Stakeholders and Current Practices

How effective telepresence effects different stakeholders?

Having an effective telepresence can positively impact patients, their family/caregivers, and providers. Benefits to each party may differ from each individual scope, however they all experience an improved interaction. The goal is that telemedicine interactions should be consistent across settings, and should resemble the efficacy of interactions that occur in person. 


Healthcare providers top priority is ensuring patient safety and satisfaction. An effective telepresence can benefit patients in the following ways:

  • The patient feels heard, specifically that their health concerns were addressed by the provider.
  • The patient is able to establish a professional, yet strong, rapport with their provider despite technology-related barriers
  • The patient feels that their healthcare needs are the priority of the session (no distractions from navigating technology, scheduling correspondence, etc.)
  • Patients feel that the experience was motivating and beneficial to them in a person-centered way.



Effective telepresence not only can enhance the patient experience, but also may improve interactions with family members and caregivers involved in these services. Benefits for these stakeholders may include:

  • Since the therapy/sessions are often at home, it is usually easier to involve any additional individuals the patient would like to include.
  • Again, since treatment and therapy is often set in home environment, generalization of the therapy skill, target, etc. can happen with greater ease since there is increased access to salient materials.






Effective telepresence can also improve telemedicine experiences for the healthcare workings providing these services. Healthcare providers who may benefit from effective telepresence include (but is not limited to) nurses, primary care physicians, specialty doctors, social workers, public health professionals, and therapists (psychological, speech/language, occupational, and physical). Benefits for these stakeholders may include:

  • Ability and ease to accurately and productively collect all information/data needed about the client during the session.
  • Focus of the meeting can be on patient health and not other factors, such as the technology itself.
  • Improved ease in coordination of schedules for collaboration with other providers of the particular patient.
Current Health and Human Services Practices:

There are some classes offered and as well as guidance around telemedicine; but not all of them cover all the same material. Currently there is no clear training or directive for how to have an effective telepresence in healthcare settings. There are some options such as classes and workshops, however there is no research-based evidence for best practices in this area (Henry et al., 2016).


With more and more speech-language pathologists (SLPs) adopting telemedicine in their practices, there are also more barriers that arise. There is an observed large discrepancies in education and skills on how to be an effective clinician virtually. If a more clear training and procedure were to be established, it would help to close the gap in this digital divide and promote overall more motivating and salient sessions.