## 2 Results and Discussion
### Medical Context  
In the medical context, videoconferencing is a tool for providing healthcare. The GPs and specialists possess diverse types of knowledge, and through medical discussions, they exchange knowledge in order to cover what the individuals are capable of doing alone and when collaborating. This offers the practitioners not only the medical knowledge necessary to perform local treatment, but \begin{table}
\begin{tabular}{l l l} \hline \hline  & \multicolumn{1}{c}{**Consultation**} & \multicolumn{1}{c}{**Category**} \\ \hline GP a & 1. Her CRP [C-reactive protein] level is still rising. & Description of problem \\  & 2. Should we change the per-oral treatment to intravenous? Or... & Question about treatment \\ S b & 3. Yes, do that, and if it still rises or she becomes worse, you will have to & Recommend treatment \\  & transfer her. & \\  & 4. I hope it has not created any resistant bacteria, but you know how it is! & Description of diagnosis \\  & Follow-up closely. She may become terribly ill very quickly. & Confirmation \\ GP & 5. Yes! & Recommend treatment \\ S & 6. Great! And... please check her CRP[C-reactive protein] level at & Recommend treatment \\  & noon. If it does not work, we will have to treat her with something else. & \\ \hline \hline \end{tabular} \({}^{\text{a}}\) GP: general practitioner; b S: specialist.  
\end{table} 
Table 2: The medical talk in consultation between levels of care. also a feeling of professional security in their decisions. The GPs describe the questions that form the medical discussion (Table 2) and the content in the videoconference when discussing medical problems. General practitioner a (GPA): \"Do you have any advice? Should I perform some new tests? Shall we start the treatment this way, or should we do something else? I get (...) an answer that is explained very well.\"  
Specialist b (SB): \"The meetings are about information about patients in the medical centre or patients who have been there and are now staying in the hospital. They are about medical and organizational questions. In what way can we handle these illnesses, and what happens if the patient develops complications?\"  
SA: \"We may have prescribed intravenous medicaments for 2-3-4 more days, depending on blood tests. Then, we may change over to tablets. We discuss such themes. They know what we are thinking, but want to be sure that we agree with each other. The discussions may also involve medical problems that they do not know how to handle or patients getting worse, which might be transferred to us [at the hospital].\"  
This GP(A) explains his concrete questions and suggestions regarding the collaborative work and the fact that this method of collaborating leads to well-explained answers to the problems. The specialist (SB) describes the same content in the videoconferences by explaining that they are about how to handle illnesses and the development of medical conditions. Specialist SA deepens the discussion by referring to a concrete problem: how questions arise and how illness development brings up further questions. This confirms the consultation in Table 2. GPB supports this by describing the discussions in the context of the professional aspect of ensuring medical safety as well as the opportunity to challenge individual knowledge. In this manner, hospitalization may be avoided. GPB: \"(...) they give me the acceptance of and support for what I suggest, and I can write it in the journal. I feel confident about it [the answer], and I can record that I have conferred with [PERSON] [the specialist]. (...) I learn more about how to handle various problems, where before I would have thought that I should hospitalise [the patient].\"  
GPB points to the significance of a second opinion for legal and professional reasons.