Palliative care and social practice · 2026
Healthcare professionals' experiences of telehealth adoption in palliative care: A cross-sectional survey.
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Kirby Ann, Griffin Donal, Heavin Ciara, Kiely Fiona, Drummond Frances J, McGrath Ciara
Аннотация
BACKGROUND: Research has revealed a dramatic rise in the adoption of telehealth by healthcare professionals (HCPs). Limited evidence exists focusing solely on HCPs' adoption and use of telehealth in palliative care and lacks nuance about when and how telehealth is clinically appropriate.
OBJECTIVE: The aim is to deepen understanding of HCPs' behavioural intention (BI) regarding the adoption and use of telehealth in palliative care, and to examine their current patterns of telehealth use.
METHODS: Cross-sectional data were collected from HCPs working in palliative care between July 27th and September 22nd, 2023. A probit analysis examined the difference between users and non-users of telehealth in palliative care, while a multiple linear regression assessed the association between a HCPs' BI of using telehealth and Performance Expectancy, Effort Expectancy, Facilitating Conditions, and Social Influence.
RESULTS: Perceived benefits to clinical performance were associated with increased willingness to adopt telehealth. Workplace culture, experience, opportunity to use telehealth, and peer encouragement were highlighted as important contributors to a supportive environment. However, despite positive BIs, many previous users reported infrequent use in practice, suggesting a gap between intention and routine clinical integration.
CONCLUSION: HCPs recognised the benefits of telehealth, but concerns remained regarding treating and managing physical symptoms in palliative care. Telephone-based services were still primarily used, though hybrid models were recognised as needed at times in some clinical situations. Patterns of use suggested distinct user groups, indicating that telehealth implementation requires tailored training, organisational supports, and clear escalation pathways for transitioning from virtual to in-person care. Addressing these factors may support more sustainable and clinically appropriate telehealth delivery in palliative care, with potential benefits for patient outcomes and experiences.
OBJECTIVE: The aim is to deepen understanding of HCPs' behavioural intention (BI) regarding the adoption and use of telehealth in palliative care, and to examine their current patterns of telehealth use.
METHODS: Cross-sectional data were collected from HCPs working in palliative care between July 27th and September 22nd, 2023. A probit analysis examined the difference between users and non-users of telehealth in palliative care, while a multiple linear regression assessed the association between a HCPs' BI of using telehealth and Performance Expectancy, Effort Expectancy, Facilitating Conditions, and Social Influence.
RESULTS: Perceived benefits to clinical performance were associated with increased willingness to adopt telehealth. Workplace culture, experience, opportunity to use telehealth, and peer encouragement were highlighted as important contributors to a supportive environment. However, despite positive BIs, many previous users reported infrequent use in practice, suggesting a gap between intention and routine clinical integration.
CONCLUSION: HCPs recognised the benefits of telehealth, but concerns remained regarding treating and managing physical symptoms in palliative care. Telephone-based services were still primarily used, though hybrid models were recognised as needed at times in some clinical situations. Patterns of use suggested distinct user groups, indicating that telehealth implementation requires tailored training, organisational supports, and clear escalation pathways for transitioning from virtual to in-person care. Addressing these factors may support more sustainable and clinically appropriate telehealth delivery in palliative care, with potential benefits for patient outcomes and experiences.