3.4.8. Complications from the Patients' Side

Other challenges clinicians had to deal with were more visit cancellations or rescheduling by patients due to increased flexibility, as reported by Hinman et al. and Wade et al. [57,59]. Disruptions when patients get distracted by their family members or daily chores also had a negative effect on the overall experience [45,57]. Moreover, Heyer et al. stated in their study that sometimes patients do not feel they should pay for digital care visits the same as they do for traditional ones [51].

#### 3.4.9. Safety and Privacy

Several studies have covered clinicians' concerns regarding patient safety, privacy, confidentiality, and informed consent. Patients' immediate safety due to acute conditions and the need for emergency hospitalization [37,38] or safety regarding conflicts at home and risks posed by their mental state [45] concerned clinicians. Privacy was an issue discussed in three studies. In therapy sessions, privacy is important, and it is severely compromised when a patient is unable to find a place in their homes where they feel secure and cannot be overheard by family members [45,52,56].
