JMIR Publications

ABSTRACT

Background:

In recent years, telehomecare has become an increasingly important option for healthcare providers to deliver continuous care to their patients.

Objective:

This study aims to explore the expectations, attitudes, and barriers to telehomecare among caregivers of homebound/bedridden older adults.

Methods:

This study employed a qualitative research method, consisting of in-depth interviews with 20 caregivers of patients who were either homebound or bedridden. The interviews were recorded and transcribed, and the data was then analyzed thematically.

Results:

Despite the limitations of telehomecare, such as the inability to perform physical exams or assess the living environment of patients and caregivers, we found that the caregivers had a positive attitude and high expectations regarding telehomecare. It can provide a comprehensive assessment of a patient's health, similar to in-person home care. Some barriers had been encountered, such as communication issues (e.g. healthcare providers and lack of audibility of patient voices), patient concentration on the screen, and the availability of technology and internet connection. However, the caregivers were able to adapt and overcome these barriers. Increased experience with telehomecare led to more confidence in its use.

Conclusions:

Caregivers have positive attitudes and high expectations for telehomecare services. Although there may be barriers to receiving care through this mode, caregivers have demonstrated the ability to overcome these challenges, which has strengthened their confidence in telehomecare. However, it is important to enhance the skills of caregivers and healthcare teams to overcome barriers and optimize the use of telehomecare. Clinical Trial: na