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Infrastructuring Telehealth in (In)Formal Patient-Doctor Contexts

Published: 18 October 2021 Publication History

Abstract

Telehealth technologies have long remained on the peripheries of healthcare systems that prioritize in-person healthcare provision. The spread of the COVID-19 pandemic has foregrounded the need to formalize telehealth infrastructures, particularly teleconsultations, to ensure continued care provision through remote mechanisms. In the Indian healthcare context, prior to the pandemic, teleconsultations have been used to substitute for in-person consultations when possible, and to facilitate remote follow-up care without exacerbating pressures on limited personal resources. We conducted a survey and interview study to investigate doctors' and patients' perceptions, experiences, and expectations around teleconsultations, and how these contribute towards supplementing healthcare infrastructures in India, focusing on the changes brought about by the COVID-19 pandemic. In this paper, we describe the efforts of our participants towards infrastructuring telehealth, examining how technologies were adapted to support teleconsultation, how expectations shifted, and how the dynamics of caregiving evolved through this transition. We present implications for the future design and uptake of telehealth, arguing that COVID-19's impact on teleconsultations lays the foundation for new telehealth infrastructures for more inclusive and equitable care.

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    cover image Proceedings of the ACM on Human-Computer Interaction
    Proceedings of the ACM on Human-Computer Interaction  Volume 5, Issue CSCW2
    CSCW2
    October 2021
    5376 pages
    EISSN:2573-0142
    DOI:10.1145/3493286
    Issue’s Table of Contents
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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    Publication History

    Published: 18 October 2021
    Published in PACMHCI Volume 5, Issue CSCW2

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    1. COVID-19
    2. HCI4D
    3. infrastructuring
    4. qualitative
    5. telehealth

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