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. 2023 Feb 15;13(2):e070046. doi: 10.1136/bmjopen-2022-070046

Table 2.

Summary of emergent themes

Theme Category Unit meaning
Telehealth use means the use of a telephone for many.
(What is telehealth)
A call
  • Appointment setting.

  • A call to my doctor.

  • A call to the insurance.

  • A call to my mum sister, friends and grandparents.

  • No gender differences in telehealth use.

  • Internet search but do not tell doctor.

Internet search for symptoms
  • Internet search as both an empowerment tool and scaremonger.

Barriers
  • Socioeconomic status education, language and communication skills (why foreigners flood ED).

  • Apps complicated to use, limited to COVID-19 apps and certificate.

  • Hotlines staffed with unqualified staff.

  • Calls not answered, jammed lines.

  • Fear of viruses and data security breaches.

Telehealth has both remits and limits Telehealth remit
  • Triage and monitoring.

  • Nudging people to seek care and anonymity.

  • Conditions associated with stigma and shame.

  • Rural populations.

Telehealth limits
  • Parents still go to paediatrician or ED after telehealth use.

  • GP model is better for the elderly.

  • Not suitable for severe pain, children, older people and mental health patients.

  • Apps can be manipulated.

  • Second-class medicine for some groups.

  • Accountability issues.

  • Potential for errors.

Future telehealth opportunities and threats Opportunities
  • Equitable access to healthcare.

  • Telehealth for monitoring.

  • Sports apps.

  • Potential to improve access to care and triage mental health.

Threats
  • Human factor element (power of voice).

  • GPs have no time, time spent on documentation, concern for healthcare worker mental health issue.

  • Pharmacies as proxies to telehealth.

  • Opportunity to ask questions.

  • Second-class medicine for the not haves.

ED, Emergency Department.