From: Adolescent and caregiver attitudes towards telemedicine use in pediatric nephrology
Themes | Subthemes | Quotes | |
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Consult specific factors | In person advantages | Comfort factors - In person visits provide more relief - Personal comfort | They just give us a little bit more relief because it’s one on one |
Ease of describing symptoms | Especially for me when you have physical symptoms and stuff like that is easier for doctors to kind of tell what is causing them instead over a camera | ||
Encounters are more personal | She's better one on one when she can actually see and touch the person as opposed to on the computer | ||
In person disadvantages | Long wait times for appointments | When you're at a … pediatric clinic … you sometimes can be waiting for quite some time | |
Telemedicine advantages | Staying close to home | If I can have the answers on the comfort of my home and everything is working out so far for me, why not taking advantage of that | |
Telemedicine calls are just like talking in person | It's like you're able to get the same information across. Like it's almost as if it is really face to face, but it's just through screen | ||
Telemedicine is more than a phone call | it's not just like a phone call so if he feels like something's off with her or she's not looking like herself he can even see that as well without actually having to be there | ||
Telemedicine disadvantages | |||
Technical hassles - Awkward talking through the computer - Harder for clear communication - Some delay or disconnect in calls - Technical issues with telemedicine | It's a bit odd, because there is that little bit of a delay when you're talking to them from when they say something to when we actually kind of hear it | ||
Telemedicine is a little rushed | Sometimes it doesn’t last long and sometimes I have questions afterwards I should have ask him, but I couldn’t | ||
Context- specific factors | In person advantages | Likes a trip | I like travelling to London because like we don't travel often, so I like to go there sometimes |
In person disadvantages | Travelling is a Hassle - In person visits are costly - Travelling wastes time | I cannot fly straight to London. I have to go to London and then go to Toronto and from Toronto to London. | |
Telemedicine advantages | Option relieves stress | There's relief for me as a mom, because we do not have a specialist here in town, to have that contact | |
No dislikes about telemedicine | I like, honestly, I like everything about it. I have nothing that I really dislike about it. | ||
Telemedicine creates convenience - Easy to travel to telemedicine station - Telemedicine is on time - Telemedicine saves time | Well, it’s usually after school, so I would just go right after school and it would only take max about an hour and it would be quick and it won’t really disrupt my day. | ||
Telemedicine is cost-efficient | You don't have to go through the process of booking a ticket or spending the money to get the ticket | ||
Telemedicine is safe | To me, it's way more comfortable to be here and it's safe because like I say, what is the difference between talking with you on the phone over me seeing you? | ||
Telemedicine disadvantages | Frustration with telemedicine | It's hard to talk to him because when you talk on the computer, you have to press the button to talk to him | |
Adolescent takes telemedicine less seriously – parent perception | I think sometimes my daughter doesn't think it's as important, by doing the video | ||
Other factors mediating preference | Adolescent condition | - Hospital in London is more efficient with tests - Less tests done for telemedicine - More tests can be done in person - Prefers tests done in the same hospital | I'll probably get blood work and ultrasound there [in London]. But if it's just like check-ups … we can do here [through telemedicine]. |
Testing factors | |||
Weather | Preference depends on the weather | If the weather is good I don’t sometimes mind going out to London … But in the winter or during worse weather I definitely prefer to stay in town and go for the appointment here | |
Prefers telemedicine | Well, there's almost no comparison it's so much easier doing the Tele-health appointment because it's not two airplanes and organizing our lives because we have two other children. | ||
It’s so much easier doing the telehealth appointment because it’s not two airplanes and organizing our lives because we have two other children. Personally, I prefer the telemedicine because just mainly for the reason that it takes hardly any time and I can get back to my everyday life. | |||
Prefers in-person | Honestly, my daughter is so much happier when we're there [in person] and that it's despite the drive | ||
Person-to-person is still the much preferred option. I feel like it’s more personal scale. Like I think I understand it better like when I’m in the room with them. |