Telehealth Barriers to Quality Care: Impact during Covid-19 Pandemic


The Covid-19 pandemic has brought unprecedented challenges to healthcare systems worldwide. One significant response has been the rapid adoption of telehealth in primary care settings to ensure the delivery of essential healthcare services while minimizing the risk of virus transmission. Telehealth, which involves the use of electronic communication technologies to provide remote healthcare services, has gained traction due to its potential to maintain continuity of care. However, the successful implementation of telehealth is contingent on various factors, including the quality of care provided. This research paper aims to discuss the impact of barriers to quality of care on the utilization of telehealth in primary care during the Covid-19 pandemic. The study employs a quantitative research method to investigate this phenomenon, utilizing validated questionnaires and surveys to collect data from primary care providers and patients.

Literature Review

The Covid-19 pandemic has highlighted the importance of telehealth in maintaining healthcare services while ensuring the safety of patients and healthcare providers. Telehealth can effectively address barriers such as geographical distance, mobility limitations, and the need for social distancing. However, the successful implementation of telehealth in primary care relies on overcoming various barriers to quality care.

Previous research has identified barriers that can potentially impede the delivery of quality care through telehealth. One critical factor is the digital divide, where disparities in access to technology and internet connectivity hinder patients’ and providers’ ability to participate in telehealth consultations (Greenhalgh et al., 2020). Another barrier is the lack of training and familiarity among healthcare providers in effectively utilizing telehealth platforms, which can impact the quality of patient-provider interactions (Kruse et al., 2017).

Barriers related to the quality of care delivered through telehealth extend to patient perspectives as well. Trust and communication between patients and providers may be compromised in virtual settings, potentially leading to misunderstandings and misdiagnoses (Almathami et al., 2020). Privacy concerns also arise due to the potential for data breaches and unauthorized access to sensitive medical information during virtual consultations (Smith et al., 2017).

Research Methodology

To explore the impact of barriers on the quality of care delivered through telehealth in primary care during the Covid-19 pandemic, a quantitative research approach will be employed. This approach involves collecting and analyzing numerical data to uncover patterns, relationships, and trends. The study will utilize validated questionnaires and surveys to gather data from both primary care providers and patients.

Questionnaires will be designed based on previously validated instruments found in the literature. For primary care providers, the survey will assess their training and proficiency in using telehealth platforms, perceived barriers to quality care, and their overall satisfaction with telehealth services. For patients, the survey will focus on their experiences with telehealth consultations, perceived quality of care, trust in providers, and any encountered barriers.

The data collected from the questionnaires will be analyzed using statistical methods, including descriptive statistics to summarize the data and inferential statistics to identify relationships between variables. The research design alignment table is presented below:

Research Design Component Description
Research Design Quantitative
Data Collection Method Questionnaires and Surveys
Data Analysis Method Descriptive and Inferential Statistics
Sample Size Primary care providers and patients
Sampling Technique Convenience sampling
Data Validity Utilizing previously validated questionnaires
Data Reliability Ensuring consistency in responses through structured questions


The Covid-19 pandemic has accelerated the adoption of telehealth in primary care settings, offering an alternative means of delivering healthcare services. However, the barriers to quality care in telehealth must be addressed to ensure that patients receive effective and safe medical consultations. This research aims to shed light on the impact of these barriers and their implications for the use of telehealth in primary care during the pandemic. By employing a quantitative research method and utilizing validated questionnaires, the study will contribute to a better understanding of the challenges faced by both healthcare providers and patients in utilizing telehealth for quality care delivery.


Almathami, H. K. Y., Win, K. T., & Vlahu-Gjorgievska, E. (2020). Barriers and facilitators that influence telemedicine-based, real-time, online consultation at patients’ homes: Systematic literature review. Journal of Medical Internet Research, 22(2), e16407.

Greenhalgh, T., Wherton, J., Shaw, S., & Morrison, C. (2020). Video consultations for covid-19. BMJ, 368, m998.

Kruse, C. S., Karem, P., Shifflett, K., Vegi, L., Ravi, K., & Brooks, M. (2017). Evaluating barriers to adopting telemedicine worldwide: A systematic review. Journal of Telemedicine and Telecare, 24(1), 4-12.

Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., … & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of Telemedicine and Telecare, 26(5), 309-313.