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JOURNAL ARTICLE · EDITORIAL BRIEF

Designing virtual consultations around local constraints in South Africa

Abby Blocker; Ahmed Biyabani; Joyce Mwangama; Mohammed Ishaaq Datay; Bessie Malila
JMIR Human Factors · 1 September 2026

Open accessSouth Africa · Cape Town and Northern Cape
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The finding or development

Staff reported increasing confidence with the system. Patient feedback emphasised inclusion in conversations and understanding the service. Connectivity and medical-device constraints remained practical barriers.

What supports it

Peer-reviewed mixed-methods pilot at two clinics: 12 patient consultations, two doctors and two nurses; surveys, observation and interviews.

Reviewed: Abstract, design and methods sections, conclusions and limitations; supplementary questionnaires not reviewed.

Why it matters for design

Study the whole service: staff coordination, training, equipment and infrastructure shape the interface experience.

Read with this in mind

A small feasibility pilot cannot establish clinical equivalence or regional scalability. Thematic coding lacked additional reviewers; faster access to a doctor may have inflated satisfaction.

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DOI: 10.2196/84272

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