Breaking Barriers for Accessible Health Programs

BACKGROUND The increasing integration of telehealth services into healthcare systems has transformed patient-provider interactions. Despite numerous benefits that promote health equity and resource allocation, patients’ acceptance and use of telehealth declined. We study the factors from patients’ characteristics perspective that influence the adoption and utilization of telehealth services to enhance healthcare delivery and patient satisfaction. OBJECTIVE This study examines the direct impact of patient trust, social determinacies of health, and patient self-efficacy on telehealth utilization and the indirect effect of information search confidence, patient-centered communication, and health literacy on telehealth utilization through trust. METHODS This paper uses secondary data collected by Health Information National Trends Survey 6 and performs a structural equation modeling method to test the hypotheses. We also addressed common method bias to test for potential measurement errors and ensure the validity and reliability of the results. RESULTS Out of 5,280 participants who were satisfied with Internet access and had at least one doctor visit within the past 12 months, 45.06% used telehealth services in the past year. Trust in providers is influenced by an inverted U-shaped relationship with health-related information search confidence (β= -0.038, p<.001), positively influenced by patient-centered communication (β= 0.141, p<.001), and negatively affected by barriers from health literacy (β= -0.073, p<.001). Trust enhances telehealth utilization (β= 0.047, p<.01), with social determinants of health exerting a positive impact (β= 0.077, p<.001) and health efficacy having a negative impact (β= -0.041, p<.01). CONCLUSIONS The study found that trust, social determinants of health, and health efficacy directly impact telehealth utilization. Additionally, telehealth utilization is indirectly influenced by patient characteristics, such as information search confidence and barriers from health literacy, as well as the patient-centered communication environment. The findings emphasize the need for targeted interventions to improve patient health literacy and engagement, thereby promoting the use of telehealth services. CLINICALTRIAL None

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Assessing knowledge, perceptions, and readiness of telemedicine recipients: A cross-sectional study

Hamdan,

Alkhader

2024

PHAR

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Objectives: The current study aimed to assess the knowledge and perceptions of telemedicine recipients. Secondly, to evaluate their readiness towards adopting telemedicine in clinical settings. Methods: A cross-sectional survey study was conducted in Jordan and designed to show the demographics of participants. The questionnaire was piloted for validity and reliability to achieve the aim of the study, and a collective of 420 participants were recruited. Findings: Multiple regression analysis conducted showed that telemedicine services were significant at a level of α ≤ 0.05. Whereas the Pearson’s correlation of the dependent and independent variables was also significant at a level of α ≤ 0.05 as a function of age, working status, and income. Conclusions: Regardless of the fact that participants showed a limited knowledge of telemedicine services, most of the participants expressed positive perceptions towards telemedicine services and its adoption in the clinical settings.

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Breaking Barriers for Accessible Health Programs

Cited by 20 publications

References 76 publications

Medicare: A telemedicine healthcare website

Medicare: A telemedicine healthcare website

Factors Affecting Patients’ Use of Telehealth Services: A Cross-Sectional Survey Study (Preprint)

Assessing knowledge, perceptions, and readiness of telemedicine recipients: A cross-sectional study

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