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. 2021 Jul 2;51(7):1028–1037. doi: 10.1111/imj.15205

Table 3.

How the qualitative themes and subthemes fit with Greenhalgh's non‐adoption, or abandonment, or non‐sustainability (NASSS) domains

NASSS Domains Themes Sub‐themes Number of times domain identified in analysis
Medical condition

1. Disease progression

2. Physical examination requirements

1. New diagnosis

2. Flare‐up

3. New medication

4. Fear aspect of condition will be missed due to lack of physical examination

51
Technology

3. Method of telehealth delivery

4. Privacy

5. Sound quality

6. Lack of access to Internet or video‐conferencing device

7. No caller ID

8. Concerned about being overhead

9. Background noise

11
Value of service to certain sub‐populations of patients (value proposition)

5. Vulnerable populations

6. Workers

7. Availability of services during COVID‐19 pandemic

10. Homeless population

11. Patients living with a disability

12. Patients who are carers or receiving services from carers

13. Patients from rural or regional areas

14. Patients who require interpreting services

15. Fear of contracting COVID‐19 in healthcare setting

42
Barriers to adoption of services

8. Difficulty communicating

9. Relationship between patient and clinician

16. Cognitive overload

17. Difficulty conveying condition severity, condition's impact, physically and emotionally

18. Rapport with treating clinician

47
Organisation 10. Logistics

19. Timing of consultation

20. Posting of blood forms, prescriptions

21. Convenience

90
Embedding and adaptation over time (organisational resilience) 11. Mixed model clinic structure (telehealth and face‐to‐face clinic simultaneously run)

22. Able to see doctor if condition deteriorates

23. Able to see doctor annually/bi‐annually for examination and ‘check‐in’

40