When telehealth may be challenging for older adults

Dr. S. Langford December 24, 2025

When telehealth may be challenging for older adults

Introduction

Telehealth, also known as virtual care, allows patients to consult healthcare providers using digital tools like video calls, phone, or apps. This approach helps Canadians access medical advice without visiting a clinic in person. Telehealth has grown quickly, especially in remote areas or during times when in-person visits are difficult, such as during the COVID-19 pandemic or other public health emergencies.

Understanding when telehealth may be challenging for older adults is important. While virtual care offers many benefits, some seniors face unique barriers that can affect their experience and health outcomes. These challenges can include difficulties with technology, sensory impairments, or cognitive issues that make virtual communication less effective.

Medically reviewed by SASI Medical Review Board.

Why telehealth matters

Improves access to healthcare for people in rural or remote communities
Reduces travel time and costs for patients
Supports ongoing care for chronic conditions
Offers timely medical advice during public health emergencies

Despite these advantages, older adults may find telehealth difficult due to technology issues, hearing or vision challenges, or limited digital literacy. Recognizing these challenges helps healthcare providers and families support seniors better. This section sets the stage for exploring how to make virtual care more accessible and effective for older Canadians, ensuring equitable healthcare for all age groups.

What is telehealth in Canada?

Telehealth in Canada allows patients to access healthcare services remotely. It uses technology such as phone calls, video chats, and secure messaging to connect patients with healthcare providers. This approach helps reduce travel time and wait times, making care more convenient and often more timely.

Virtual visits can include:

Consultations with doctors or nurses by phone or video
Follow-up appointments to discuss test results or treatment plans
Secure messaging for non-urgent questions or advice

Each province and territory manages telehealth differently. Services, availability, and technology platforms may vary depending on local healthcare policies and infrastructure. For example, some provinces have dedicated telehealth programs with nurse lines and virtual clinics, while others integrate telehealth into existing primary care services.

When telehealth may be challenging for older adults, factors such as limited access to technology, hearing or vision difficulties, and unfamiliarity with digital tools can affect their experience. Support from family or caregivers often helps overcome these barriers, but healthcare systems also need to provide accessible options and training to ensure seniors can benefit fully from virtual care.

When telehealth is appropriate (and when it is not)

Telehealth offers a convenient way to access healthcare for many common issues. It works well for routine follow-ups, minor illnesses, and medication reviews. For example, you can discuss cold symptoms, manage chronic conditions like diabetes, or get advice on mild skin rashes through a video or phone call. It also allows for mental health support and counselling sessions without the need to travel.

However, telehealth may be challenging for older adults who have hearing or vision difficulties, cognitive impairments, or limited access to technology. In these cases, in-person visits often provide better care and clearer communication. Additionally, some medical conditions require physical examination or diagnostic testing that cannot be done virtually.

When to choose in-person care

Severe or worsening symptoms, such as chest pain or difficulty breathing
Physical examinations or tests that require hands-on assessment
New or unexplained symptoms that need urgent evaluation
Complex conditions needing detailed monitoring or procedures

Red-flag situations requiring emergency care

Sudden weakness, numbness, or difficulty speaking
High fever with stiff neck or confusion
Severe injuries or uncontrolled bleeding
Signs of a heart attack or stroke

Understanding when telehealth is appropriate helps you get timely care while knowing When to seek in-person or emergency services. This balance ensures safety and effective treatment for all patients, especially older adults who may have more complex health needs.

How to access telehealth services

Canadians can access telehealth services in several common ways. Many start by contacting their family doctor, who may offer virtual appointments or direct patients to appropriate telehealth resources. Family physicians often integrate telehealth into their practice to maintain continuity of care.

Provincial nurse lines provide another option. These phone services connect callers with registered nurses who can offer health advice and guide them to the right care. Examples include Telehealth Ontario and Health Link Alberta, which are available 24/7 for non-emergency health concerns.

Other access points

Walk-in virtual clinics allow patients to see a healthcare provider without an appointment, often through video or phone calls.
Some employers include telehealth as part of their benefits, giving employees access to virtual care services.
Private telehealth platforms offer additional options, usually requiring registration or payment.

It is important for patients to check local availability and plan-specific details, as services and coverage vary across provinces and insurance plans. Some telehealth services are fully covered under provincial health plans, while others may require out-of-pocket payment or private insurance.

When telehealth may be challenging for older adults, caregivers or family members can assist with technology or help find in-person alternatives if needed. Community organizations and seniors’ centres may also offer support and training to improve digital literacy among older Canadians.

What to expect from a telehealth appointment

Booking a telehealth appointment is usually simple. You can schedule a visit online or by phone. Before the appointment, you may need to provide consent for virtual care. This ensures your privacy and safety during the session and confirms your understanding of the telehealth process.

On the day of your visit, you will connect with your clinician using a secure video or phone platform. It is important to have a quiet, private space and a reliable internet connection. The clinician will explain how the technology works if needed and may provide instructions on how to troubleshoot common issues.

During the appointment, the clinician can discuss your symptoms, review your medical history, and offer advice or treatment plans. However, some physical exams or tests cannot be done remotely. In such cases, you may be asked to visit a clinic or lab for further assessment.

After the session, your visit will be documented in your medical record. If needed, prescriptions can be sent electronically to your pharmacy. The clinician will also arrange any necessary follow-up appointments or referrals to specialists or community services.

When telehealth may be challenging for older adults, it often relates to technology use or hearing difficulties. Support from family or caregivers can help overcome these barriers and make virtual care more effective. Some healthcare providers also offer tutorials or practice sessions to help seniors become comfortable with telehealth platforms.

Benefits and limitations

Advantages of telehealth

Telehealth offers many benefits, especially for those living in remote areas. It provides convenient access to healthcare without the need to travel long distances. Patients can connect with their providers from home, saving time and reducing stress. This is particularly valuable for older adults with mobility issues or those who rely on others for transportation.

Improved access for rural and remote communities
Less travel and related expenses
Flexible scheduling and shorter wait times

Challenges and limitations

Despite its advantages, telehealth has some limitations. One key issue is the inability to perform a physical exam, which can affect diagnosis and treatment. Technology problems, such as poor internet connections or unfamiliar devices, may also disrupt care. Additionally, some patients may feel less comfortable discussing sensitive issues virtually.

Privacy concerns arise when sensitive information is shared online. Patients must ensure they use secure platforms and private spaces during consultations. Healthcare providers are responsible for maintaining confidentiality and complying with privacy regulations.

When telehealth may be challenging for older adults

Older adults might face extra challenges with telehealth. They may find technology difficult to use or lack reliable internet access. Hearing or vision impairments can also make virtual visits harder. Cognitive decline or memory issues may affect their ability to follow instructions or communicate symptoms clearly. In these cases, in-person care might be more effective, or additional support may be needed to facilitate virtual visits.

Privacy, security, and safety

Telehealth services usually protect your privacy and confidentiality through secure platforms. These platforms use encryption and other safety measures to keep your information private. Common tools include video calls, secure messaging, and protected patient portals.

When telehealth may be challenging for older adults, privacy and security concerns often increase. Older adults might find it harder to use technology safely or to create a private space for their appointments. Understanding how to protect personal information can help reduce these challenges and build confidence in using virtual care.

How platforms protect your information

Encryption of video and messages to prevent unauthorized access
Secure login processes with passwords or two-factor authentication
Regular updates to software to fix security issues
Compliance with Canadian privacy laws and healthcare regulations

Tips to protect your privacy and safety

Choose a quiet, private room for your telehealth visit
Use a personal device rather than a public or shared one
Keep your software and apps up to date
Never share your login details with others
Ask your healthcare provider about the platform’s security features

Tips to prepare for a telehealth visit

Preparing well can make your telehealth visit smoother and more effective. This is especially important when telehealth may be challenging for older adults. Here are some practical tips to help you get ready and feel confident during your virtual appointment.

Gather important information

Make a list of your current symptoms and when they started.
Prepare a list of all medications, including doses and frequency.
Have recent test results or medical records handy, if available.

Check your technology

Test your internet connection and ensure your device (computer, tablet, or smartphone) is fully charged or plugged in. Confirm that your camera and microphone work properly before the appointment. If possible, do a trial run with a family member or caregiver to become familiar with the platform.

Create a quiet, private space

Find a comfortable spot with good lighting and minimal background noise. This helps you focus and allows the clinician to hear and see you clearly. Inform others in your household about your appointment to avoid interruptions.

Prepare questions for your clinician

Write down any questions or concerns you want to discuss. This ensures you don’t forget important points during the visit and helps you make the most of your time with the healthcare provider.

FAQs

When might telehealth be challenging for older adults?

Telehealth can be difficult for some older adults due to limited experience with technology, hearing or vision issues, and cognitive challenges. These factors may affect their ability to use devices or follow virtual appointments. Additionally, lack of reliable internet access or unfamiliarity with digital platforms can pose barriers.

How can older adults prepare for a telehealth visit?

Preparation helps make telehealth visits smoother. Older adults should:

Test their device and internet connection beforehand
Find a quiet, well-lit space
Have a family member or caregiver nearby if needed
Write down questions or symptoms to discuss

Are telehealth services covered by Canadian healthcare?

Yes, most provinces and territories cover telehealth visits under public health plans. Coverage may vary, so it is best to check with your local health authority. Some services may require referrals or have specific eligibility criteria.

What if an older adult needs help during a telehealth appointment?

They can ask a trusted person to assist with technology or communication. Many healthcare providers also offer support to ensure patients understand and feel comfortable throughout the visit. Some clinics provide technical assistance or have staff available to guide patients through the process.

Can telehealth replace in-person visits for older adults?

Telehealth is a convenient option but may not suit all situations. Some conditions require physical exams or tests that need in-person care. Healthcare providers will guide patients on the best approach, balancing virtual and face-to-face care to meet individual needs.

Summary

Telehealth offers a convenient way to access healthcare services from home. It can save time and reduce travel, especially for those with mobility challenges or living in remote areas. However, when telehealth may be challenging for older adults, it is important to recognise its limits. Some health concerns require hands-on examination or urgent attention that telehealth cannot provide.

To use telehealth effectively, consider these tips:

Prepare your questions and health information before the appointment.
Ensure your device and internet connection work well.
Ask for help from family or caregivers if technology feels difficult.

If symptoms worsen or you feel unsure about your condition, seek in-person care promptly. Emergency situations always need immediate attention at a healthcare facility. Telehealth is a helpful tool but should complement, not replace, traditional care when necessary.

Additional resources

See also: [Benefits of telehealth in rural Canada]

See also: [How to support seniors with digital health tools]

See also: [Managing chronic conditions through virtual care]

See also: [Privacy considerations in telehealth]

See also: [Emergency care vs. telehealth: What you need to know]

Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice.

When telehealth may be challenging for older adults

When telehealth may be challenging for older adults