From face-to-face consultation to teleconsultation : Primary health care professionals' experiences in the Basque Country during the pandemic
Copyright © 2023 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved..
OBJECTIVE: To explore the perceptions of Primary Health Care (PHC) professionals on changes in consultation modalities and their impact on PHC fundamentals during the pandemic.
DESIGN: Qualitative exploratory research conducted between October and November, 2021.
LOCATION: Four urban and one rural primary health care centers with different socioeconomic profiles in the threeterritories of the Basque Country.
PARTICIPANTS: Forty-six professionals from different categories of the PHC team and health centre directors.
METHOD: Purposive sampling. Five focus groups and fourin-depth interviews. Thematic analysis with the support of the Atlas.ti programme. Triangulation of results among the research team.
RESULTS: Experiences with the development of teleconsultation appear to be directly conditioned by the pandemic context in its different phases and by the PC situation. The professionals identified communication barriers, as well as potentialities of its use that require adequate training and evaluation. Risks of inequity were perceived in the use of teleconsultations that could be affecting the quality of care. Longitudinality was assessed as a facilitating factor and problems of coordination and communication through teleconsultation between care levels were identified.
CONCLUSIONS: The replacement of face-to-face consultation by teleconsultation had an impact on fundamental aspects of PHC such as quality, accessibility, equity, coordination and longitudinality. Teleconsultation in PHC should always be evaluated considering the specific circumstances and contexts of its implementation.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:55 |
|---|---|
| Enthalten in: |
Atencion primaria - 55(2023), 10 vom: 05. Okt., Seite 102702 |
| Sprache: |
Spanisch |
|---|
| Weiterer Titel: |
De la consulta presencial a la teleconsulta: experiencias de profesionales de atención primaria del País Vasco durante la pandemia |
|---|
| Beteiligte Personen: |
Jiménez-Carrillo, Marta [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Atención primaria |
|---|
| Anmerkungen: |
Date Completed 02.10.2023 Date Revised 02.10.2023 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.aprim.2023.102702 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM359382908 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM359382908 | ||
| 003 | DE-627 | ||
| 005 | 20231226080743.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||spa c | ||
| 024 | 7 | |a 10.1016/j.aprim.2023.102702 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1197.xml |
| 035 | |a (DE-627)NLM359382908 | ||
| 035 | |a (NLM)37437478 | ||
| 035 | |a (PII)S0212-6567(23)00135-X | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a spa | ||
| 100 | 1 | |a Jiménez-Carrillo, Marta |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a From face-to-face consultation to teleconsultation |b Primary health care professionals' experiences in the Basque Country during the pandemic |
| 246 | 3 | 3 | |a De la consulta presencial a la teleconsulta: experiencias de profesionales de atención primaria del País Vasco durante la pandemia |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 02.10.2023 | ||
| 500 | |a Date Revised 02.10.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a OBJECTIVE: To explore the perceptions of Primary Health Care (PHC) professionals on changes in consultation modalities and their impact on PHC fundamentals during the pandemic | ||
| 520 | |a DESIGN: Qualitative exploratory research conducted between October and November, 2021 | ||
| 520 | |a LOCATION: Four urban and one rural primary health care centers with different socioeconomic profiles in the threeterritories of the Basque Country | ||
| 520 | |a PARTICIPANTS: Forty-six professionals from different categories of the PHC team and health centre directors | ||
| 520 | |a METHOD: Purposive sampling. Five focus groups and fourin-depth interviews. Thematic analysis with the support of the Atlas.ti programme. Triangulation of results among the research team | ||
| 520 | |a RESULTS: Experiences with the development of teleconsultation appear to be directly conditioned by the pandemic context in its different phases and by the PC situation. The professionals identified communication barriers, as well as potentialities of its use that require adequate training and evaluation. Risks of inequity were perceived in the use of teleconsultations that could be affecting the quality of care. Longitudinality was assessed as a facilitating factor and problems of coordination and communication through teleconsultation between care levels were identified | ||
| 520 | |a CONCLUSIONS: The replacement of face-to-face consultation by teleconsultation had an impact on fundamental aspects of PHC such as quality, accessibility, equity, coordination and longitudinality. Teleconsultation in PHC should always be evaluated considering the specific circumstances and contexts of its implementation | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Atención primaria | |
| 650 | 4 | |a Calidad | |
| 650 | 4 | |a Equidad | |
| 650 | 4 | |a Equity | |
| 650 | 4 | |a Primary health care | |
| 650 | 4 | |a Quality | |
| 650 | 4 | |a Teleconsulta | |
| 650 | 4 | |a Teleconsultation | |
| 700 | 1 | |a González-Rábago, Yolanda |e verfasserin |4 aut | |
| 700 | 1 | |a González Miguel, Raquel |e verfasserin |4 aut | |
| 700 | 1 | |a Baza Bueno, Mikel |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Atencion primaria |d 1991 |g 55(2023), 10 vom: 05. Okt., Seite 102702 |w (DE-627)NLM012612324 |x 1578-1275 |7 nnns |
| 773 | 1 | 8 | |g volume:55 |g year:2023 |g number:10 |g day:05 |g month:10 |g pages:102702 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.aprim.2023.102702 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 55 |j 2023 |e 10 |b 05 |c 10 |h 102702 | ||