Satisfaction with eHealth in Barcelona HIV clinics: a mixed methods study

Introduction: The COVID-19 pandemic disrupted global healthcare, including HIV care. eHealth emerged as an alternative to traditional in-person care. This study aimed to evaluate eHealth access among people living with HIV in Barcelona, Spain. Methods: A sequential explanatory mixed methods approach was used. Data were gathered through surveys (n = 82), semi-structured interviews, and a focus group to understand eHealth usage and perceptions. Results: 65% of survey respondents reported using eHealth services in their HIV unit at least once during the pandemic, while 52% reported never being offered these services, indicating a gap in availability and access. Participants identified convenience and timesaving as the main benefits of eHealth, particularly valuable during movement restrictions. Barriers such as perceived reduction in care quality, especially for those with language difficulties, were noted. While eHealth offers potential benefits, critical areas need addressing to ensure equitable access and high-quality care. Conclusion: Promoting eHealth services requires targeted improvements and understanding user preferences and needs. Tailoring eHealth solutions to diverse patient populations is crucial for successful implementation. As healthcare evolves post-pandemic, integrating eHealth to complement traditional care and address challenges faced by vulnerable populations, such as those living with HIV, is essential.