3.5.2. Suitability

Clinicians expressed that digital care visits were not always a suitable form of care for some patients. Studies have found that digital care visits were less applicable for new patients [38,50]. This also applies to patients that have musculoskeletal, skin [38,50], pediatric problems, acute and severe health issues [38,51], or conditions that certainly require physical examination [35]. They were also unsuitable for patients with severe mental problems such as paranoia, psychosis, etc. [46]. Medical oncology professionals noted that digital care visits were inappropriate for sensitive conversations with the patient, such as for delivering bad news [51].

#### 3.5.3. Technical Issues

Technical issues may become a serious barrier to providing quality care. In ten of twenty-eight studies, authors reported that healthcare professionals had encountered connectivity issues. Lost connection [36,45,51,52,60], difficulty logging on [46], patients not being able to connect [42], poor or unstable internet connection [50,60], over half the clinicians in Mammen et al. and Yu et al. indicated they experienced audio, video, and connectivity issues [53,58]. Healthcare professionals from other studies also expressed they had problems with poor quality sound or video during the visits, which affected the overall quality of the consultation as it was more difficult to communicate and assess the patient [42,46,52,60,61].
