Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation

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Abstract

Temporary telehealth initiatives during COVID-19 have been lifechanging for many people in Australia; for the first time Frail, Homebound, and Bedridden Persons (FHBP) equitably received primary healthcare services, like Australians without a disability. However, government changes to telehealth funding mean that since July 2020 telehealth is only available for those who have attended a face-to-face appointment in the last 12 months, thus excluding FHBP.
This paper illustrates the reported health exclusion and marginalisation of FHBP.
We reviewed the literature and surveyed 164 Australian adults (27% homebound people and 73% affiliated persons) to ascertain their opinions and thoughts on potential strategies to tackle issues associated with FHBP’s current circumstances.
Results demonstrate that digital technologies and telehealth services are ethical imperatives. Policymakers, clinicians, and health researchers must work with endusers (community-based participation) to create an inclusive healthcare service.
Original languageEnglish
Title of host publicationHealthier Lives, Digitally Enabled - Selected Papers from the Digital Health Institute Summit 2020
Subtitle of host publicationHealthier Lives, Digitally Enabled
EditorsMark Merolli, Chris Bain, Louise K. Schaper
Place of PublicationAmsterdam, Netherlands
PublisherIOS PRESS
Pages72-79
Number of pages8
ISBN (Electronic)978-1-64368-169-6
ISBN (Print)978-1-64368-168-9
DOIs
Publication statusPublished - 19 Apr 2021
EventThe Australasian Institute of Digital Health - Digital Health Institute Summit 2020 : Uniting the digital health movement in 2020, one of the health sector’s most challenging years. - Global, Australia
Duration: 5 Nov 202026 Nov 2020
https://digitalhealth.org.au/institute-summit/

Publication series

NameStudies in Health Technology and Informatics
Volume276
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

ConferenceThe Australasian Institute of Digital Health - Digital Health Institute Summit 2020
Abbreviated titleAIDH 2020
Country/TerritoryAustralia
Period5/11/2026/11/20
Internet address

Keywords

  • Telehealth
  • Participatory research
  • Homebound people
  • Bedridden
  • Frailty
  • Marginalisation
  • COVID-19
  • Technological innovation
  • Health access
  • health advocacy
  • Consumers Health
  • Consumers co-researcher
  • frailty
  • bedridden
  • homebound
  • telehealth
  • participatory research
  • marginalisation

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