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Understanding Experiences of Telehealth in Palliative Care: Photo Interview Study
Mahima Kalla1, Teresa O'Brien1, Olivia Metcalf1
1Centre for Digital Transformation of Health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne Connect, 700 Swanston St, Carlton, VIC 3053, Australia, 61 0390355553.
JMIR Human Factors
|February 12, 2025
Summary
Telehealth in palliative care improved patient comfort and connection but faced challenges with technical issues and physical examination limitations. An enhancement feature generating patient summaries is proposed to improve care quality.
Area of Science:
- Palliative Care
- Health Informatics
- Telemedicine
Background:
- The COVID-19 pandemic accelerated online healthcare delivery, particularly in community palliative care.
- This study aimed to enhance an existing telehealth platform for palliative care patients and healthcare professionals (HCPs).
Purpose of the Study:
- To understand patient and HCP experiences with telehealth in palliative care.
- To identify preferences for new telehealth enhancement features.
Main Methods:
- Recruited 6 patients and 6 HCPs from a tertiary hospital palliative care unit.
- Utilized participant-generated photographs to prompt discussions during one-on-one interviews.
- Conducted intertextual analysis to identify key themes.
Main Results:
- Identified three themes: comfort, connection, and care quality impacts of telehealth.
- Patients reported benefits in comfort and connection, but noted limitations affecting care quality.
- HCPs highlighted the lack of physical examination as a key limitation, with technical issues hindering interpersonal connection.
Conclusions:
- Telehealth enhancement features, such as patient-facing clinical consultation summaries, hold potential value.
- A prototype feature was developed to provide patients with take-home guidance from teleconsultations.
Keywords:
consultation summarydigital healthdigital scribeintertextual analysispalliative carephoto interviewphoto-elicitationphotographsqualitative researchtelehealthMore Related Videos
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