ArticleScandinavian journal of primary health care2023
Older patients' experiences of access to and use of e-consultations with the general practitioner in Norway: an interview study.
Article in Scandinavian journal of primary health care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Consultation frequency patterns for older patients in Danish general practice: a nationwide register-based cohort study.BJGP open · 2025Article
- Exploring ways to improve healthcare service access for people experiencing homelessness in Manchester, UK.Health promotion international · 2025Article
- The Dynamics of Doctor-Patient Communication During Remote Consultations: Qualitative Study Among Norwegian Contract General Practitioners.Journal of medical Internet research · 2025Article
- Nurses' experiences of text-based digital triage at primary healthcare centres in Sweden: a qualitative interview study.BMC nursing · 2025Article
- Patients' Use of e-Consultations as an Alternative to Other General Practitioner Services: Cross-Sectional Survey Study.Journal of medical Internet research · 2025Article
- The Impact and Wider Implications of Remote Consultations for General Practice in Norway: Qualitative Study Among Norwegian Contract General Practitioners.JMIR formative research · 2024Article
- Remote consultations in primary care: Patient experiences and suggestions for improvement.Journal of health psychology · 2024Article
- Exploring How Patients Are Supported to Use Online Services in Primary Care in England Through "Digital Facilitation": Survey Study.Journal of medical Internet research · 2024Article
- Suitability of issuing sickness certifications in remote consultations during the COVID-19 pandemic. A mixed method study of GPs' experiences.Scandinavian journal of primary health care · 2024Article
- Digital Care Pathway for Patients With Sleep Apnea in Specialized Care: Mixed Methods Study.JMIR human factors · 2024Article
- Patients' suggestions for improvements to text-based e-consultations. An online survey of users of the national health portal in Norway.Frontiers in digital health · 2024Article
- General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study.Frontiers in medicine · 2023Article
- A Systematic Review of Advance Care Planning with People Living with Dementia: Learnings from the Covid-19 Pandemic.Current health sciences journalReview
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore older patients' experiences with accessing and using e-consultations to send text-based clinical inquiries to the general practitioner (GP) online.
designQualitative study based on semi-structured interviews. Results were analysed through a six-phase thematic analysis and interpreted through Levesque's framework of patient-centred access to health care.
settingGeneral practice in Norway. SUBJECTS: Patients aged over 65 years (
resultsRespondents considered e-consultations as an integrated part of general practice which helped them achieve better access to health care. We identified four themes describing older patients' access to and use of e-consultations: 1) the importance of digital health literacy to learn about and use the service - and the fear of losing it, 2) the high availability of the service as the main advantage, due to the perceived unavailability of physical GP services, 3) the importance of voluntary use of e-consultations, 4) the importance of a trusting relationship with the GP. IMPLICATIONS: Information about e-consultations and guidelines for suitable use are recommended to ensure equal access to all patients, regardless of their digital health literacy. Availability problems and high work burdens for the GPs could affect the patients' choice for using e-consultations. If e-consultations are used for triage purposes, caution should be taken to avoid a shift in workload from the health secretary to the GP.Key points of articleThe extended use of e-consultations with the general practitioner has raised concerns that the service may not be accessible and suitable for older patients.For older users, e-consultations can represent a positive addition to physical consultation forms due to the high availability of the service in a general practice setting characterised by long waiting times.Digital health literacy is essential to learn about and use the service. Information about the service and how to use it should be available to all patients to ensure equal access.A trusting relationship with the GP is described as essential for older patients to perceive the outcome of e-consultations as appropriate and safe.
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