title: A qualitative study of communication during joint teleconsultations at the primary-secondary care interface.
abstract: It has been suggested that joint teleconsultations can improve communication at the primary-secondary care interface. We examined data from a qualitative analysis of social interactions in teleconsultations between specialists and general practitioners. The primary interaction was between specialists and patients. The general practitioners mostly adopted a 'back seat role', listening and observing, but not becoming actively involved. Teleconsultations create a number of interactional difficulties, which are likely to impede implementation and sustainability.
authors.affiliation: Department of General Practice, National University of Ireland, Galway, Republic of Ireland. anne.macfarlane@nuigalway.ie
authors.forename: Anne
authors.initials: A
authors.lastname: MacFarlane
authors.forename: Robert
authors.initials: R
authors.lastname: Harrison
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Murray
authors.forename: Paul
authors.initials: P
authors.lastname: Wallace
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D004739:England; D005194:Family Practice / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D007400:Interprofessional Relations; D008505:Medical Staff, Hospital / Q000458:organization & administration / Q000592:standards*; D010817:Physician-Patient Relations; D036301:Qualitative Research; D019114:Remote Consultation