Abstract
This study examines Adult Patients’ Experiences of Diabetes Management using Telehealth Technologies at Guidepost. In recent years, 4IR technologies, including artificial intelligence, the Internet of Things, big data analytics, and remote monitoring, have gained prominence in healthcare. These technologies are facilitating a shift towards patient-centric, efficient, and personalised care. In the context of diabetes management, they hold the potential to revolutionise the way healthcare is provided, from early detection to chronic condition management.
This report presents a qualitative study of adults living with diabetes at Guidepost in Melrose Estate, Johannesburg, Gauteng. It assesses the impact of telehealth technologies on social inequalities in patients' access to diabetes management systems. The report examines how socio-economic factors, including geographical location, race, class and gender, influence patients' access and use of healthcare via telehealth. Additionally, it explores the dynamics of public versus private healthcare provision in the context of Fourth Industrial Revolution (4IR) technologies in healthcare. Data was collected through semi-structured telephonic interviews with ten diverse participants.
Findings reveal that socio-economic status significantly influences diabetes management, even among high-status individuals. Medical aid coverage plays a vital role in healthcare access but reveals disparities related to gender, class and affordability. Family history, hereditary factors, and lifestyle choices affect diabetes susceptibility. Furthermore, social support and telehealth platforms enhance chronic condition management. Telehealth programs improve diabetes management, but racial and class-based disparities persist, highlighting the digital divide. The study stresses the importance of addressing these disparities.
The results of this research show that participants desire a more individualised healthcare system and emphasise the potential of telehealth to bridge healthcare gaps. However, participants in this study expressed their lack of confidence in South Africa's public healthcare system regarding 4IR telehealth technologies. They emphasised the need for reforms to ensure equitable access to quality healthcare.