ArticleBMJ open2023
Stakeholders' perceptions of a nurse-led telehealth case management intervention in primary care for patients with complex care needs: a qualitative descriptive study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Experienced Chinese Bariatric Case Managers' Perceptions of their Roles in Bariatric Case Management: A Qualitative Study.Obesity surgery · 2026Article
- Digital chat-based care assessments in primary healthcare: nurses' work experiences and training needs.Scandinavian journal of primary health care · 2025Article
- Strategies for enhancing home-based cardiac rehabilitation self-management for patients with coronary heart disease: a qualitative study.BMC nursing · 2025Article
- Telehealth in primary health care: a study of activities and time spent by professionals.Revista latino-americana de enfermagem · 2025Observational
- Finding social need-les in a haystack: ascertaining social needs of Medicare patients recorded in the notes of care managers.BMC health services research · 2023Article
Corrections and comments
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Authors and funding
14 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWith the onset of the COVID-19 pandemic, telehealth case management (TCM) was introduced in primary care for patients requiring care by distance. While not all healthcare needs can be addressed via telehealth, the use of information and communication technology to support healthcare delivery has the potential to contribute to the management of patients with chronic conditions and associated complex care needs. However, few qualitative studies have documented stakeholders' perceptions of TCM. This study aimed to describe patients', primary care providers' and clinic managers' perceptions of the use of a nurse-led TCM intervention for primary care patients with complex care needs.
designQualitative descriptive study.
settingThree primary care clinics in three Canadian provinces.
participantsPatients with complex care needs (n=30), primary care providers (n=11) and clinic managers (n=2) participated in qualitative individual interviews and focus groups.
interventionTCM intervention was delivered by nurse case managers over a 6-month period.
resultsParticipants' perceptions of the TCM intervention were summarised in three themes: (1) improved patient access, comfort and sense of reassurance; (2) trusting relationships and skilled nurse case managers; (3) activities more suitable for TCM. TCM was a generally accepted mode of primary care delivery, had many benefits for patients and providers and worked well for most activities that do not require physical assessment or treatment. Participants found TCM to be useful and a viable alternative to in-person care.
conclusionsTCM improves access to care and is successful when a relationship of trust between the nurse case manager and patient can develop over time. Healthcare policymakers and primary care providers should consider the benefits of TCM and promote this mode of delivery as a complement to in-person care for patients with complex care needs.
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