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Table 2 Benefits and challenges relating to telemedicine consultations as identified by interviewed clinicians and patients

From: Benefits and challenges of telemedicine for heart failure consultations: a qualitative study

 

Benefits

Challenges

Face-to-face

• Better rapport

• Physical examination

• Easy access to same-day investigations

• Long travel times (and environmental impact of travelling)

• Long waiting times

• Longer consultations

• Dedicated physical consultation space required

Telemedicine

• No travel necessary

• Flexibility

• Shorter consultations

• Shorter wait for patients

• Some visual assessment possible by video

• No dedicated physical clinic rooms required

• More administrative time

• Less rapport (particularly telephone)

• Limited examination – more reliant on history

• No access to same-day investigations

• Need for personal computers for clinicians and high-quality internet

• Need for private spaces