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Long-term care residents’ experiences of telemedicine: Video consultations with their regular physician in rural northern Sweden
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Swedish Centre for Rural Health, Region Västerbotten, Storuman, Sweden.ORCID iD: 0009-0007-0814-8412
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.ORCID iD: 0000-0001-7087-1467
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Swedish Centre for Rural Health, Region Västerbotten, Storuman, Sweden.ORCID iD: 0000-0003-3220-9557
2026 (English)In: Journal of Primary Care & Community Health, ISSN 2150-1319, E-ISSN 2150-1327, Vol. 17, article id 21501319261477002Article in journal (Refereed) Published
Abstract [en]

Introduction: Demand for long-term care is increasing globally due to ageing populations and workforce shortages, particularly in rural areas. Video consultations (VC) may support interactions between residents and healthcare professionals and gained prominence during the Covid-19 pandemic. However, research on long-term care residents’ experiences of VC remains limited, and ethical challenges have been highlighted. This study aims to explore residents’ experiences of VC.

Methods: A qualitative study with an inductive approach was conducted. Interviews (n=10) were carried out with long-term care residents aged 59–96 who had used VC with their designated physician, across three rural municipalities in northern Sweden. Data were analysed using thematic analysis.

Results: Two themes and six subthemes were identified: (1) Emotional Experience of being Connected yet Apart, and (2) Conditions that Enable, Shape, and Separate.

Conclusion: Experiences were shaped by individual preferences and contextual factors rather than age, with physician behaviour playing a central role. Although attitudes towards VC are becoming more positive, it should remain a complement to face-to-face consultations. Risks such as reduced autonomy, privacy concerns and technical limitations must be addressed. Familiar providers and tailored solutions may enhance autonomy, while VC may also foster courage and empowerment.

Place, publisher, year, edition, pages
Sage Publications, 2026. Vol. 17, article id 21501319261477002
Keywords [en]
eHealth, long-term care, qualitative, remote consultations, rural, telehealth, video consultations
National Category
Epidemiology Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:umu:diva-258247DOI: 10.1177/21501319261477002ISI: 001852082700001PubMedID: 42610623Scopus ID: 2-s2.0-105047644897OAI: oai:DiVA.org:umu-258247DiVA, id: diva2:2097148
Funder
The Kempe FoundationsAvailable from: 2026-08-31 Created: 2026-08-31 Last updated: 2026-08-31Bibliographically approved

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Ärlebrant, LinaHurtig, Anna-KarinEdin-Liljegren, Anette

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