When I first realized the majority of my clinical placement was going to be done virtually, I was disappointed. After my last year had been spent entirely on Zoom, I was so tired of the idea of spending even more time meeting virtually. I had also been excited to develop in-person connections, and the idea of telehealth was daunting. However, both through my program and of telehealth programs more broadly, I had heard that the use of telehealth this past year had allowed for meeting with individuals that may not have otherwise been seen, for a variety of different barriers of accessibility. So, with both my fear and optimism, I began my first attempt at telehealth.
Since beginning my clinical practicum in autism assessment, not only have my nerves about providing virtual healthcare settled for the most part, but my appreciation for telehealth has also increased immensely. The switch to Zoom appointments has provided the opportunity to connect with patients who would typically not consider visiting us hours away, to attend appointments, in addition to lessening the burden that attending multiple appointments may add for individuals and families. And while I often encounter situations where I feel something may be much easier to do in person, I am so grateful that this option can be provided to those who benefit from it.
In reflecting on my own personal experiences this semester, I’ve thought more about virtual healthcare more broadly and what the future of telehealth may be. The rise in telemedicine has resulted in increased access to services that individuals may not be able to otherwise receive.
However, while there is already a myriad of barriers to accessing healthcare — difficulties with obtaining transportation, having childcare, and limited providers nearby1,2 — telehealth brings additional barriers. To engage in such virtual appointments, individuals typically need access to devices and Wi-Fi. Virtual appointments have created opportunities for individuals to attend meetings that may not otherwise be feasible, however providers will have to keep in mind these novel barriers when engaging in telehealth services. I am hopeful and excited to see how the use of virtual appointments will lead to increased accessibility in the future.
1 Ahmed, S. M., Lemkau, J. P., Nealeigh, N., & Mann, B. (2001). Barriers to healthcare access in a non‐elderly urban poor American population. Health & Social Care in the Community, 9(6), 445-453.
2 Brems, C., Johnson, M. E., Warner, T. D., & Roberts, L. W. (2006). Barriers to healthcare as reported by rural and urban interprofessional providers. Journal of Interprofessional Care, 20(2), 105-118.
