Kidney transplant recipient perspectives on telehealth during the COVID-19 pandemic

Brooke M. Huuskes, Nicole Scholes-Robertson, Chandana Guha, Amanda Baumgart, Germaine Wong, John Kanellis, Steve Chadban, Katherine A. Barraclough, Andrea K. Viecelli, Carmel M. Hawley, Peter G. Kerr, Patrick Toby Coates, Noa Amir, Allison Tong

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)
1 Downloads (Pure)

Abstract

The COVID-19 pandemic has challenged the delivery of health services. Telehealth allows delivery of care without in-person contacts and minimizes the risk of vial transmission. We aimed to describe the perspectives of kidney transplant recipients on the benefits, challenges, and risks of telehealth. We conducted five online focus groups with 34 kidney transplant recipients who had experienced a telehealth appointment. Transcripts were thematically analyzed. We identified five themes: minimizing burden (convenient and easy, efficiency of appointments, reducing exposure to risk, limiting work disruptions, and alleviating financial burden); attuning to individual context (depending on stability of health, respect patient choice of care, and ensuring a conducive environment); protecting personal connection and trust (requires established rapport with clinicians, hampering honest conversations, diminished attentiveness without incidental interactions, reassurance of follow-up, and missed opportunity to share lived experience); empowerment and readiness (increased responsibility for self-management, confidence in physical assessment, mental preparedness, and forced independence); navigating technical challenges (interrupted communication, new and daunting technologies, and cognizant of patient digital literacy). Telehealth is convenient and minimizes time, financial, and overall treatment burden. Telehealth should ideally be available after the pandemic, be provided by a trusted nephrologist and supported with resources to help patients prepare for appointments.

Original languageEnglish
Pages (from-to)1517-1529
Number of pages13
JournalTRANSPLANT INTERNATIONAL
Volume34
Issue number8
Early online date11 Jun 2021
DOIs
Publication statusPublished - Aug 2021
Externally publishedYes

Keywords

  • COVID-19
  • patient-centered care
  • telehealth

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