Video consultations in palliative care: A systematic integrative review
Abstract
Background: There is extensive need for palliative care worldwide, but access to care remains inadequate, especially for non-cancer patients. Video consultations are a promising tool in the provision of home-based palliative care, but an overview of evidence solely on video consultations in palliative care is lacking. Aim: To review and synthesize current evidence regarding the use of video consultations in general and specialized palliative care to various patient groups. Design: A systematic integrative review with a narrative synthesis was undertaken in accordance with PRISMA (2009) guidelines. PROSPERO #: CRD42018095383 Data sources: PubMed, Embase, CINAHL, and PsychINFO were searched for primary research articles published between 2005 and 2018. In addition, reference lists of included articles were hand searched. Results: The search resulted in 813 articles; 39 articles were included in the review, consisting of mixed methods ( n = 14), qualitative ( n = 10), quantitative ( n = 10), and case studies ( n = 5). The studies mainly focused on specialized palliative care to adult patients with cancer in high income countries. Through data analysis, six themes addressing advantages/disadvantages and facilitators/barriers were identified: (1) Redesign of care, (2) Communication, (3) User perceptions, (4) Technology, (5) Privacy issues, and (6) Economic implications. Conclusion: Using video technology in palliative care has both advantages and disadvantages. However, evidence beyond the focus on specialized palliative care and patients with cancer is limited. Future research should focus on how and when video consultations might replace in-person specialized palliative care and video consultations in general palliative care, in low and middle income countries; and involve patients with a non-cancer diagnosis.
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Cost-savings associated with reduced travel and greater access to support were identified as benefits of online formats previously and were found to facilitate participation in this study.
“Cost-savings associated with reduced travel, alongside greater access to support were identified as benefits of online formats previously 50 and were found to facilitate participation in this study.”
From Feasibility of RESTORE: An online Acceptance and Commitment Therapy intervention to improve palliative care staff wellbeing. (2023) · cites this paper as [50]
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- Authors
- Jess, M., Timm, H., & Dieperink, K. B.
- Affiliations
- University of Southern Denmark (DK)
- Corresponding author
- Jess, Mia
- Venue
- Palliative Medicine
- Publisher
- SAGE Publications
- Published
- 2019-06-12
- Volume
- 33
- Issue
- 8
- Pages
- 942-958
- ISSN
- 0269-2163 (ISSN-L)
- 1477-030X
- OpenAlex
- W2953232194
- Cited by
- 126
- References
- 59
- Citations by year
- 2026: 17 · 2025: 14 · 2024: 16 · 2023: 14 · 2022: 17 · 2021: 30 · 2020: 16 · 2019: 2
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Palliative Medicine (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- video consultation, telemedicine, palliative care, home-based palliative care, cancer patients, non-cancer patients, health care access, communication, user perception, privacy, economic implications, barriers and facilitators, technology in healthcare
- MeSH terms
- Humans, Palliative Care, Telemedicine, Remote Consultation, Videoconferencing
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