Defining Telepresence as Experienced in Telehealth Encounters: A Dimensional Analysis

Purpose Telehealth's uptake has increased substantially in recent years, with an especially large jump in 2020 due to the emergence of COVID-19. This article provides background on and explores telepresence in healthcare literature. Telepresence strongly impacts the patient experience, but it is poorly defined in current research. The aim was to conceptually define telepresence using qualitative methods. Design Dimensional analysis was used to analyze telepresence in clinical literature and create a clearer definition of telepresence as a concept. Multiple databases were searched for articles related to telepresence. Thirteen international articles related to telepresence were selected for analysis. Methods Dimensional analysis allowed for multiple viewpoints to be explored within each distinct context and perspective. Findings Twenty-five dimensions were discovered within the articles, which were synthesized to seven core dimensions of telepresence: connection, technological mediation, experienced realism, trust, being supportive, collaboration, and emotional consequence. Conclusions Telepresence is highly impactful on the patient's experience of telehealth care visits. The conceptual map produced by this dimensional analysis provides direction for clinicians to improve their ability to be present with patients during telehealth care. Potential implications include a starting point for future qualitative research, and the use of this dimensional analysis to inform clinical guidelines, improve clinician training, and assist in the development of new care models. Clinical Relevance A telepresence definition brings clarity to an ill-defined concept. COVID-19 magnifies the need for a better understanding of telepresence, which allows clinicians to improve telehealth encounters.

Automated summary

The uptake of telehealth has significantly increased in recent years, especially in 2020 due to COVID-19. This study utilized dimensional analysis to define telepresence conceptually and identified seven core dimensions: connection, technological mediation, experienced realism, trust, being supportive, collaboration, and emotional consequence. The conceptual map produced in this study can guide clinicians in improving telehealth encounters with patients.