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Telehealth experiences of vulnerable clients living in Tasmania

OBJECTIVE: To understand the experiences of vulnerable clients who used telehealth during the Coronavirus pandemic. DESIGN: The study employed a qualitative enquiry, utilising semi‐structured interviews lasting 30‐60 minutes with a thematic analysis approach to explore factors influencing client exp...

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Autores principales: Van Dam, Pieter Jan, Caney, Diane, Turner, Richard C., Griffin, Phoebe, Dwyer, Mitchell, Prior, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9304290/
https://www.ncbi.nlm.nih.gov/pubmed/35076149
http://dx.doi.org/10.1111/ajr.12835
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author Van Dam, Pieter Jan
Caney, Diane
Turner, Richard C.
Griffin, Phoebe
Dwyer, Mitchell
Prior, Sarah
author_facet Van Dam, Pieter Jan
Caney, Diane
Turner, Richard C.
Griffin, Phoebe
Dwyer, Mitchell
Prior, Sarah
author_sort Van Dam, Pieter Jan
collection PubMed
description OBJECTIVE: To understand the experiences of vulnerable clients who used telehealth during the Coronavirus pandemic. DESIGN: The study employed a qualitative enquiry, utilising semi‐structured interviews lasting 30‐60 minutes with a thematic analysis approach to explore factors influencing client experience with telehealth. SETTING: A wide range of locations across Tasmania, Australia. PARTICIPANTS: Twelve participants who were considered to be vulnerable on a number of domains, including: health and human wellbeing factors, social risk factors, functional limitations, and individual behavioural factors. INTERVENTIONS: The provision of telehealth consultations to vulnerable clients. MAIN OUTCOME MEASURES: Four global themes were discovered: i) Telehealth saves time, money and energy; ii) User friendly technology facilitates care; iii) Rapport and confidentiality helps clients to feel safe; and iv) Fit for purpose telehealth provides a quality service. RESULTS: The discovered themes entailed the major finding that most participants were satisfied with the overall quality of the telehealth service they received and the convenience of this service. Concerns were raised regarding the limitations around social interaction, physical examination, and access to fit‐for‐purpose telehealth devices. CONCLUSION: This research with vulnerable clients, from Tasmania, supports the evidence that the utilisation of telehealth allows more convenient access to care. To optimise the service, however, concerns regarding the desire for social interaction, appropriate physical examination, and access to fit‐for‐purpose telehealth devices will need to be addressed.
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spelling pubmed-93042902022-07-28 Telehealth experiences of vulnerable clients living in Tasmania Van Dam, Pieter Jan Caney, Diane Turner, Richard C. Griffin, Phoebe Dwyer, Mitchell Prior, Sarah Aust J Rural Health Original Research OBJECTIVE: To understand the experiences of vulnerable clients who used telehealth during the Coronavirus pandemic. DESIGN: The study employed a qualitative enquiry, utilising semi‐structured interviews lasting 30‐60 minutes with a thematic analysis approach to explore factors influencing client experience with telehealth. SETTING: A wide range of locations across Tasmania, Australia. PARTICIPANTS: Twelve participants who were considered to be vulnerable on a number of domains, including: health and human wellbeing factors, social risk factors, functional limitations, and individual behavioural factors. INTERVENTIONS: The provision of telehealth consultations to vulnerable clients. MAIN OUTCOME MEASURES: Four global themes were discovered: i) Telehealth saves time, money and energy; ii) User friendly technology facilitates care; iii) Rapport and confidentiality helps clients to feel safe; and iv) Fit for purpose telehealth provides a quality service. RESULTS: The discovered themes entailed the major finding that most participants were satisfied with the overall quality of the telehealth service they received and the convenience of this service. Concerns were raised regarding the limitations around social interaction, physical examination, and access to fit‐for‐purpose telehealth devices. CONCLUSION: This research with vulnerable clients, from Tasmania, supports the evidence that the utilisation of telehealth allows more convenient access to care. To optimise the service, however, concerns regarding the desire for social interaction, appropriate physical examination, and access to fit‐for‐purpose telehealth devices will need to be addressed. John Wiley and Sons Inc. 2022-01-25 2022-04 /pmc/articles/PMC9304290/ /pubmed/35076149 http://dx.doi.org/10.1111/ajr.12835 Text en © 2022 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Research
Van Dam, Pieter Jan
Caney, Diane
Turner, Richard C.
Griffin, Phoebe
Dwyer, Mitchell
Prior, Sarah
Telehealth experiences of vulnerable clients living in Tasmania
title Telehealth experiences of vulnerable clients living in Tasmania
title_full Telehealth experiences of vulnerable clients living in Tasmania
title_fullStr Telehealth experiences of vulnerable clients living in Tasmania
title_full_unstemmed Telehealth experiences of vulnerable clients living in Tasmania
title_short Telehealth experiences of vulnerable clients living in Tasmania
title_sort telehealth experiences of vulnerable clients living in tasmania
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9304290/
https://www.ncbi.nlm.nih.gov/pubmed/35076149
http://dx.doi.org/10.1111/ajr.12835
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