Consumer preferences for telehealth in Australia: A discrete choice experiment

PLoS One. 2023 Mar 31;18(3):e0283821. doi: 10.1371/journal.pone.0283821. eCollection 2023.

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Australia
  • Consumer Behavior*
  • Humans
  • Patient Preference
  • Surveys and Questionnaires
  • Telemedicine*

Grants and funding

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.