{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:54:29Z","timestamp":1763686469617,"version":"build-2065373602"},"reference-count":33,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Applied Research Collaboration North West London","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]},{"name":"Imperial NIHR Biomedical Research Centre","award":["IS-BRC-1215-20013"],"award-info":[{"award-number":["IS-BRC-1215-20013"]}]},{"name":"NIHR Patient Safety Research Collaborative","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,11,9]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>There is an urgent need to support primary care organisations in implementing safe and high-quality virtual consultations. We have previously performed qualitative research to capture the views of 1600 primary care physicians across 20 countries on the main benefits and challenges of using virtual consultations. Subsequently, a prototype of a framework to guide the implementation of high-quality virtual primary care was developed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To explore general practitioners\u2019 perspectives on the appropriateness and relevance of each component of the framework\u2019s prototype, to further refine it and optimise its practical use in primary care facilities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and analysis<\/jats:title>\n                  <jats:p>Participants will be primary care physicians with active experience providing virtual care, recruited through convenience and snowball sampling. This study will use a systematic and iterative online Delphi research approach (eDelphi), with a minimum of three rounds. A pre-round will be used to circulate items for initial feedback and adjustment. In subsequent rounds, participants will be asked to rate the relevance of the framework\u2019s components. Consensus will be defined as &gt;70% of participants agreeing\/strongly agreeing or disagreeing\/strongly disagreeing with a component. Data will be collected using structured online questionnaires. The primary outcome of the study will be a list of the essential components to be incorporated in the final version of the framework.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Ethics and dissemination<\/jats:title>\n                  <jats:p>The study has received ethical approval conceded by the Imperial College London Science, Engineering and Technology Research Ethics Committee (SETREC) (reference no .6559176\/2023). Anonymous results will be made available to the public, academic organisations and policymakers.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-080565","type":"journal-article","created":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T12:21:57Z","timestamp":1701433317000},"page":"e080565","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Validating a framework to guide the implementation of high-quality virtual primary care: an international eDelphi study protocol"],"prefix":"10.1136","volume":"13","author":[{"given":"Joana Miguel","family":"Carvalho","sequence":"first","affiliation":[{"name":"Department of Primary Care and Public Health, Imperial College London, London, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8209-4490","authenticated-orcid":false,"given":"Edmond","family":"Li","sequence":"additional","affiliation":[{"name":"Institute of Global Health Innovation, Department of Surgery and Cancer, Imperial College London, London, UK"}]},{"given":"Benedict","family":"Hayhoe","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health, Imperial College London, London, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9709-7264","authenticated-orcid":false,"given":"Thomas","family":"Beaney","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health, Imperial College London, London, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2357-9858","authenticated-orcid":false,"given":"Azeem","family":"Majeed","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health, Imperial College London, London, UK"}]},{"given":"Geva","family":"Greenfield","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health, Imperial College London, London, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7107-7211","authenticated-orcid":false,"given":"Ana Lu\u00edsa","family":"Neves","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health, Imperial College London, London, UK"}]}],"member":"239","published-online":{"date-parts":[[2023,12,1]]},"reference":[{"key":"2025101810233106000_13.12.e080565.1","unstructured":"Hutchings R . n.d. 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