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The large-scale implementation of e-consultations with the GP in Norway: a mixed-methods evaluation of the impact on health system, GPs and patients

The aim of this project is to understand under which conditions the use of e-consultations in primary care offers benefits to the health system, GPs and ultimately patients. Study objectives are defined around three perspectives.

Health system

To study changes in adoption and use of e-consultations in Norway over time (before, during and after the COVID-19 pandemic) and explore the impact on equitable access to care.

General practitioners

To evaluate how GPs perceive clinical appropriateness, safety, quality of communication and role of the doctor-patient relationship in e-consultations. To investigate how different organizational models adopted by GPs affect their workload and availability.

Patients

To evaluate (mirroring GPs’ experience) how patients experience clinical appropriateness, safety, quality of communication and role of the doctor-patient relationship in e-consultations. To investigate the characteristics of users and non-users and the reasons and consequences of using or not using e-consultations.

Funded by

Research Council of Norway

Research team members

Helen Atherton (Co-investigator and Warwick Lead) Chris Salisbury, Paolo Zanaboni, Eli Kristiansen, Monika Alise Johansen, Trine Bergmo, Maryam Tayefi Nasrabadi, Linn Okkenhaug Getz, Børge Lønnebakke Norberg, Bjarne Austad, Nicolas Øyane.

Collaborators

Norwegian Centre for E-health Research (NSE), University Hospital of North Norway, Norwegian University of Science and Technology (NTNU), the Norweigan Centre for Quality Improvement in Medical Practice (SKIL) and the University of Bristol.

Dates

01/06/2021 – 31/05/2026

Enquiries:

Dr Helen Atherton

h dot atherton at warwick dot ac dot uk