"Telehealth Allows for Flexibility and More Equity"

Provider Perspectives on Telehealth for Outpatient Palliative Care for Underserved Patients

Julia Bandini, Jeannette Tsuei, Dio Kavalieratos, Sangeeta C. Ahluwalia, Enrique Vazquez, Kimberly A. Curseen, Jordan M. Harrison

ResearchPosted on rand.org Mar 20, 2025Published in: Journal of Palliative Medicine (2025). DOI: 10.1089/jpm.2024.0525

Background

Telehealth for outpatient palliative care has grown rapidly since the COVID-19 pandemic, yet there remain important questions about the use of telehealth for underserved patient populations in a “postpandemic” society.

Objective

To examine current perspectives from interdisciplinary providers on the use of telehealth and in-person care for outpatient palliative care among underserved patients.

Methods

We conducted semi-structured interviews with outpatient palliative care providers and clinic staff (n = 17) from one health system in the United States.

Results

Providers endorsed tele-palliative care for underserved patients because it enhanced patient-centered care and increased equity. However, providers noted two main challenges to the use of telehealth: technological issues on the part of patients and policies around prescribing controlled substances.

Conclusions

Future efforts to improve tele-palliative care for underserved patients may focus on technological and institutional infrastructure to support telehealth and consider policies around prescribing controlled substances for palliative care patients.

Document Details

  • Availability: Non-RAND
  • Year: 2025
  • Pages: 6
  • Document Number: EP-70901

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