Background Teleconsultations are promising alternatives to physical consultations. However, its acceptability among elderly undergoing colorectal cancer (CRC) surveillance remains unexplored. This study explores patient-perceived facilitators and barriers relating to using teleconsultations in CRC surveillance.

Methods Semi-structured interviews were conducted with eighteen patients aged 65 years and above undergoing post-resection CRC surveillance, guided by the Unified Theory of Acceptance and Use of Technology model. Interviews were transcribed and analysed using an inductive-deductive thematic approach.

Results Patients were divided over integrating teleconsultations into CRC care - some were willing to fully adopt teleconsultations (11.11%) while others preferred a combination of virtual and in-person consultations (16.67%). Some others (44.44%) cited considerations including (1) disease severity, (2) (in)sufficient guidance, and (3) collaborativeness of care plan decisions. Most patients acknowledged that teleconsultations bring convenience and enhanced care communication. However, they were concerned about its efficiency and ‘lack of human touch’ due to the absence of visual input.

Conclusions Despite the relatively low readiness to accept teleconsultations for CRC surveillance, the implementation of such services can be facilitated by addressing the identified issues causing hesitancy. Institutions can trial a hybrid model, but more should be done to determine the optimal frequency and interval of each consultation type. Future research evaluating the ability of teleconsultations to upkeep the standard in health outcomes and patient satisfaction is also warranted.