Table 2 Findings Quotes Key issues Main... | Emerald Publishing

Table 2

Findings

Quotes	Key issues	Main themes
If a telemedicine project is imposed from above, it will certainly not succeed. The existence of an internal hospital sponsor almost always ensures the success of the project (Technician)	Actor role empowerment	DRIVERS
The caregiver plays an increasingly important role, he/she should be able to manage technological devices and e-therapies and to monitor parameters at home (Cardiologist)
I am a rather elderly patient, I didn't really know what the term telemedicine meant, then during the Covid I had to learn how to monitor my parameters at home and relate in a different way to my cardiologist, avoiding going to the hospital (Patient)
Today, more than ever, the role of the regions is becoming more fundamental as key players in creating new interactions and reconfiguring existing relationships (Policy maker)	Actor-network engagement
The relationship is no longer just between the cardiologist and the patient, the logic of the dyadic relationship has been overcome: co-creating value for and with the patient today also means proposing alternative solutions. The non-profit association I volunteer for, for example, which used to help patients by wandering the hospital wards, has now implemented new services to stay close to patients and overcome the physical distance imposed by the pandemic (Volunteer, retired nurse)
Our focus is on the product. Product performance is of interest to all clinicians today. A network logic allows even small companies to bring their know-how to bear and to integrate this with those of the players already in the network (Health tech start-up entrepreneur)
The transition from the physical to the digital environment is not easy to manage, a different and new integration of resources is needed, useful to co-create value for the patient and for society as a whole (Technology provider)	Resource reconfiguration
The pandemic has reshaped the relationship of patients with the health-care system, especially for patients with a chronic cardiovascular disease. The ability to manage a patient’s condition remotely has been proven to be a major asset (Cardiologist)
I believe in this moment it is necessary to share resources, activate a real process of reconfiguration and understand how to fit the various pieces of the puzzle, bearing in mind the dynamism of the situation and the speed with which everything is constantly changing (Family doctor)
There is a lack of central coordination. Many actors have associated telemedicine with a purely ICT-based service. There is a lack of a common language between the actors, which does not facilitate connections and makes it difficult to carry out shared projects (Computer engineer)	Inter-actor and intra-actor misalignment	INHIBITORS
We talk more and more often about interventions on the territory for chronic patients, but the real problem is that there is a lack of real coordination between the actors involved, which is useful for value co-creation, particularly in this period of pandemic (Cardiologist)
We need to work on the computer literacy of all the actors, old and new, involved in these new workflows … this is also useful for the management of home care, to be as widespread as possible throughout the community and to speed up certain dynamics that are still very slow today (Technology provider)
We are not yet investing in AI … we have yet to recognise its potential for prioritising care for the patients we are currently treating at home given their chronically ill conditions (Computer engineer)	Resource myopia
In the hospital we are very focused on what is going on right now, we should start using some technologies also for remote monitoring of chronic patients with cardiovascular diseases (Nurse)	Resource myopia
A virtual platform would also be useful for the management and analysis of data transmitted by patients who are remotely monitored. This would allow us to share information faster and manage critical events more quickly (Computer engineer)	Platformisation gap
I think that today there is a lack of a real widespread network operating on the territory … We need to create a widespread network involving all the players in the system, from the regions to pharmacies, family doctors …(Caregiver)
Not all regions behave in the same way and invest or have invested in telemedicine to the same extent. There is no single regional tool that all hospitals should be equipped with … the existence of different technologies does not allow for the transmission of data (Technician)

Quotes	Key issues	Main themes
If a telemedicine project is imposed from above, it will certainly not succeed. The existence of an internal hospital sponsor almost always ensures the success of the project (Technician)	Actor role empowerment	DRIVERS
The caregiver plays an increasingly important role, he/she should be able to manage technological devices and e-therapies and to monitor parameters at home (Cardiologist)
I am a rather elderly patient, I didn't really know what the term telemedicine meant, then during the Covid I had to learn how to monitor my parameters at home and relate in a different way to my cardiologist, avoiding going to the hospital (Patient)
Today, more than ever, the role of the regions is becoming more fundamental as key players in creating new interactions and reconfiguring existing relationships (Policy maker)	Actor-network engagement
The relationship is no longer just between the cardiologist and the patient, the logic of the dyadic relationship has been overcome: co-creating value for and with the patient today also means proposing alternative solutions. The non-profit association I volunteer for, for example, which used to help patients by wandering the hospital wards, has now implemented new services to stay close to patients and overcome the physical distance imposed by the pandemic (Volunteer, retired nurse)
Our focus is on the product. Product performance is of interest to all clinicians today. A network logic allows even small companies to bring their know-how to bear and to integrate this with those of the players already in the network (Health tech start-up entrepreneur)
The transition from the physical to the digital environment is not easy to manage, a different and new integration of resources is needed, useful to co-create value for the patient and for society as a whole (Technology provider)	Resource reconfiguration
The pandemic has reshaped the relationship of patients with the health-care system, especially for patients with a chronic cardiovascular disease. The ability to manage a patient’s condition remotely has been proven to be a major asset (Cardiologist)
I believe in this moment it is necessary to share resources, activate a real process of reconfiguration and understand how to fit the various pieces of the puzzle, bearing in mind the dynamism of the situation and the speed with which everything is constantly changing (Family doctor)
There is a lack of central coordination. Many actors have associated telemedicine with a purely ICT-based service. There is a lack of a common language between the actors, which does not facilitate connections and makes it difficult to carry out shared projects (Computer engineer)	Inter-actor and intra-actor misalignment	INHIBITORS
We talk more and more often about interventions on the territory for chronic patients, but the real problem is that there is a lack of real coordination between the actors involved, which is useful for value co-creation, particularly in this period of pandemic (Cardiologist)
We need to work on the computer literacy of all the actors, old and new, involved in these new workflows … this is also useful for the management of home care, to be as widespread as possible throughout the community and to speed up certain dynamics that are still very slow today (Technology provider)
We are not yet investing in AI … we have yet to recognise its potential for prioritising care for the patients we are currently treating at home given their chronically ill conditions (Computer engineer)	Resource myopia
In the hospital we are very focused on what is going on right now, we should start using some technologies also for remote monitoring of chronic patients with cardiovascular diseases (Nurse)	Resource myopia
A virtual platform would also be useful for the management and analysis of data transmitted by patients who are remotely monitored. This would allow us to share information faster and manage critical events more quickly (Computer engineer)	Platformisation gap
I think that today there is a lack of a real widespread network operating on the territory … We need to create a widespread network involving all the players in the system, from the regions to pharmacies, family doctors …(Caregiver)
Not all regions behave in the same way and invest or have invested in telemedicine to the same extent. There is no single regional tool that all hospitals should be equipped with … the existence of different technologies does not allow for the transmission of data (Technician)