Teleconsultation has emerged as a potential strategy to improve access to healthcare, particularly where geographic, financial and systemic barriers limit service utilisation. In South Africa, youth in both rural and urban areas face challenges in accessing timely and appropriate healthcare, yet little is known about how they perceive teleconsultation as a means of improving access. A qualitative study was conducted that involved semi-structured interviews with youth aged 18-24 who were recruited via social media. Data was analysed thematically to identify patterns and shared meanings across participants’ feedback.

Six themes emerged from the analysis. 1) The participants described teleconsultation as a positive and acceptable way of accessing healthcare and expressed willingness to use it. 2) Teleconsultation improved access by saving time, reducing travel and lowering costs. 3) Structural constraints highlighted how rural living, infrastructure and financial limitations shaped the feasibility of teleconsultation use. 4) Participants explained how teleconsultation enhanced privacy, emotional comfort and reduced experiences of stigma and judgement. 5) Participants understood that teleconsultation is suitable for minor conditions and follow-up care but cannot replace in-person services for serious or emergency situations. 6) Limited awareness, partial knowledge and lack of guidance impacted teleconsultation uptake.

The study concluded that teleconsultation holds promise for improving healthcare access among SA youth when implemented as part of a blended healthcare model. While youth perceptions were largely positive, effective uptake depends on addressing structural barriers and improving awareness, knowledge and guidance. Youth-centred, context-responsive approaches are essential to ensure equitable and appropriate use of teleconsultation.

March 2026