“What is Not Accessible is the Technology Itself”: Perspectives on Telehealth Acceptance and Use from Community Health Workers and Community Members in California’s San Joaquin Valley

= 72) were conducted across three SJV health centers. Thematic analysis was completed in Dedoose. Both CHWs and community members agreed telehealth alleviates common access barriers but is constrained by the ever-persistent digital divide. Conditional drivers of use, such as patient-provider trust and patient health status, were also discussed. To enhance uptake, CHWs recommended addressing privacy and security concerns, expanding access points and service options, and providing hands-on technological training. These findings highlight factors influencing telehealth acceptance and use in rural SJV communities and offers actionable guidance for providers in rural regions implementing telehealth initiatives.