The primary doctor (D1) usually enjoys long-term relationships and trust with the patient. He is able to provide vital examination findings to the specialist, is able to upload relevant investigation details and is also an excellent medium of communication with the patient.
As per the telemedicine guidelines the consultant is expected to determine the complexity of the case before offering telemedicine. The possibilities of errors in this assessment would be significantly reduced in case of a D1 being with the patient.
The D1 can also follow up the management protocol. the treatment compliance is likely to be much better and this will significantly improve the patient-response.