Most specialists involved in rural outreach are using video consultations but telehealth is unlikely to fully replace face-to-face consultations, an Australian study suggests.
Published in Rural and Remote Health, Monash University researchers described the results from a survey of Victorian specialists subsidised by a Federal Government rural outreach policy.
Led by Dr Belinda O’Sullivan (PhD) from the University’s School of Rural Health, it found that video consultations were being used by close to 60% of the 65 respondents, who included paediatricians, cardiologists, obstetricians, nephrologists, urologists and rheumatologists.
Video consultations were used for non-complicated health care, to support rural GPs, undertake clinical reviews or see urgent new patients expediently. They were used for a median of 12 sessions per year, mainly for one patient per session
About half of the specialists said video consultations were valuable because they reduced the frequency of travel to the outreach site. But they used video consultations only for very specific parts of their service and 43% reported that they thought using video consultations took more time than conducting outreach face-to-face consultations.
The ways the technology was being used currently suggested it may not completely replace face-to-face consultations or improve outreach sustainability, the researchers said.
Respondents were generally critical of the quality of video consultation technology with 62% rating it as “medium” and 11% as “low” with problems around reliability, speed and clarity.
Insufficient internet bandwidth, poor stability, low quality connections, poor picture quality, lag and unreliable transmission were all raised as problems.
The most negative views of video consultation technology were held by surgeons, paediatricians, rheumatologists and nephrologists, who commented that the quality was only good enough for non-physical procedures and non-complex consultations.