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Validating a framework to guide the implementation of high-quality virtual primary care: an international eDelphi
Joana Miguel Carvalho1, Edmond Li2, Benedict Hayhoe1
1Department of Primary Care and Public Health, Imperial College London, London, UK.
BMJ Open
|December 1, 2023
Summary
This study refines a framework for high-quality virtual primary care by gathering general practitioners
Area of Science:
- Digital Health
- Primary Care Medicine
- Health Informatics
Background:
- Growing need for safe and high-quality virtual consultations in primary care.
- Previous qualitative research identified benefits and challenges of virtual consultations among 1600 physicians across 20 countries.
- A prototype framework for implementing high-quality virtual primary care has been developed.
Purpose of the Study:
- To explore general practitioners' perspectives on the appropriateness and relevance of the framework's prototype components.
- To refine the framework prototype for optimal practical use in primary care facilities.
Main Methods:
- Systematic and iterative online Delphi research approach (eDelphi) with a minimum of three rounds.
- Recruitment of primary care physicians with active virtual care experience via convenience and snowball sampling.
- Structured online questionnaires for data collection, with consensus defined as >70% agreement/disagreement.
Main Results:
- A pre-round will gather initial feedback for item adjustment.
- Subsequent rounds will involve participants rating the relevance of framework components.
- The primary outcome is a list of essential components for the final framework version.
Conclusions:
- The study aims to produce a refined, evidence-based framework for virtual primary care implementation.
- Findings will optimize the practical utility of virtual consultations in primary care settings.
- The finalized framework will support primary care organizations in delivering safe and effective virtual services.
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