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

12 Citations (Scopus)

294 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/

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 10 Reduced Inequalities
SDG 16 Peace, Justice and Strong Institutions

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). Article 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).

@inbook{efa2ae47eaf64adaa98ea2acacf4ec31,

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.",

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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booktitle = "Healthier Lives, Digitally Enabled - Selected Papers from the Digital Health Institute Summit 2020",

address = "United States",

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

TY - CHAP

T1 - Not Well Enough to Attend Appointments

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

PY - 2021/4/19

Y1 - 2021/4/19

N2 - 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.

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.

KW - Telehealth

KW - Participatory research

KW - Homebound people

KW - Bedridden

KW - Frailty

KW - Marginalisation

KW - COVID-19

KW - Technological innovation

KW - Health access

KW - health advocacy

KW - Consumers Health

KW - Consumers co-researcher

KW - frailty

KW - bedridden

KW - homebound

KW - telehealth

KW - participatory research

KW - marginalisation

UR - https://ebooks.iospress.nl/volume/healthier-lives-digitally-enabled-selected-papers-from-the-digital-health-institute-summit-2020

UR - https://www.scopus.com/pages/publications/85105459514

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DO - 10.3233/SHTI210013

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SN - 978-1-64368-168-9

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BT - Healthier Lives, Digitally Enabled - Selected Papers from the Digital Health Institute Summit 2020

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PB - IOS Press

CY - Amsterdam, Netherlands

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

Conference

UN SDGs

Keywords

Access to Document

Other files and links

Fingerprint

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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

Citation of telehealth systematic review in national policy submission to the Rural, Regional and Remote Medicare Access and Funding Inquiry

Health Translation SA (HTSA) Research Seminar Series: Partnering with Frail, Homebound, and Bedridden People (#FHBP): Consumer-Led and Co-Designed Knowledge Translation

Citation of continuity of care research in Australian Institute of Health and Welfare report on integrated services for chronic disease and social and emotional wellbeing

Cite this

Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation

Abstract

Publication series

Conference

UN SDGs

Keywords

Access to Document

Other files and links

Fingerprint

Research output

Prizes

Activities

Cite this