"unspecified","delay-in-days":294,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":294,"URL":"https:\/\/www.cambridge.org\/tdm\/tdmrep-policy.json"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S146342362610200X_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To describe and understand areas of concordance and discordance between the perceptions and experiences of family physicians and policymakers regarding the implementation and use of virtual care within the Nova Scotian primary care system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S146342362610200X_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>COVID-19 brought rapid change to primary care delivery and accessibility. Virtual care rapidly expanded, facilitating primary care access amidst public health restrictions. Health systems leaders facilitated access to virtual care, developed and implemented guidelines, and created new billing codes. Providers integrated virtual care and operation changes into practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S146342362610200X_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Semi-structured interviews with family physicians (\n                      <jats:italic>n<\/jats:italic>\n                      = 20), policymakers (\n                      <jats:italic>n<\/jats:italic>\n                      = 9) and a family physician\/policymaker (\n                      <jats:italic>n<\/jats:italic>\n                      = 1) were conducted to understand virtual care implementation and outcomes in Nova Scotia, Canada, identifying benefits and challenges.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S146342362610200X_as4\">\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>All participants discussed patient confidentiality concerns, overreliance potential, and virtual care to promote patient care access. Family physicians discussed provider privacy and burnout. Policymakers discussed virtual care increasing capacity for accepting new patients and challenges evaluating virtual care billing codes. Providers and policymakers shared concerns and policy directions for development and expansion of virtual care. As there is little research from policymaker perspectives on virtual care, reconciling these viewpoints is crucial for effectiveness and sustainability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s146342362610200x","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:21:57Z","timestamp":1792646517000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Concordance and discordance between policymaker and family physician experiences of the COVID-19-driven rise of virtual care in Nova Scotia"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8327-0329","authenticated-orcid":false,"given":"Emily Gard","family":"Marshall","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01e6qks80","id-type":"ROR","asserted-by":"publisher"}],"name":"Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0802-0140","authenticated-orcid":false,"given":"Lauren","family":"Renaud","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01e6qks80","id-type":"ROR","asserted-by":"publisher"}],"name":"Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1648-7362","authenticated-orcid":false,"given":"Jennifer","family":"Isenor","sequence":"additional","affiliation":[{"name":"Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9546-3574","authenticated-orcid":false,"given":"Abraham","family":"Munene","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01e6qks80","id-type":"ROR","asserted-by":"publisher"}],"name":"Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0743-8711","authenticated-orcid":false,"given":"Aishwarya","family":"Radhakrishnan","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01e6qks80","id-type":"ROR","asserted-by":"publisher"}],"name":"Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5174-104X","authenticated-orcid":false,"given":"Maria","family":"Mathews","sequence":"additional","affiliation":[{"name":"Western University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,22]]},"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S146342362610200X","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S146342362610200X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:21:57Z","timestamp":1792646517000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S146342362610200X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"alternative-id":["S146342362610200X"],"URL":"https:\/\/doi.org\/10.1017\/s146342362610200x","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e129"}}