{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:06:06Z","timestamp":1777550766587,"version":"3.51.4"},"reference-count":65,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076221133698","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T03:43:30Z","timestamp":1669693410000},"page":"205520762211336","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Interaction at the primary\u2013secondary care interface: Patients\u2019 and physicians\u2019 perceptions of teleconsultations"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4399-7088","authenticated-orcid":false,"given":"Ana Rita J","family":"Maria","sequence":"first","affiliation":[{"name":"Regional Health Administration of Lisbon and Tagus Valley, Comprehensive Health Research Centre (CHRC), Nova Medical School, Faculdade de Ci\u00eancias M\u00e9dicas, Universidade NOVA de Lisboa, Lisbon, Portugal"}]},{"given":"Helena","family":"Serra","sequence":"additional","affiliation":[{"name":"Interdisciplinary Centre of Social Sciences (CICS. NOVA), NOVA School of Social Sciences and Humanities | Faculdade de Ci\u00eancias Sociais e Humanas, Universidade NOVA de Lisboa, Lisbon, Portugal"}]},{"given":"Maria G","family":"Castro","sequence":"additional","affiliation":[{"name":"Centro Hospitalar e Universit\u00e1rio de Coimbra (CHUC), Coimbra, Portugal"}]},{"given":"Bruno","family":"Heleno","sequence":"additional","affiliation":[{"name":"Comprehensive Health Research Centre (CHRC), Nova Medical School, Faculdade de Ci\u00eancias M\u00e9dicas, Universidade NOVA de Lisboa; General Practitioner, Regional Health Administration of Lisbon and Tagus Valley, Lisbon, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"key":"bibr1-20552076221133698","unstructured":"Coulter A. Does the referral system work. 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