An overview of the effect of telehealth on mortality: A systematic review of meta-analyses
Abstract
Introduction: Telehealth is recognised as a viable way of providing health care over distance, and an effective way to increase access for individuals with transport difficulties or those living in rural and remote areas. While telehealth has many positives for patients, clinicians and the health system, it is important that changes in the delivery of health care (e.g. in-person to telehealth) do not result in inferior or unsafe care. In this review, we collate existing meta-analyses of mortality rates to provide a holistic view of the current evidence regarding telehealth safety. Methods: In November 2020, a search of Pretty Darn Quick Evidence portal was conducted in order to locate systematic reviews published between 2010 and 2019, examining and meta-analysing the effect of telehealth interventions on mortality compared to usual care. Results: This review summarises evidence from 24 meta-analyses. Five overarching medical disciplines were represented (cardiovascular, neurology, pulmonary, obstetrics and intensive care). Overall, telehealth did not increase mortality rates. Discussion: The evidence from this review can be used by decision makers, in conjunction with other disease-specific and health economic evidences, to support and guide telehealth implementation plans.
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The same umbrella review did not find any difference in mortality between telemonitoring and usual care in patients with COPD.
“The same review [170] did not find any difference in mortality between telemonitoring and usual care in patients with COPD.”
From Interactive Remote Patient Monitoring Devices for Managing Chronic Health Conditions: Systematic Review and Meta-analysis (2022) · cites this paper as [170]
A recent umbrella review reported similar mortality findings for the cardiovascular population, where mortality rate was either reduced or unchanged compared with usual care.
“A recent umbrella review [170] examining the effects of telemonitoring on mortality in several clinical populations (cardiovascular, COPD, and neurological) reported similar findings for the cardiovascular population, where the mortality rate was either reduced in the telemedicine users or remained unchanged compared with usual care.”
From Interactive Remote Patient Monitoring Devices for Managing Chronic Health Conditions: Systematic Review and Meta-analysis (2022) · cites this paper as [170]
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Parente, H. A., Hornemann, S. B., de Faria, I. M., Salgado, D. R., Correia, M. G., & de Azevedo, F. S. (2024) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x241299156 · Cited by 4 · see citing works
Sikka, V. K., King, C., Klinker, S., Mont, T., Sommers-Olson, B., Hunt, B. E., Davis, S. L., & Fonseca, J. (2021) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x211069018 · Cited by 4 · see citing works
Salomon, M., Marruganti, S., Cucinotta, A., Lorusso, M., Bortolotti, P., & Brindisino, F. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x221100059 · Cited by 3 · see citing works
Chen, P.-H., Yu, Y.-C., & Tsai, Y.-S. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x221146394 · Cited by 3 · see citing works
Lack of evidence for telehealth fraud
Harris, Y., & Goldwater, J. C. (2023) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x231177739 · Cited by 3 · see citing works
Talay, L. A., Vickers, M., & Lu, D. A. (2024) · Nursing Reports · doi:10.3390/nursrep14040246 · Cited by 2 · see citing works
Luppino, A. F., Cincinelli, G., Orenti, A., Boracchi, P., Favalli, E. G., Caporali, R. F., & Ingegnoli, F. (2023) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x221150724 · Cited by 2 · see citing works
Promoting brain health in a digital world
Siddarth, P., Hodes, J. F., & Small, G. W. (2023) · Elsevier eBooks · doi:10.1016/b978-0-12-820480-1.00015-2 · Cited by 2 · see citing works
Shitrit, I. B., Kedmi, A., Haj, K. E., Kosto, A., Karni, O., Einav, S., Poleg, T., Hasidim, A. A., Bineth, N., Gat, T., et al. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14020654 · Cited by 1 · see citing works
Telecare and elderly mortality: Evidence from Italian municipalities
Matteucci, N., Picchio, M., Santolini, R., & Tchounkeu, R. A. Y. (2026) · Economics & Human Biology · doi:10.1016/j.ehb.2026.101571 · Cited by 1 · see citing works
Telemedicine and Remote Proctoring in Surgery: Current Trends, Evidence, and Future Directions
Josiah, P. A., Akanbi, O. O., & Aghaonu, B. C. (2026) · Epidemiology and Health Data Insights · doi:10.63946/ehdi/17769 · Cited by 1 · see citing works
Lin, C., Lin, H.-Y., Wu, S., Tseng, W.-P., Chen, W., Tien, Y.-T., Wu, C.-Y., Huang, C., & Tsai, M. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x221124175 · Cited by 1 · see citing works
Telemedicine: Does it have a place in surgical oncology practice?
Kelley, J. K., Kelly, K., Rechner, S. L., Brown, H., Kim, S., Spencer, S., Martin, E., Reed, C. C., Wright, G. P., Assifi, M. M., et al. (2024) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x241251522 · Cited by 1 · see citing works
Barbará, A., Villani, L., Lombardo, P., Parente, P., Gemma, A., Angeletti, D., Chiriaco, T., Mastromattei, A., Akselrod, S., Goletti, M., et al. (2023) · Digital Health · doi:10.1177/20552076231174099 · Cited by 1 · see citing works
Chronic Obstructive Pulmonary Disease and Telehealth: Remote Monitoring and Patient Outcomes
Abdullah, M. Y., Fardus, E., Mahdi, N., Alsaeed, B., Alfahid, F., zamanan, H. A., Mulayhi, B., Almuntashiri, A., Alarbash, Y., Alsharif, M., et al. (2023) · doi:10.52533/johs.2023.31217 · Cited by 1 · see citing works
Williams, K. D., Jurkovitz, C. T., Papas, M. A., Muther, A. K., Anderson, S. L., & Anderson, T. L. (2022) · doi:10.2196/preprints.39772
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Dagenhardt, D. M. R., Liu, X., Varline, J., & Mersky, J. P. (2023) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2023.209278
Diverse perspectives on remote collaborative care for chronic disease management
Baik, S. Y., Park, H., Shinn, J., & Kim, H. (2024) · Cardiovascular Prevention and Pharmacotherapy · doi:10.36011/cpp.2024.6.e5
Telehealth: The Pandemic Experience with Virtual Communication
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Nanda, A., Lam, L. L., Lynch, J., & Soudy, H. (2024) · JCO Global Oncology · doi:10.1200/go.24.00081
2023 JTT statistics and acknowledgements
Smith, A. C., & Doolittle, G. C. (2024) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x241271495
Self-citationNeil, L. J., Mendis, R., Kelly, J. T., Haydon, H. M., Smith, A. C., & Snoswell, C. L. (2026) · Telemedicine Journal and e-Health · doi:10.1177/15305627261426080
Self-citationDriving Digital Equity and Change Management
Cugini, G. (2026) · IGI Global eBooks · doi:10.4018/979-8-2600-1026-6.ch006
Análise de Dados e Previsões em Saúde de um Núcleo de Telemedicina e Telessaúde
da Silveira, C. C., Corrêa, I. S., Freitas, A. S., Pereira, J. M., Assunção, L. D. P., Taleb, A. C., & Lopes, F. M. (2026) · Saúde Coletiva (Barueri) · doi:10.36489/saudecoletiva.2026v17i108p20180-20193
- Authors
- Snoswell, C. L., Stringer, H., Taylor, M. L., Caffery, L. J., & Smith, A. C.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Snoswell, Centaine L
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2021-06-29
- Volume
- 29
- Issue
- 9
- Pages
- 659-668
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W3174025691
- Cited by
- 80
- References
- 39
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 14 · 2023: 24 · 2022: 22 · 2021: 10
- FWCI
- 3.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- telemedicine, mortality, remote healthcare delivery, health care access, cardiovascular care, neurology, respiratory care, obstetrics, intensive care, telehealth implementation
- MeSH terms
- Delivery of Health Care, Humans, Telemedicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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