INTRODUCTION Studies show that physicians' attitudes are a major influential factor in the degree of implementation of telemedicine and that most of them identify much more opportunities in this type of visit than risks. These findings do not explain the observed decrease in the use of telemedicine in primary care with the decline of the COVID-19 pandemic. The aim of our study was to understand the gap between the attitudes that primary care physicians declare towards telemedicine and the extent to which they use it in practice. METHODS A qualitative research using a semi-structured phone interview with 33 primary care physicians experienced in telemedicine from Leumit Health Services, a health fund in Israel. A qualitative thematic analysis method was used to extract the main themes from all interviews, and descriptive statistical tests were used to analyze the demographic variables. RESULTS The attitude of the physicians depended on the perception of their professional identity and their sense of control over telemedicine implementation. The more established their professional identity and the stronger the support from the organization in the technology integration, the more positive the physician's attitude towards this type of visit. DISCUSSION Healthcare organizations that wish to improve the use of telemedicine in primary care should understand that this is more than just the implementation of new technology: they must find a way to properly support the profound change that doctors must undergo when defining their new role and professional status.

中文翻译：

---

专业议程及其对初级保健医生实施远程医疗的影响：一项定性研究。

引言 研究表明，医生的态度是远程医疗实施程度的主要影响因素，大多数医生认为这种就诊的机会远多于风险。这些发现并不能解释随着 COVID-19 大流行的减弱而观察到的初级保健中远程医疗使用的减少。我们研究的目的是了解初级保健医生对远程医疗的态度与他们在实践中使用远程医疗的程度之间的差距。方法 采用半结构化电话采访方式进行定性研究，采访了来自以色列健康基金 Leumit Health Services 的 33 名具有远程医疗经验的初级保健医生。使用定性主题分析方法从所有访谈中提取主要主题，并使用描述性统计检验来分析人口变量。结果 医生的态度取决于他们对职业身份的认知以及他们对远程医疗实施的控制感。其职业认同越明确，组织在技术整合方面的支持越强，医生对此类就诊的态度越积极。讨论希望改善远程医疗在初级保健中的使用的医疗机构应该明白，这不仅仅是新技术的实施：他们必须找到一种方法来适当支持医生在定义新角色和专业时必须经历的深刻变革。地位。