Telehealth for sexual and reproductive health issues: a qualitative study of experiences of accessing care during COVID-19
Helen Bittleston
A * , Jane L. Goller A , Meredith Temple-Smith B , Jane S. Hocking A and Jacqueline Coombe A
A Melbourne School of Population and Global Health, University of Melbourne, Parkville, Vic., Australia.
B Department of General Practice, University of Melbourne, Carlton, Vic., Australia.
Sexual Health 19(5) 473-478 https://doi.org/10.1071/SH22098
Submitted: 24 March 2022 Accepted: 1 June 2022 Published: 23 June 2022
© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)
Abstract
Background: Medicare, the health insurance system underpinning free healthcare in Australia, introduced free telehealth items in 2020 in response to the coronavirus disease 2019 (COVID-19) pandemic. Their uptake among healthcare providers was significant, including among general practitioners and sexual health services. Here, we report people’s experiences of accessing sexual and reproductive health (SRH)-related care via telehealth collected as part of a survey exploring the impact of COVID on SRH health.
Methods: This study utilises qualitative data from two online surveys conducted in 2020. Surveys were advertised through social media and professional and personal networks. Anyone aged ≥18 years and living in Australia was eligible to participate. Respondents were asked whether they accessed care for their SRH via telehealth. A free-text question asking for further detail about their experience was analysed using content analysis.
Results: A total of 114/1070 respondents (10.7%) accessed healthcare services via telehealth for SRH-related reasons within the previous 4 weeks. Three themes were identified from 78 free-text comments: (1) accessibility and convenience of telehealth; (2) appropriateness of telehealth for SRH issues; and (3) connecting and communicating with clinicians via telehealth. Respondents had a wide range of experiences. Telehealth improved access to services for some participants, and it was appropriate for some, but not all SRH issues. Difficulties connecting with clinicians on both an interpersonal and technical level was a key barrier to a satisfactory patient experience.
Conclusions: Telehealth can offer a viable alternative to face-to-face care, providing patients can overcome key connection and communication barriers.
Keywords: Australasia, COVID-19, general practice, health services, pandemic, patients-views, primary care, survey.
References
[1] RACGP. COVID-19 telehealth MBS items: FAQs. Royal Australian College of General Practitioners; 2020.[2] Hunt G, Kidd M. COVID-19: Whole of population telehealth for patients, general practice, primary care and other medical services. 2020. Department of Health; 2020. Available at https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/covid-19-whole-of-population-telehealth-for-patients-general-practice-primary-care-and-other-medical-services
[3] Scott A. The impact of COVID-19 on GPs and non-GP specialists in private practice. University of Melbourne; 2020.
[4] Phillips TR, Fairley CK, Donovan B, Ong JJ, McNulty A, Marshall L, et al. Sexual health service adaptations to the coronavirus disease 2019 (COVID-19) pandemic in Australia: a nationwide online survey. Aust NZ J Public Health 2021; 45 622–7.
| Sexual health service adaptations to the coronavirus disease 2019 (COVID-19) pandemic in Australia: a nationwide online survey.Crossref | GoogleScholarGoogle Scholar |
[5] The Royal Australian College of General Practitioners. Guide to providing telephone and video consultations in general practice. East Melbourne: RACGP; 2020.
[6] Cheng Y, Boerma C, Peck L, Botfield JR, Estoesta J, McGeechan K. Telehealth sexual and reproductive health care during the COVID-19 pandemic. Med J Aust 2021; 215 371–2.
| Telehealth sexual and reproductive health care during the COVID-19 pandemic.Crossref | GoogleScholarGoogle Scholar | 34374090PubMed |
[7] Coombe J, Kong F, Bittleston H, Williams H, Tomnay J, Vaisey A, et al. Love during lockdown: findings from an online survey examining the impact of COVID-19 on the sexual practices of people living in Australia. Sex Transm Infect 2021; 97 357–62.
| 33203737PubMed |
[8] Bittleston H, Goller JL, Temple-Smith M, Hocking JS, Coombe J. ‘I didn’t want to visit a doctor unless it was extremely necessary’: perspectives on delaying access to sexual and reproductive health care during the COVID-19 pandemic in Australia from an online survey. Aust J Prim Health 2022; 28 131–6.
| ‘I didn’t want to visit a doctor unless it was extremely necessary’: perspectives on delaying access to sexual and reproductive health care during the COVID-19 pandemic in Australia from an online survey.Crossref | GoogleScholarGoogle Scholar | 35109966PubMed |
[9] Rich JL, Chojenta C, Loxton D. Quality, rigour and usefulness of free-text comments collected by a large population based longitudinal study - ALSWH. PLoS ONE 2013; 8 e68832
| Quality, rigour and usefulness of free-text comments collected by a large population based longitudinal study - ALSWH.Crossref | GoogleScholarGoogle Scholar | 23874784PubMed |
[10] Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15 1277–88.
| Three approaches to qualitative content analysis.Crossref | GoogleScholarGoogle Scholar | 16204405PubMed |
[11] Saragih ID, Imanuel Tonapa S, Porta CM, Lee B-O. Effects of telehealth interventions for adolescent sexual health: a systematic review and meta-analysis of randomized controlled studies. J Telemed Telecare 2021; 1357633X211047762
| Effects of telehealth interventions for adolescent sexual health: a systematic review and meta-analysis of randomized controlled studies.Crossref | GoogleScholarGoogle Scholar | 34903065PubMed |
[12] Mmeje OO, Coleman JS, Chang T. Unintended consequences of the COVID-19 pandemic on the sexual and reproductive health of youth. J Adolesc Health 2020; 67 326–7.
| Unintended consequences of the COVID-19 pandemic on the sexual and reproductive health of youth.Crossref | GoogleScholarGoogle Scholar | 32690467PubMed |
[13] Barney A, Buckelew S, Mesheriakova V, Raymond-Flesch M. The COVID-19 pandemic and rapid implementation of adolescent and young adult telemedicine: challenges and opportunities for innovation. J Adolesc Health 2020; 67 164–71.
| The COVID-19 pandemic and rapid implementation of adolescent and young adult telemedicine: challenges and opportunities for innovation.Crossref | GoogleScholarGoogle Scholar | 32410810PubMed |
[14] White J, Cavenagh D, Byles J, Mishra G, Tooth L, Loxton D. The experience of delayed health care access during the COVID 19 pandemic in Australian women: a mixed methods exploration. Health Soc Care Community 2021;
| The experience of delayed health care access during the COVID 19 pandemic in Australian women: a mixed methods exploration.Crossref | GoogleScholarGoogle Scholar | 34423499PubMed |
[15] Steiner RJ, Zapata LB, Curtis KM, Whiteman MK, Brittain AW, Tromble E, et al. COVID-19 and sexual and reproductive health care: findings from primary care providers who serve adolescents. J Adolesc Health 2021; 69 375–82.
| COVID-19 and sexual and reproductive health care: findings from primary care providers who serve adolescents.Crossref | GoogleScholarGoogle Scholar | 34301467PubMed |
