Perceptions and Use of Telehealth Among Diverse Communities: Multisite Community-Engaged Mixed Methods Study.

Area of Science:

• Health Services Research
• Digital Health
• Community-Engaged Research

Background:

• Telehealth adoption surged during the COVID-19 pandemic.
• While convenient, telehealth faces access and quality barriers.
• Understanding patient experiences is crucial for effective implementation.

Purpose of the Study:

• Explore telehealth perceptions and experiences in diverse, underserved communities.
• Assess the impact of COVID-19 on telehealth utilization.
• Identify barriers and facilitators to high-quality virtual care.

Main Methods:

• Mixed-methods approach across three US regions (Midwest, Arizona, Florida).
• Community-engaged study using focus groups (English/Spanish) and surveys.
• Qualitative data analyzed via framework approach; quantitative data analyzed statistically.

Main Results:

• 94% of participants had used telehealth; most saw future benefits (scheduling, travel).
• Half expressed concerns about communication and physical examination limitations.
• Indigenous participants voiced particular concerns regarding these limitations.

Conclusions:

• Telehealth provides benefits like convenience but raises patient concerns.
• Communication and examination limitations are key barriers.
• Addressing these concerns is vital for equitable and effective telehealth delivery, especially for Indigenous populations.