Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation

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

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

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 publicationStudies in Health Technology and Informatics
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 - 23 Apr 2021

Publication series

NameStudies in Health Technology and Informatics
PublisherIOS Press
Volume276

Keywords

  • Telehealth
  • Participatory research
  • Homebound people
  • Bedridden
  • Frailty
  • Marginalisation
  • COVID-19
  • Technological innovation
  • Health access
  • health advocacy
  • Consumers Health
  • Consumers co-researcher

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