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Accessible by Design: Evaluating a Telehealth Accessibility Checklist.

Garrett Zabala1, Shelby Wyand2, William Beninati3

  • 1MedStar Health National Center for Human Factors in Health care, Washington, District of Columbia, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|October 31, 2025
PubMed
Summary

A new Telehealth Access Checklist helps healthcare organizations evaluate their platforms for patient safety and access. This tool identifies areas for improving telehealth technology to meet diverse population needs.

Keywords:
telehealthtelehealth accesstelehealth access checklisttelehealth assessment tool

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Area of Science:

  • Health Services Research
  • Digital Health
  • Patient Safety

Background:

  • The COVID-19 pandemic accelerated telehealth adoption, revealing implementation inconsistencies.
  • Variations in telehealth platforms can impact patient safety and equitable access to care.

Purpose of the Study:

  • To evaluate the feasibility and utility of a 60-item Telehealth Access Checklist.
  • To assess the checklist's effectiveness in identifying potential access barriers in telehealth platforms.

Main Methods:

  • A feasibility study involving three large healthcare organizations.
  • Eleven reviewers (physicians, telemedicine directors) assessed the checklist's content.
  • Feedback was collected for checklist refinement.

Main Results:

  • The checklist received strong support for its concept and design.
  • Reviewers identified specific telehealth technology aspects needing optimization for accessibility.
  • The checklist proved effective in guiding organizations to pinpoint areas for improvement.

Conclusions:

  • A self-assessment checklist can enhance telehealth technology.
  • Identifying and optimizing technological features improves accessibility for all patient populations.
  • The checklist can guide healthcare organizations in refining telehealth services.