Interviews with 15 Australian medicinal cannabis users found telehealth has made access easy, but cost remains a major barrier, and many use cannabis for both medical and recreational purposes.
Medical cannabis patients, healthcare policymakers, Australian cannabis program evaluators, and international observers of cannabis regulation.
What the researchers found
Medicinal cannabis users reported diverse motivations including managing treatment-resistant conditions and avoiding legal consequences of illicit use. Access was described as straightforward through telehealth and dispensaries. Key barriers were financial (high cost) and product frustration (receiving oil prescriptions when flower was preferred). Dual medical-recreational use was common.
Why it matters
As more countries develop medical cannabis programs, Australia's experience offers lessons. Easy telehealth access is a success, but the cost barrier and dual-use patterns raise questions about who benefits and how programs should be designed.
The numbers in context
15 participants interviewed at 2 cannabis events. Access described as straightforward via telehealth. Key themes: diverse motivations (treatment-resistant conditions, avoiding legal risk) and access journeys (telehealth, dispensaries, cost barriers). Dual recreational-medical use reported. Limited product/dose knowledge among users.
How the study worked
Brief semi-structured interviews with 15 adults self-reporting medicinal cannabis use in the past 12 months, recruited at two cannabis events in Queensland and New South Wales. Thematic analysis using Braun and Clarke's six-step framework identified two themes: diverse drivers and access journeys.
What this study cannot tell us
Very small sample (15 participants). Recruited at cannabis events (not representative). Brief interviews limited depth. Single country context. Self-selected participants likely more engaged with cannabis culture.
How to read the evidence
Small qualitative study from a single country — provides rich individual perspectives but cannot be generalized.
When this study was published
Published in 2026, reflecting Australia's evolving medical cannabis landscape since legalization in 2016.
The bigger picture
The finding that some users transitioned from recreational to medical partly for legal protection, combined with widespread dual use, challenges the clean separation between 'medical' and 'recreational' cannabis. This has implications for how medical cannabis programs are regulated and evaluated.
Questions still open
- Should medical cannabis programs address dual use directly? How can costs be reduced while maintaining quality? Would insurance coverage or subsidies improve health equity in medical cannabis access?
Common questions
Is medical cannabis easy to get in Australia?
Do medical cannabis users also use recreationally?
Read the original research
Motivations and Pathways: A Thematic Analysis of Interviews with Medicinal Cannabis Consumers in Australia.
Substance use & misuse, 61(4), 638-642
Citation
Dawson, Danielle; Stjepanović, Daniel; McClure-Thomas, Caitlin; Lorenzetti, Valentina; Hall, Wayne; Sun, Tianze; Leung, Janni. (2026). Motivations and Pathways: A Thematic Analysis of Interviews with Medicinal Cannabis Consumers in Australia.. Substance use & misuse, 61(4), 638-642. https://doi.org/10.1080/10826084.2025.2560074
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