C Y Hidding, P Buist, K Peeters, J Cals, J Jansen, N D Scherpbier-de Haan, J Stoffelen, M H Blanker, H van der Worp, S M Sanavro, S M Grol, H J Schers
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引用次数: 0
Abstract
Background: The demand for care is increasing in volume and complexity. Digital interdisciplinary consultation (DIDC) has the potential to support general practitioners (GPs) with specialist knowledge and prevent unnecessary referrals. Successful DIDC requires collaboration between stakeholders with potentially different goals, barriers and motivations. Little is known about this broader context of DIDC.
Aim: To identify stakeholders' perceptions about DIDC including barriers and facilitators to its use.
Design and setting: Semistructured interviews with seven stakeholder groups in the Netherlands.
Method: We used purposive sampling to attain various stakeholders. The semistructured online or telephone interviews were transcribed verbatim and analyzed thematically.
Results: We interviewed 46 stakeholders (12 GPs, 10 medical specialists, 11 patients, 3 health insurance representatives, 6 platform developers, 3 primary-secondary care coordinators (PSCCs), and 1 chief medical information officer). We identified six themes: effectiveness, implementation requirements, evaluation of DIDC use, impact on networked care, acceptance by patients and future use of DIDC. Overall, stakeholders were positive about DIDC. The expected impact of DIDC on the accessibility and affordability of healthcare varied from modest to high. Agreements on collaboration and funding, and the need for user-friendly digital platforms were identified as the most important requirements for successful implementation. Physicians particularly appreciated the asynchronous nature of DIDC and the time saved. Patients appreciated receiving timely care, free from a deductible excess and avoiding unnecessary hospital visits.
Conclusion: This study shows that all stakeholders were overall positive about DIDC. Agreements on organization, collaboration, financing, and platform design are essential.
期刊介绍：
Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries.
Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration.
The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.
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