Table 3.
Category and subcategory | Illustrative quote | ||
Usefulness of the intervention and improved quality of care | “[Did the TCP help?] Certainly, all the consultations and especially the last one... the person in charge of the team stated how useful the telepsychiatry consultations had been” [Psychiatrist #1] | ||
Need for continued support | “It would be very useful to keep this program available, for more months” [Primary health care psychologist #4] “…It would be good for it to be a regular program, it would greatly contribute to mental health teams in primary care” [Primary health care psychologist #3] |
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Meeting expectations | |||
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On the methodology used | “There was a clear methodology and a well-defined way of handling each case” [Primary health care physician #1] “The clinical advice enabled us to develop teamwork, which added dynamism to the care we delivered, …communication became more effective, and that strengthened teamwork” [Primary health care psychologist #3] |
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On guiding pharmacological treatments | “The goal of the consultations was met, especially regarding the clarification of doubts about the pharmacotherapy” [Psychiatrist #1] | |
Training primary health care practitioners and increased resolution capacity | “It not only enabled us to give them advice about specific cases; we also trained them about more general aspects. I sent them complementary material for psychotherapy approaches” [Psychiatrist #3] “I specifically helped them by increasing their self-confidence and facilitating their decision-making processes” [Psychiatrist #1] |
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Facilitators and barriers to implementation | |||
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Facilitators to implementation |
“Openness of the directors, motivation of staff members” [Primary health care psychologist #1] “The willingness to help of the psychiatrist” [Primary health care psychologist #4] “Punctuality, willingness to participate and interest in the activity, they were open to my suggestions and advice as a consultant” [Psychiatrist #1] “I enjoy teamwork and have a personal interest in telepsychiatry” [Psychiatrist #2] |
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Barriers to implementation |
“[On electronic health records] They don't include all the information that we'd need for an adequate teleconsultation session, for example, the medications that the patients were taking” [Psychiatrist #3] “The [residence] does not have full clinical records…about the patient” [Primary health care physician #1] “Interruptions due to technical problems such as internet access, availability of an office and/or computer” [Psychiatrist #1] “Sometimes we had no access to a computer and a suitable room…, which delayed the process” [Primary health care psychologist #1] |