Deakin Health Economics, Deakin University, Burwood, Victoria, Australia
La Trobe University, Melbourne, Victoria, Australia.
BMJ Open. 2024 May 16;14(5):e082577. doi: 10.1136/bmjopen-2023-082577.
Telehealth service provision and uptake has rapidly increased since the COVID-19 pandemic, allowing healthcare to be delivered safely and reducing non-essential face-to-face (F2F) contact. In Australia, the expansion of subsidisation of telehealth during COVID has led to its permanent installation within Australian primary care in 2022. However, little is known about consumer preferences and experiences with these services, particularly in relation to allied health practice (AHP). Previous studies on telehealth services have focused on general practice rather than allied health (AH) and broader primary care. Given that AH professionals make up a large proportion of the Australian healthcare workforce, the purpose of this study is to explore consumer preferences and experiences with telehealth AHP healthcare.
This study uses a mixed methods research design that incorporates three independent but interrelated phases. Phase 2 of the study will use a focus group methodology to discuss consumer attitudes and experiences via a semistructured interview format. Phase 3 involves a discrete choice experiment (DCE) involving a large online survey conducted across the general population. The DCE will be informed by the qualitative findings from phases 1 and 2. The experiment aims to elicit consumer preferences in relation to AH services delivered through telehealth or F2F consultations, based on several hypothetical scenarios and preferences over several different dimensions.
Ethics approval has been obtained from La Trobe University (approval number HEC23404). Findings will be disseminated as reports, presentations and peer-reviewed journal articles.
自 COVID-19 大流行以来,远程医疗服务的提供和使用迅速增加,使医疗保健得以安全提供,并减少了不必要的面对面接触。在澳大利亚,COVID 期间远程医疗补贴的扩大导致其于 2022 年在澳大利亚初级保健中永久安装。然而,人们对这些服务的消费者偏好和体验知之甚少,特别是在联合健康实践 (AHP) 方面。以前关于远程医疗服务的研究主要集中在一般实践而不是联合健康 (AH) 和更广泛的初级保健。鉴于 AH 专业人员构成澳大利亚医疗保健劳动力的很大一部分,本研究的目的是探讨消费者对远程医疗 AHP 医疗保健的偏好和体验。
本研究采用混合方法研究设计,包括三个独立但相互关联的阶段。研究的第二阶段将使用焦点小组方法通过半结构化访谈格式讨论消费者的态度和经验。第三阶段涉及一个离散选择实验 (DCE),该实验涉及在普通人群中进行的大型在线调查。DCE 将受到第一阶段和第二阶段的定性发现的启发。该实验旨在根据几个假设情景和对几个不同维度的偏好,针对通过远程医疗或面对面咨询提供的 AH 服务,得出消费者的偏好。
已从拉筹伯大学获得伦理批准(批准号 HEC23404)。研究结果将以报告、演示文稿和同行评议的期刊文章形式传播。