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The study focused on how the program is normalized in the primary care setting. The primary research question for this study is \u201cin what ways is the implementation of video consultation normalized in primary care?\u201d.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The qualitative design and content analysis of primary data from the transcripts were based on in-depth interviews, complemented with free-text answers to open-ended survey questions and various documents. The study focuses on the large-scale implementation of the public eHealth program N\u00e4rh\u00e4lsan Online, which represents more than 100 health centers in Sweden\u2019s largest region of V\u00e4stra G\u00f6taland. Multiagent perspectives on how the program is normalized were drawn from expressed perceptions by professions directly linked to both strategic and functional implementation, as well as administration and clinical operation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>This study both confirms and enhances the field with a theoretical contribution in six ways to the reviewed previous research, as well as showing practical implications. It also provides multi-agent perspectives on the rapid normalization of the implementation program studied.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>In relation to the rapid progression of different initiatives in eHealth, this study contributes to perspectives on specific challenges as expressed by professions directly linked to both strategic and functional implementation as well as administration and clinical operation.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12913-024-11913-0","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T08:17:12Z","timestamp":1731658632000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A new normal in primary care: the rapid normalization of a major eHealth program in public health centers"],"prefix":"10.1186","volume":"24","author":[{"given":"Karl","family":"Maack","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanna","family":"Gillberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Wikstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,15]]},"reference":[{"key":"11913_CR1","doi-asserted-by":"crossref","unstructured":"Blix M, Jeansson J, Larsson A, Teigland R. 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To gain objective consideration of ethics, the researchers applied for ethical consideration to the Swedish ethical review authority both for interviews and for a survey. For the interviews written informed consent were gathered for respondents. For the questionnaire all respondents received a two-step study participation information, first study participation information was distributed with the invitation to participate, and second study participation information was set as pre-page needed to pass to get to the survey questions. The following statement citations clarify the decisions and the reasoning behind the decisions made by the authorities:The Swedish Ethical Review Authority reference number (Dnr) 2021\u201302908:\u25cb Decision: The ethics review authority rejects the application, that is, does not take the application up for consideration.\u25cb Declared reasoning behind decision: In the current project, there will be no intervention on a research person or other intervention in the manner specified in Sect.\u00a04 of the Ethics Review Act. There will be no processing of personal data in the manner specified in Sect.\u00a03 of the Ethics Review Act. In light of this, the study is not covered by the regulations in \u00a7\u00a7 3\u20134 of the Ethics Review Act and must therefore not be ethically reviewed.The Swedish Ethical Review Authority reference number (Dnr) 2021\u201306003-01:\u25cb Decision: The ethics review authority rejects the application, that is, does not take the application up for consideration.\u25cb Declared reasoning behind decision: In the current project, there will be no intervention on a research person or other intervention in the manner specified in Sect.\u00a04 of the Ethics Review Act. There will be no processing of personal data in the manner specified in Sect.\u00a03 of the Ethics Review Act. In light of this, the study is not covered by the regulations in \u00a7\u00a7 3\u20134 of the Ethics Review Act and must therefore not be ethically reviewed.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1409"}}