Table 3.

Clinician perspectives of the barriers, enablers and perceived usefulness of the home telehealth program

Barriers	Enablers	Perceived usefulness
Technology factors
Limited or inconvenient access to equipment	Families who have access to required technology. Suggestion of having equipment in more convenient locations for clinicians, e.g. from their PC or mobile devices	Having easily accessible equipment reduces the ‘hassle’ of participating in a video-consultation
Burden of setting up families with equipment, usernames and passwords at a stressful time	Families who are familiar with video communication and have access to the required technology	Simple to set up if family familiar with technology and a consultation can occur rapidly without difficulty
Comparative ease of telephone use	Clear benefit of using video, e.g. to observe a wound, or breathing pattern	Provides visual information not available in a telephone call
Discomfort with using technology	Previous experience or a willingness to participate in video-consultations
Privacy concerns- unable to control home environment, concerns with using the Internet	Having sound proof studios where video-consultations can be undertaken without interruption within the hospital	Ability to include multiple members of the health care team means information can be shared during one conversation
Individual factors
Personal preference for face-to-face interaction, video-consultations not a suitable substitute	Receptive families who request ongoing home video-consultations. Supportive local clinicians who are willing to participate	Presence of community-based clinicians enables ensures human presence available at family end
Cultural, linguistic, socio-economic diversities may make communicating via Internet-video difficult	Immigrant families often more familiar with using Internet-video to communicate with family oversees and may be more receptive to receiving health services via home video-consultation	Ability to include multiple family members in a consultation, e.g. Indigenous Australians often leave important decision making to the tribal elder not the parents or caregiver of the child
Service factors
Establishing routines	Having a coordinator to schedule video-consultations and manage administrative issues	Efficient process of communicating with multiple stakeholders
Strengthened community support: reduced need for video-consultations with PPCS	Partnering with COH ensures clinicians can remain focussed on clinical care not managing telehealth	Facilitates provision of peer-peer support and education
Lack of time; focus on hospital inpatients	Suggestion that having routine clinics for home video-consultation may be easier to manage than ad hoc	Ability to provide a consultation across vast distances which would otherwise require many hours of travel time
Staff shortages