Young people are known to face challenges when accessing healthcare and generally have low rates of health service utilisation. Use of telehealth might be one way to improve access, but evidence is needed from young people as to how acceptable it is. This online survey of 15- to 25-year olds in the greater Wellington region of New Zealand sought young people's views on telehealth (phone and videocalls) as a means of accessing primary care. The survey included both forced-choice questions and free-text options. We report here on the free-text data from open-ended questions that were qualitatively analysed using template analysis. A total of 346 participants took part between August 6 and September 21, 2021, of whom 60% were female, 12% Māori (indigenous) ethnicity, and 38% had used telehealth methods of consulting previously. Analysis was undertaken of the free-text comments that were provided by 132 participants (38%). Although those contributing comments described both benefits and drawbacks to using telehealth, more drawbacks were cited, with specific examples given to illustrate a range of concerns and potential limitations of telehealth including privacy, communication difficulties and compromised quality of care. Participants thought telehealth could be used successfully in specific situations, for example by people concerned about leaving the house due to anxiety, illness or being immunocompromised and for simple consultations or when the person knows exactly what they need. Respondents expressed a strong desire to be offered the choice between in-person and telehealth consultations. Providing young people with a choice of consultation mode together with clear information about all aspects of a telehealth consultation is important if clinicians want young people to engage with this method of primary care service delivery.

中文翻译：

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年轻人谈论初级保健和远程医疗：一项针对新西兰惠灵顿地区 15 至 25 岁人群的调查

众所周知，年轻人在获得医疗保健时面临挑战，而且医疗服务利用率普遍较低。使用远程医疗可能是改善可及性的一种方式，但需要年轻人提供证据证明远程医疗的可接受程度。这项针对新西兰惠灵顿大区 15 至 25 岁人群的在线调查旨在了解年轻人对远程医疗（电话和视频通话）作为获得初级保健的一种方式的看法。该调查包括强制选择问题和自由文本选项。我们在此报告使用模板分析进行定性分析的开放式问题的自由文本数据。2021 年 8 月 6 日至 9 月 21 日期间，共有 346 名参与者参加，其中 60% 是女性，12% 是毛利人（土著），38% 以前使用过远程医疗方法进行咨询。对 132 名参与者 (38%) 提供的自由文本评论进行了分析。尽管那些贡献的评论描述了使用远程医疗的好处和缺点，但还列举了更多的缺点，并给出了具体示例来说明远程医疗的一系列问题和潜在限制，包括隐私、沟通困难和护理质量受损。参与者认为远程医疗可以在特定情况下成功使用，例如担心因焦虑、疾病或免疫功能低下而离开家的人，以及进行简单的咨询或当人们确切知道他们需要什么时。受访者表示强烈希望能够在面对面和远程医疗咨询之间做出选择。