Exploring the Determinants and Experiences of Senior Stroke Patients with Virtual Care

Can J Neurol Sci. 2021 Jan;48(1):87-93. doi: 10.1017/cjn.2020.162. Epub 2020 Jul 27.

Abstract

Objective: The study sought to explore the experiences of participants affected by stroke with home video visit (HVV) for follow-up visits in order to understand the determinants, barriers, and benefits associated with HVVs.

Methods: Semi-structured interviews were conducted with (n = 23) participants to gather insight and descriptive information about patients' experiences with HVV. Specifically, we sought to collect descriptions about the (1) costs and time associated with in-person visits, (2) facilitators and barriers to in-person and virtual visits, and (3) their values attached to traditional and virtual forms of patient care.

Results: HVVs were perceived to be a mode of healthcare that is time-saving and convenient for both participants and physicians. However, our study also found some participants felt uncomfortable using technology to conduct medical visits while others still supported a positive view of traditional forms of in-person visits because they valued the in-person interactions and safe environment of the hospital.

Conclusion: While HVVs were considered to be useful in addressing geographical barriers to health care, technological and digital health literacy may serve to impede seniors from using the service, with some of them opting to go to the hospital despite geographical barriers. Resultantly, HVVs may serve both to alleviate and exacerbate certain determinants to health care.

Keywords: Aging; Quality of care; Stroke; Telemedicine; Virtual care.

MeSH terms

  • Costs and Cost Analysis
  • Delivery of Health Care
  • Humans
  • Stroke* / therapy
  • Telemedicine*