Introduction: The Swedish government decided to implement a Transition to an integrated and person-centered care. Use of telehealth is a part of this transition, which affects both patients and healthcare professions. Occupational therapists are one of these professions but there is a lack of knowledge on their view on telehealth within occupational therapy. Aim: To explore and describe how occupational therapists within regional primary care settings reason about telehealth in an occupational therapy context. Method: Qualitative interview study. Data was gathered through semi-structured interviews with 14 occupational therapists. Systematic text condensation was used for analyzing. Results:  The Occupational therapists reasoned about telehealth in three main areas: through the lens of the patient, through the lens of their profession and in relation to the context. Conclusions: Occupational therapists emphasize the importance of retaining real-life meetings but indicated that telehealth could constitute a valuable complement to occupational therapy. For occupational therapists to be able to make full use of telehealth, they need to adopt new ways of working. Significance: This knowledge could be valuable as guidelines for the profession and contribute to development in relation to the transition. This, in turn, could also benefit the persons in need of occupational therapy.