Not Well Enough to Attend Appointments: Telehealth Versus Health Marginalisation
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(Published version)
Date
2021
Authors
Pinero De Plaza, M.A.
Beleigoli, A.
Mudd, A.
Tieu, M.
McMillan, P.
Lawless, M.
Feo, R.
Archibald, M.
Kitson, A.
Editors
Merolli, M.
Bain, C.
Schaper, L.K.
Bain, C.
Schaper, L.K.
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Book chapter
Citation
Healthier Lives, Digitally Enabled: Selected Papers from the Digital Health Institute Summit 2020, 2021 / Merolli, M., Bain, C., Schaper, L.K. (ed./s), vol.276, Ch.13, pp.72-79
Statement of Responsibility
Maria A Pinero De Plaza, Alline Beleigoli, Alexandra Mudd, Matthew Tieu, Penelope Mcmillan, Michael Lawless, Rebecca Feo, Mandy Archibald, and Alison Kitson
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Abstract
Temporary telehealth initiatives during COVID-19 have been life-changing 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 end-users (community-based participation) to create an inclusive healthcare service.
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© 2021 The authors and IOS Press. This article is published online with Open Access by IOS Press and distributed under the terms of the Creative Commons Attribution Non-Commercial License 4.0 (CC BY-NC 4.0).