Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation

Maria Alejandra Pinero de Plaza; Alline Beleigoli; Alexandra Mudd; Matthew Tieu; Penelope McMillan; Michael Lawless; Rebecca Feo; Mandy Archibald; Alison Kitson

doi:10.3233/SHTI210013

Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation

Maria Alejandra Pinero de Plaza, Alline Beleigoli, Alexandra Mudd, Matthew Tieu, Penelope McMillan, Michael Lawless, Rebecca Feo, Mandy Archibald, Alison Kitson

College of Nursing and Health Sciences

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

2 Citations (Scopus)

160 Downloads (Pure)

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 language	English
Title of host publication	Healthier Lives, Digitally Enabled - Selected Papers from the Digital Health Institute Summit 2020
Subtitle of host publication	Healthier Lives, Digitally Enabled
Editors	Mark Merolli, Chris Bain, Louise K. Schaper
Place of Publication	Amsterdam, Netherlands
Publisher	IOS PRESS
Pages	72-79
Number of pages	8
ISBN (Electronic)	978-1-64368-169-6
ISBN (Print)	978-1-64368-168-9
DOIs	https://doi.org/10.3233/SHTI210013
Publication status	Published - 19 Apr 2021
Event	The 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 2020 → 26 Nov 2020 https://digitalhealth.org.au/institute-summit/

Publication series

Name	Studies in Health Technology and Informatics
Volume	276
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	The Australasian Institute of Digital Health - Digital Health Institute Summit 2020
Abbreviated title	AIDH 2020
Country/Territory	Australia
Period	5/11/20 → 26/11/20
Internet address	https://digitalhealth.org.au/institute-summit/

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

Access to Document

10.3233/SHTI210013Licence: CC BY-NC

Final published versionFinal published version, 303 KBLicence: CC BY-NC

Cite this

Pinero de Plaza, M. A., Beleigoli, A., Mudd, A., Tieu, M., McMillan, P., Lawless, M., Feo, R., Archibald, M., & Kitson, A. (2021). Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation. In M. Merolli, C. Bain, & L. K. Schaper (Eds.), Healthier Lives, Digitally Enabled - Selected Papers from the Digital Health Institute Summit 2020: Healthier Lives, Digitally Enabled (pp. 72-79). [13] (Studies in Health Technology and Informatics; Vol. 276). IOS PRESS. https://doi.org/10.3233/SHTI210013

Pinero de Plaza, Maria Alejandra ; Beleigoli, Alline ; Mudd, Alexandra et al. / Not Well Enough to Attend Appointments : Telehealth Versus Health Marginalisation. Healthier Lives, Digitally Enabled - Selected Papers from the Digital Health Institute Summit 2020: Healthier Lives, Digitally Enabled. editor / Mark Merolli ; Chris Bain ; Louise K. Schaper. Amsterdam, Netherlands : IOS PRESS, 2021. pp. 72-79 (Studies in Health Technology and Informatics).

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title = "Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation",

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{\textquoteright}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.",

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note = "The Australasian Institute of Digital Health - Digital Health Institute Summit 2020 : Uniting the digital health movement in 2020, one of the health sector{\textquoteright}s most challenging years., AIDH 2020 ; Conference date: 05-11-2020 Through 26-11-2020",

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Pinero de Plaza, MA , Beleigoli, A , Mudd, A , Tieu, M, McMillan, P, Lawless, M , Feo, R , Archibald, M & Kitson, A 2021, Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation. in M Merolli, C Bain & LK Schaper (eds), Healthier Lives, Digitally Enabled - Selected Papers from the Digital Health Institute Summit 2020: Healthier Lives, Digitally Enabled., 13, Studies in Health Technology and Informatics, vol. 276, IOS PRESS, Amsterdam, Netherlands, pp. 72-79, The Australasian Institute of Digital Health - Digital Health Institute Summit 2020 , Australia, 5/11/20. https://doi.org/10.3233/SHTI210013

Not Well Enough to Attend Appointments : Telehealth Versus Health Marginalisation. / Pinero de Plaza, Maria Alejandra ; Beleigoli, Alline ; Mudd, Alexandra et al.

Healthier Lives, Digitally Enabled - Selected Papers from the Digital Health Institute Summit 2020: Healthier Lives, Digitally Enabled. ed. / Mark Merolli; Chris Bain; Louise K. Schaper. Amsterdam, Netherlands : IOS PRESS, 2021. p. 72-79 13 (Studies in Health Technology and Informatics; Vol. 276).

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

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T2 - The Australasian Institute of Digital Health - Digital Health Institute Summit 2020

AU - Pinero de Plaza, Maria Alejandra

AU - Beleigoli, Alline

AU - Mudd, Alexandra

AU - Tieu, Matthew

AU - McMillan, Penelope

AU - Lawless, Michael

AU - Feo, Rebecca

AU - Archibald, Mandy

AU - Kitson, Alison

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AB - 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.

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KW - Technological innovation

KW - Health access

KW - health advocacy

KW - Consumers Health

KW - Consumers co-researcher

KW - frailty

KW - bedridden

KW - homebound

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KW - participatory research

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Y2 - 5 November 2020 through 26 November 2020

ER -

Pinero de Plaza MA , Beleigoli A , Mudd A , Tieu M, McMillan P, Lawless M et al. Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation. In Merolli M, Bain C, Schaper LK, editors, Healthier Lives, Digitally Enabled - Selected Papers from the Digital Health Institute Summit 2020: Healthier Lives, Digitally Enabled. Amsterdam, Netherlands: IOS PRESS. 2021. p. 72-79. 13. (Studies in Health Technology and Informatics). doi: 10.3233/SHTI210013

Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation

Abstract

Publication series

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Keywords

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A winner of the Big Ideas video competition to improve the Australian health system. Consumer Health Forum of Australia, 2021.

The Vice-President & Executive Dean’s Awards 2021

The Vice-President & Executive Dean’s Awards 2022

Research Program: Visibility and Technological Solutions for Frail, Homebound and Bedridden People - FHBP

Commission on Excellence and Innovation in Health (CEIH) (External organisation)

CRE Frailty and Healthy Ageing, Aged and Extended Care Research Actualization Meeting, Adelaide, Australia. Basil Hetzel Institute for Translational Health Research

Continuity and integration of care for Frail, Homebound, and Bedridden People

A transdisciplinary research program addressing complex health research problems

Consumer engagement in health care policy, research and services: a systematic review and meta-analysis of methods and effects

Cite this

Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation

Abstract

Publication series

Conference

Keywords

Access to Document

Other files and links

Fingerprint

Prizes

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Research output

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