Abstract: Telemedicine has become a central component of contemporary healthcare delivery, yet limited research has examined how distinct telemedicine delivery modes influence patient-perceived access to care and satisfaction within an integrated framework. This study investigated the extent to which telemedicine delivery modes (video, audio, and asynchronous) predict patient-perceived access to care and satisfaction, as well as the mediating role of access and the moderating role of digital literacy. Grounded in the Technology Acceptance Model and the Donabedian Model, a cross-sectional, predictive quantitative design was employed using a sample of N = 200 adults with prior telemedicine experience. Results indicated that telemedicine delivery modes significantly predicted both patient-perceived access to care (χ²(5) = 28.74, p < .001, R² = .31) and patient satisfaction (χ²(5) = 32.91, p < .001, R² = .34), with video visits emerging as the strongest predictor across models. Audio visits demonstrated moderate effects, while asynchronous messaging showed smaller but significant associations with satisfaction. Patient-perceived access to care significantly predicted satisfaction (β = .42, p < .001) and partially mediated the relationship between telemedicine delivery modes and satisfaction (indirect effect β = .15, p < .001). Additionally, digital literacy and prior telemedicine experience significantly influenced both outcomes, and digital literacy moderated the relationship between video visits and patient outcomes (β = .17, p = .015). These findings support a modality-specific and mechanism-based understanding of telemedicine effectiveness, demonstrating that both delivery mode and user capability shape patient outcomes. The study contributes to the literature by integrating telemedicine modalities, access, and satisfaction within a unified predictive framework and underscores the importance of multimodal strategies and digital equity in optimizing telehealth delivery.
Keywords: telemedicine, telehealth, access to care, patient satisfaction, digital literacy, healthcare delivery, health services research.
Title: Telemedicine Delivery Modes as Predictors of Patient-Perceived Access to Care and Satisfaction: A Quantitative Study
Author: Dr. David Bull
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Vol. 14, Issue 1, April 2026 - September 2026
Page No: 72-85
Research Publish Journals
Website: www.researchpublish.com
Published Date: 11-May-2026
