Exploring Multiple Dimensions of Access to and Preferences for Telehealth Use
Introduction: During the pandemic, telehealth became critically important in care provision. Yet, research exposed the inequities facing various groups of people in terms of accessing telehealth. The purpose of this analysis was to examine the various dimensions of access that impact a person's...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mary Ann Liebert
2023-12-01
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| Series: | Telemedicine Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/TMR.2023.0049 |
| _version_ | 1797346042759348224 |
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| author | Kristin Pullyblank Melissa Scribani Nicole Krupa Amanda Chapman Megan Kern Wendy Brunner |
| author_facet | Kristin Pullyblank Melissa Scribani Nicole Krupa Amanda Chapman Megan Kern Wendy Brunner |
| author_sort | Kristin Pullyblank |
| collection | DOAJ |
| description | Introduction: During the pandemic, telehealth became critically important in care provision. Yet, research exposed the inequities facing various groups of people in terms of accessing telehealth. The purpose of this analysis was to examine the various dimensions of access that impact a person's ability to use and preference for telehealth.
Methods: We used a mixed-methods approach framed by Levesque's Access to Health care model. In August, 2021, a stratified random sample of 500 patients of an integrated rural health care network was invited to participate in a survey designed to capture familiarity with, use of, and preference for digital technologies in general as well as with telehealth. In addition, key informant interviews were conducted between January 2022 and June 2022.
Results: Patients' willingness to use telehealth was influenced by multiple dimensions of access, including approachability of the resource, acceptability, availability, affordability, and appropriateness. Clinician beliefs and attitudes as well as health care system policies affected how a patient perceived, sought, reached, and engaged with telehealth.
Conclusions: Access is a dynamic, multifaceted concept that is influenced by individual-, organization-, and systemic-level factors. Looking beyond patient determinants and examining different dimensions of access is important to better facilitate implementation and sustainment of telehealth. |
| first_indexed | 2024-03-08T11:27:08Z |
| format | Article |
| id | doaj.art-afb2cb99df404429b906072f9437ca4e |
| institution | Directory Open Access Journal |
| issn | 2692-4366 |
| language | English |
| last_indexed | 2024-03-08T11:27:08Z |
| publishDate | 2023-12-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Telemedicine Reports |
| spelling | doaj.art-afb2cb99df404429b906072f9437ca4e2024-01-26T05:24:08ZengMary Ann LiebertTelemedicine Reports2692-43662023-12-014134835810.1089/TMR.2023.0049Exploring Multiple Dimensions of Access to and Preferences for Telehealth UseKristin PullyblankMelissa ScribaniNicole KrupaAmanda ChapmanMegan KernWendy BrunnerIntroduction: During the pandemic, telehealth became critically important in care provision. Yet, research exposed the inequities facing various groups of people in terms of accessing telehealth. The purpose of this analysis was to examine the various dimensions of access that impact a person's ability to use and preference for telehealth. Methods: We used a mixed-methods approach framed by Levesque's Access to Health care model. In August, 2021, a stratified random sample of 500 patients of an integrated rural health care network was invited to participate in a survey designed to capture familiarity with, use of, and preference for digital technologies in general as well as with telehealth. In addition, key informant interviews were conducted between January 2022 and June 2022. Results: Patients' willingness to use telehealth was influenced by multiple dimensions of access, including approachability of the resource, acceptability, availability, affordability, and appropriateness. Clinician beliefs and attitudes as well as health care system policies affected how a patient perceived, sought, reached, and engaged with telehealth. Conclusions: Access is a dynamic, multifaceted concept that is influenced by individual-, organization-, and systemic-level factors. Looking beyond patient determinants and examining different dimensions of access is important to better facilitate implementation and sustainment of telehealth.https://www.liebertpub.com/doi/full/10.1089/TMR.2023.0049telehealthtelemedicinehealth equityaccesspatient preference |
| spellingShingle | Kristin Pullyblank Melissa Scribani Nicole Krupa Amanda Chapman Megan Kern Wendy Brunner Exploring Multiple Dimensions of Access to and Preferences for Telehealth Use Telemedicine Reports telehealth telemedicine health equity access patient preference |
| title | Exploring Multiple Dimensions of Access to and Preferences for Telehealth Use |
| title_full | Exploring Multiple Dimensions of Access to and Preferences for Telehealth Use |
| title_fullStr | Exploring Multiple Dimensions of Access to and Preferences for Telehealth Use |
| title_full_unstemmed | Exploring Multiple Dimensions of Access to and Preferences for Telehealth Use |
| title_short | Exploring Multiple Dimensions of Access to and Preferences for Telehealth Use |
| title_sort | exploring multiple dimensions of access to and preferences for telehealth use |
| topic | telehealth telemedicine health equity access patient preference |
| url | https://www.liebertpub.com/doi/full/10.1089/TMR.2023.0049 |
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