Telehealth Benefits and Barriers
Open accessAbstract
Telehealth includes health care services provided using audio and video technology. Telehealth was originally developed to provide basic care to rural and underserved patients. Higher rates of use of telehealth are now standard in many practices since the coronavirus disease 2019 pandemic. Increasing emphases on patient satisfaction, providing efficient and quality care, and minimizing costs have also led to higher telehealth implementation. Patients and providers have enjoyed the benefits of telehealth, but widespread adoption has been hindered by regulatory, legal, and reimbursement barriers. Recent legislative initiatives have advocated for further telehealth advancements, especially with the rapid implementation of telehealth in the times of coronavirus disease 2019.
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Research has found that other telehealth-related perceptions (eg, privacy concerns), the specific characteristics of different teledelivered services, and contextual factors could be important determinants for those intentions.
“Research has found that other telehealth-related perceptions (eg, privacy concerns), the specific characteristics of different teledelivered services (eg, expected durations and schedules of the services, the necessity to use cameras for the services, group- and individual-based delivery), and contextual factors (eg, severity of the pandemic situation, availability of specific types of teledeliver”
From Applying the Unified Theory of Acceptance and Use of Technology to Identify Factors Associated With Intention to Use Teledelivered Supportive Care Among Recently Diagnosed Breast Cancer Survivors During COVID-19 in Hong Kong: Cross-Sectional Survey (2024) · cites this paper as [57]
The “Patient Privacy and Confidentiality” section identifies privacy concerns as a barrier to telehealth acceptance, and the Abstract describes contextual barriers such as limited internet bandwidth and changes during COVID-19. The passages do not establish that service duration, scheduling, camera use, or group versus individual delivery determine intentions to use telehealth. Page numbers are not provided for these passages. (LLM, conf=0.84)
Experimental — accuracy not yet measuredPrescription and monitoring of individually tailored exercise programs remains an ongoing challenge for health care professionals.
“the prescription and monitoring of individually tailored exercise programs remains an ongoing challenge for HCPs [18-22].”
From Exploring the Feasibility of Digital Voice Assistants for Delivery of a Home-Based Exercise Intervention in Older Adults With Obesity and Type 2 Diabetes Mellitus: Randomized Controlled Trial (2024) · cites this paper as [19]
The Data Accuracy and Misdiagnosis section discusses unreliable telehealth measurements, and the Conclusion discusses remote monitoring generally. Neither addresses the prescription or monitoring of individually tailored exercise programs. Searches for exercise programs and remote rehabilitation found no passage on that claim. (LLM, conf=0.75)
Experimental — accuracy not yet measuredCertain experts raise various malpractice liability concerns including informed consent, rules and procedures for treatments that meet the classical and appropriate standard of care, supervision of care providers, and the availability of professional liability insurance coverage specific to telecare use.
“Finally, certain experts raise various malpractice liability concerns including informed consent, rules and procedures for treatments that meet the classical and appropriate standard of care, supervision of care providers, and the availability of professional liability insurance coverage specific to telecare use [43,44,45].”
From Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic (2022) · cites this paper as [45]
As telehealth usage develops, the risk of fraud and misuse will increase, necessitating rigorous legislation to keep the operations legitimate and correct.
“As telehealth usage develops, so will the risk of fraud and misuse, necessitating rigorous legislation to keep the operations legitimate and correct [44,45].”
From Telehealth and COVID-19 Pandemic: An Overview of the Telehealth Use, Advantages, Challenges, and Opportunities during COVID-19 Pandemic (2022) · cites this paper as [45]
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- Authors
- Gajarawala, S. N., & Pelkowski, J. N.
- Venue
- The Journal for Nurse Practitioners
- Publisher
- Elsevier BV
- Published
- 2021-02
- Volume
- 17
- Issue
- 2
- Pages
- 218-221
- ISSN
- 1555-4155 (ISSN-L)
- PMC
- PMC7577680
- OpenAlex
- W3094347363
- Cited by
- 987
- References
- 12
- Citations by year
- 2026: 144 · 2025: 237 · 2024: 277 · 2023: 185 · 2022: 106 · 2021: 36 · 2018: 1
- FWCI
- 61.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- The Journal for Nurse Practitioners (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- telemedicine, telehealth adoption barriers, COVID-19 pandemic, rural health care, underserved populations, reimbursement barriers, health care legislation, patient satisfaction, nurse practitioners
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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