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Table 4 Benefits and costs associated with telemedicine

From: Covid-19 threat and coping: application of protection motivation theory to the pandemic experiences of people affected by amyotrophic lateral sclerosis

Themes

Illustrative quotations

Benefits

 Convenience: Travel

“I really like not having to travel to the clinic and sit around waiting for a long time to see the doctor.” (P33, PwALS)

 Convenience: Other

“[Telemedicine] is much easier than getting up, showered, dressed, and ready to drive to morning appointments.” (P1, Caregiver)

 Access to health professionals

“All I do is phone up and I am given a date and time when the doctor will call me.” (P51, Caregiver)

Costs

 Unmet physical needs

• “My concern is that virtual appointments can’t include updated respiratory testing to see if carbon dioxide retention is an issue yet, or a neurologist’s physical or clinical assessment and tests for progression.” (P52, Caregiver)

 Functional communication barriers

Usually, I prepare a full page of condition status, issues, and questions. I can’t speak but my wife would be my voice. This time, given the format [telephone], I didn’t bother.” (P49, PwALS)

 Personal interactions

• “I definitely prefer face-to-face interaction. I think I enjoy the face-to-face interaction more than I realized.” (P70, PwALS)