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      Consumer preferences for telehealth in Australia: A discrete choice experiment

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          Abstract

          This study aims to elicit consumer preferences regarding telehealth and face-to-face consultations in Australia. It used a discrete choice experiment, presenting participants with a series of hypothetical choices, and based on their responses, infer what is most important to them. Data were analysed using conditional logit regression and latent class analysis. A total of 1,025 participants completed the survey, considering four different clinical scenarios. Face-to-face contacts were, on average, preferred to either telephone or video services. However, telehealth was identified as an attractive option if it prevents significant travel and can be conducted with a familiar doctor. Participants were strongly driven by cost, particularly greater than $30. Telehealth was least preferred for situations involving a new and unknown physical symptom, and relatively more preferred for surgical follow-up. The latent class analysis demonstrates only 15.9% of participants appeared unwilling to consider telehealth. The findings of this study suggest that meeting the needs of the Australian population requires a blended approach to service delivery, with telehealth being valued in a range of clinical scenarios. Price sensitivity was evident, therefore if telehealth services can be delivered with lower patient cost, then they are likely to be attractive.

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          Most cited references34

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          Using thematic analysis in psychology

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            What Is Value in Health Care?

            New England Journal of Medicine, 363(26), 2477-2481
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              A New Approach to Consumer Theory

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                Author and article information

                Contributors
                Role: Formal analysisRole: MethodologyRole: VisualizationRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Funding acquisitionRole: MethodologyRole: ResourcesRole: SupervisionRole: ValidationRole: Writing – original draftRole: Writing – review & editing
                Role: InvestigationRole: Project administrationRole: ValidationRole: Writing – review & editing
                Role: Data curationRole: ValidationRole: Writing – review & editing
                Role: InvestigationRole: Project administrationRole: ValidationRole: Writing – review & editing
                Role: InvestigationRole: Project administrationRole: ResourcesRole: Writing – review & editing
                Role: Funding acquisitionRole: ResourcesRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: MethodologyRole: Project administrationRole: SoftwareRole: ValidationRole: Writing – original draftRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLOS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                31 March 2023
                2023
                : 18
                : 3
                : e0283821
                Affiliations
                [1 ] Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Victoria, Australia
                [2 ] Global Centre for Preventive Health and Nutrition, Institute for Health Transformation, School of Health and Social Development, Deakin University, Burwood, Victoria, Australia
                [3 ] School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
                [4 ] Consumer Health Forum, Canberra, Australian Capital Territory, Australia
                [5 ] Digital Health Cooperative Research Centre Limited (DHCRC), Sydney, New South Wales, Australia
                Scuola Superiore Sant Anna PISA, ITALY
                Author notes

                Competing Interests: The other authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0002-0383-812X
                https://orcid.org/0000-0002-4553-2188
                https://orcid.org/0000-0002-7783-6928
                Article
                PONE-D-22-29056
                10.1371/journal.pone.0283821
                10065297
                37000814
                96742895-bf47-49d8-87bf-25e444ce78c4
                © 2023 Savira et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 24 October 2022
                : 17 March 2023
                Page count
                Figures: 2, Tables: 5, Pages: 15
                Funding
                Funded by: Digital Health Cooperative Research Centre Limited
                Award ID: DHCRC-0161
                Award Recipient :
                Funded by: funder-id http://dx.doi.org/10.13039/501100001778, Deakin University;
                Award ID: Alfred Deakin Postdoctoral Research Fellowship
                Award Recipient :
                This research was part of a larger study supported by the Australian Government Department of Health and Aged Care, Health Economics and Research Division, and the Digital Health Cooperative Research Centres Limited (DHCRC) (project DHCRC-0161). The DHCRC is funded under the Commonwealth’s Cooperative Research Centres Program. The Department of Health and Aged Care had no role in study design, data collection and analysis, or preparation of the manuscript.
                Categories
                Research Article
                Research and Analysis Methods
                Research Design
                Survey Research
                Surveys
                Medicine and Health Sciences
                Health Care
                Primary Care
                People and Places
                Geographical Locations
                Oceania
                Australia
                Medicine and Health Sciences
                Health Care
                Health Care Providers
                Physicians
                People and Places
                Population Groupings
                Professions
                Medical Personnel
                Physicians
                Medicine and Health Sciences
                Epidemiology
                Medical Risk Factors
                Computer and Information Sciences
                Computer Networks
                Internet
                Research and Analysis Methods
                Research Design
                Experimental Design
                Earth Sciences
                Geography
                Geographic Areas
                Remote Areas
                Custom metadata
                The dataset cannot be shared publicly because of ethics and data governance arrangement imposed by Curtin University Human Research Ethics Committee. Please contact ROC-ethics@ 123456curtin.edu.au or (08) 9266 9223 to request access to the data.

                Uncategorized
                Uncategorized

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