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Cited by 234Telemedicine and Telehealth ImplementationHealthcare Systems and TechnologyTechnology Use by Older Adults

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Clinical outcomes resulting from telemedicine interventions: a systematic review

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Hersh, William R, Helfand, Mark, Wallace, James, Kraemer, Dale, Patterson, Patricia, Shapiro, Susan, Greenlick, Merwyn·2001·BMC Medical Informatics and Decision Making
DOI 10.1186/1472-6947-1-5PMC PMC60664
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Abstract

BACKGROUND: The use of telemedicine is growing, but its efficacy for achieving comparable or improved clinical outcomes has not been established in many medical specialties. The objective of this systematic review was to evaluate the efficacy of telemedicine interventions for health outcomes in two classes of application: home-based and office/hospital-based. METHODS: Data sources for the study included deports of studies from the MEDLINE, EMBASE, CINAHL, and HealthSTAR databases; searching of bibliographies of review and other articles; and consultation of printed resources as well as investigators in the field. We included studies that were relevant to at least one of the two classes of telemedicine and addressed the assessment of efficacy for clinical outcomes with data of reported results. We excluded studies where the service did not historically require face-to-face encounters (e.g., radiology or pathology diagnosis). All included articles were abstracted and graded for quality and direction of the evidence. RESULTS: A total of 25 articles met inclusion criteria and were assessed. The strongest evidence for the efficacy of telemedicine in clinical outcomes comes from home-based telemedicine in the areas of chronic disease management, hypertension, and AIDS. The value of home glucose monitoring in diabetes mellitus is conflicting. There is also reasonable evidence that telemedicine is comparable to face-to-face care in emergency medicine and is beneficial in surgical and neonatal intensive care units as well as patient transfer in neurosurgery. CONCLUSIONS: Despite the widespread use of telemedicine in virtually all major areas of health care, evidence concerning the benefits of its use exists in only a small number of them. Further randomized controlled trials must be done to determine where its use is most effective.

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Research works printed but not linked: 5

  1. Almazan C, Gallo P: Assesssing Clinical Benefit and Economic Evaluation in Telemedicine. Barcelona, Spain: Catalan Agency for Health Technology Assessment;. 1999
  2. Anonymous: Telehealth and Telemedicine in Quebec: Current Issues. Quebec: Conseil d'Evaluation des Technologies de la Sante du Quebec;. 1999
  3. Anonymous: Issues and Opportunities Facing VHA Telemedicine: Reinventing Service To Patients. Washington, DC: Department of Veteran's Affairs Telemedicine Strategic Healthcare Group;. 1999
  4. Grigsby B, Brown N: Report on U.S. Telemedicine Activity. Portland, OR: Association of Telemedicine Service Providers;. 1998
  5. Rosenthal BE: Telemedicine Sourcebook 1998: A Resource Guide for the Practical Application of Telemedicine in the Managed Care Marketplace. New York: Faulkner & Gray, Inc.;. 1997

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Metadata

Authors
Hersh, W. R., Helfand, M., Wallace, J., Kraemer, D., Patterson, P., Shapiro, S., & Greenlick, M.
Affiliations
Oregon Health & Science University (US)
Corresponding author
Hersh, William R
ORCID
Venue
BMC Medical Informatics and Decision Making
Publisher
Springer Science and Business Media LLC
Published
2001-11-26
Volume
1
Issue
1
Pages
5-5
ISSN
1472-6947 (ISSN-L)
DOI
10.1186/1472-6947-1-5
PMC
PMC60664
OpenAlex
W2140540008
Cited by
234
References
37
Citations by year
2026: 1 · 2025: 5 · 2024: 3 · 2023: 7 · 2022: 12 · 2021: 14 · 2020: 8 · 2019: 6 · 2018: 5 · 2017: 5 · 2016: 7 · 2015: 13 · 2014: 7 · 2013: 10 · 2012: 7
FWCI
1.70
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (unspecified)
Locations
  • BMC Medical Informatics and Decision Making (publishedVersion)
  • PubMed Central (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Oregon Health and Science University
  • Agency for Healthcare Research and Quality (290-97-0018)
  • U.S. Public Health Service (290-97-0018)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
  • Health Sciences › Medicine › Geriatrics and Gerontology › Technology Use by Older Adults
Keywords
telemedicine, clinical outcomes, chronic disease management, hypertension, AIDS, diabetes mellitus, home blood glucose monitoring, emergency medicine, surgical care, neonatal intensive care, neurosurgery, patient transfer
MeSH terms
Humans, Treatment Outcome, Telemedicine

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