A qualitative study of the educational potential of joint teleconsultations at the primary-secondary care interface

Abstract

We conducted an evaluation of joint teleconsultations involving specialists, general practitioners (GPs) and their patients. Semistructured interviews (n= 39) and focus groups (2 groups with specialists; 6 groups with GPs) were used to collect data to explore participants’ views on the educational aspect of joint teleconsultations, and to seek examples of learning that had taken place. The results showed that the teleconsultation was a complex situation in which some learning took place for the generalists, but overall participants were disappointed. Three themes emerged that could enhance the educational potential in future: generalists’ reasons for referral as an influence on perceived learning; lack of clarity among clinicians regarding their role and conduct; and the presence of patients as an inhibitor in doctor-doctor interactions.