Parental Perceptions Toward Using Online Video Consultations With Pediatricians: Insights, Barriers, and Pathways to Equitable Adoption.

Abstract

Introduction: Online video consultation (VC) use in pediatric care has increased recently, particularly following the COVID-19 pandemic. However, understanding parental perspectives on VC use with pediatricians, especially across geographical regions, remains crucial for effective VC implementation and reducing healthcare disparities. Methods: This mixed methods study combined an online survey (n = 96) and two focus groups (n = 17) to examine parental perceptions of VC with pediatricians in Israel. Based on the Telehealth Usability Questionnaire, the survey assessed user experience, usefulness, and satisfaction. Focus groups explored themes related to children's experiences, remote diagnosis, patient-physician communication, and VC use during emergencies. Results: While 82% of parents believed that VC saved time and 67% felt it improved access to healthcare, only 50% thought it met their healthcare needs. Parents in peripheral regions rated the usefulness of VC higher than those in central areas, particularly during times of security concerns. However, central region parents reported better user experiences. Parents with prior VC experience showed higher satisfaction and future use intention than non-preusers. Focus groups revealed that children often felt more comfortable with VC due to the familiar home environment, although parents expressed concerns about remote diagnosis accuracy and physician communication quality. Discussion: Our findings highlight geographic disparities in VC adoption and emphasize the need for targeted interventions to improve technical support and infrastructure in peripheral regions. While VC shows promise for enhancing healthcare accessibility, particularly during emergencies, success requires addressing technical barriers, strengthening privacy measures, and establishing clear guidelines for remote pediatric care delivery.