Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review
Open accessAbstract
Background: Extensive literature support telehealth as a supplement or adjunct to in-person care for the management of chronic conditions such as congestive heart failure (CHF) and type 2 diabetes mellitus (T2DM). Evidence is needed to support the use of telehealth as an equivalent and equitable replacement for in-person care and to assess potential adverse effects. Objective: We conducted a systematic review to address the following question: among adults, what is the effect of synchronous telehealth (real-time response among individuals via phone or phone and video) compared with in-person care (or compared with phone, if synchronous video care) for chronic management of CHF, chronic obstructive pulmonary disease, and T2DM on key disease-specific clinical outcomes and health care use? Methods: We followed systematic review methodologies and searched two databases (MEDLINE and Embase). We included randomized or quasi-experimental studies that evaluated the effect of synchronously delivered telehealth for relevant chronic conditions that occurred over ≥2 encounters and in which some or all in-person care was supplanted by care delivered via phone or video. We assessed the bias using the Cochrane Effective Practice and Organization of Care risk of bias (ROB) tool and the certainty of evidence using the Grading of Recommendations Assessment, Development, and Evaluation. We described the findings narratively and did not conduct meta-analysis owing to the small number of studies and the conceptual heterogeneity of the identified interventions. Results: We identified 8662 studies, and 129 (1.49%) were reviewed at the full-text stage. In total, 3.9% (5/129) of the articles were retained for data extraction, all of which (5/5, 100%) were randomized controlled trials. The CHF study (1/5, 20%) was found to have high ROB and randomized patients (n=210) to receive quarterly automated asynchronous web-based review and follow-up of telemetry data versus synchronous personal follow-up (in-person vs phone-based) for 1 year. A 3-way comparison across study arms found no significant differences in clinical outcomes. Overall, 80% (4/5) of the studies (n=466) evaluated synchronous care for patients with T2DM (ROB was judged to be low for 2, 50% of studies and high for 2, 50% of studies). In total, 20% (1/5) of the studies were adequately powered to assess the difference in glycosylated hemoglobin level between groups; however, no significant difference was found. Intervention design varied greatly from remote monitoring of blood glucose combined with video versus in-person visits to an endocrinology clinic to a brief, 3-week remote intervention to stabilize uncontrolled diabetes. No articles were identified for chronic obstructive pulmonary disease. Conclusions: This review found few studies with a variety of designs and interventions that used telehealth as a replacement for in-person care. Future research should consider including observational studies and studies on additional highly prevalent chronic diseases.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A systematic review of longitudinal management of chronic conditions by telehealth interventions reported no difference between asynchronous and in-person (synchronous) reviews of patient data.
“A systematic review of longitudinal management of chronic conditions by telehealth interventions [8] reported no difference between asynchronous and in-person (synchronous) reviews of patient data.”
From Digital Interventions for Self-Management of Type 2 Diabetes Mellitus: Systematic Literature Review and Meta-Analysis (2024) · cites this paper as [8]
The Abstract Results and the CHF findings in the Results section report no significant differences in measured clinical outcomes between asynchronous telemetry review and personal follow-up, including in-person visits. This finding comes from one high-risk-of-bias heart-failure study; it does not establish a general absence of differences between asynchronous and in-person reviews of patient data across chronic conditions. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Cochrane Handbook for Systematic Reviews of Interventions
(2019) · doi:10.1002/9781119536604 · Cited by 14,828 · see citing works
Wan, X., Wang, W., Liu, J., & Tong, T. (2014) · BMC Medical Research Methodology · doi:10.1186/1471-2288-14-135 · Cited by 11,735 · cited 1× · see citing works
“When studies reported only medians and ranges, we translated them into means and SDs [31], and if a study reported only baseline SD, we assumed the same SD at follow-up.”
Heart Disease and Stroke Statistics—2020 Update: A Report From the American Heart Association
Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Delling, F. N., et al. (2020) · Circulation · doi:10.1161/cir.0000000000000757 · Cited by 9,175 · see citing works
PRESS Peer Review of Electronic Search Strategies: 2015 Guideline Statement
McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., Foerster, V., & Lefebvre, C. (2016) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2016.01.021 · Cited by 5,700 · cited 1× · see citing works
“The search strategies were peer-reviewed by a second expert medical librarian before execution using the Peer Review of Electronic Search Strategies Checklist [27].”
Updating guidance for reporting systematic reviews: development of the PRISMA 2020 statement
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., & Moher, D. (2021) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2021.02.003 · Cited by 3,490 · see citing works
Telehealth transformation: COVID-19 and the rise of virtual care
Wosik, J., Fudim, M., Cameron, B., Gellad, Z. F., Cho, A., Phinney, D., Curtis, S., Roman, M., Poon, E. G., Ferranti, J., et al. (2020) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocaa067 · Cited by 1,581 · see citing works
The GRADE Working Group clarifies the construct of certainty of evidence
Hultcrantz, M., Rind, D., Akl, E. A., Treweek, S., Mustafa, R. A., Iorio, A., Alper, B. S., Meerpohl, J. J., Murad, M. H., Ansari, M. T., et al. (2017) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2017.05.006 · Cited by 853 · cited 1× · see citing works
“The certainty of evidence for each question was assessed using the approach described by Grading of Recommendations Assessment, Development, and Evaluation [29].”
Kichloo, A., Albosta, M. S., Dettloff, K., Wani, F., El‐amir, Z., Singh, J., Aljadah, M. M., Chakinala, R. C., Kanugula, A. K., Solanki, S., et al. (2020) · Family Medicine and Community Health · doi:10.1136/fmch-2020-000530 · Cited by 713 · cited 1× · see citing works
“…the effects of telehealth as a replacement for in-person health care delivery for CHF, T2DM, and other chronic illnesses remain uncertain [10,17,18] Before the COVID-19 pandemic, many patients with chronic medical conditions, such as CHF, chronic obstructive pulmonary disease (COPD), and…”
Trends in Outpatient Care Delivery and Telemedicine During the COVID-19 Pandemic in the US
Patel, S. Y., Mehrotra, A., Huskamp, H. A., Uscher‐Pines, L., Ganguli, I., & Barnett, M. L. (2020) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2020.5928 · Cited by 553 · cited 2× · see citing works
“Several recent analyses on the impact of telehealth in T2DM indicated that health outcomes did not worsen because of switching to telehealth compared with those in-person clinic care [14,40,44,45].”
Remote Monitoring of Patients With Heart Failure: An Overview of Systematic Reviews
Bashi, N. G. G., Karunanithi, M., Fatehi, F., Ding, H., & Walters, D. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6571 · Cited by 312 · see citing works
Faruque, L. I., Wiebe, N., Ehteshami-Afshar, A., Liu, Y., Dianati-Maleki, N., Hemmelgarn, B. R., Manns, B. J., & Tonelli, M. (2017) · Canadian Medical Association Journal · doi:10.1503/cmaj.150885 · Cited by 281 · cited 1× · see citing works
“Extensive literature supports telehealth as a supplement or adjunct to in-person care for the management of chronic conditions [11] such as congestive heart failure (CHF) and type 2 diabetes mellitus (T2DM) [12-14].”
Impact of COVID-19 on the digital divide: a rapid review
Litchfield, I. J., Shukla, D., & Greenfield, S. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-053440 · Cited by 273 · cited 1× · see citing works
“However, concerns remain that care delivered via telehealth is potentially low in quality of care, is difficult to incorporate into workflows, and can exacerbate health disparities [7-10].”
Reduced In-Person and Increased Telehealth Outpatient Visits During the COVID-19 Pandemic
Baum, A., Kaboli, P. J., & Schwartz, M. D. (2020) · Annals of Internal Medicine · doi:10.7326/m20-3026 · Cited by 257 · see citing works
Eruchalu, C. N., Pichardo, M. S., Bharadwaj, M., Rodriguez, C. B., Rodriguez, J. A., Bergmark, R. W., Bates, D. W., & Ortega, G. (2021) · Journal of Urban Health · doi:10.1007/s11524-020-00508-9 · Cited by 245 · see citing works
Home telehealth for diabetes management: a systematic review and meta‐analysis
Polisena, J., Tran, K., Cimon, K., Hutton, B., McGill, S., & Palmer, K. (2009) · Diabetes, Obesity and Metabolism · doi:10.1111/j.1463-1326.2009.01057.x · Cited by 239 · cited 1× · see citing works
“However, there is evidence that telehealth as an adjunctive strategy to typical in-person care can be associated with a decrease in HbA 1c level in patients with both type 1 and type 2 diabetes [46-49].”
Lee, S. W. H., Chan, C. K. Y., Chua, S. S., & Chaiyakunapruk, N. (2017) · Scientific Reports · doi:10.1038/s41598-017-12987-z · Cited by 200 · see citing works
Lin, M., Yuan, W., Huang, T., Zhang, H., Mai, J., & Wang, J. (2017) · Journal of Investigative Medicine · doi:10.1136/jim-2016-000199 · Cited by 198 · cited 1× · see citing works
“We did not attempt to include studies that used telehealth as an add-on to existing in-person care, as there are already existing high-quality, peer-reviewed publications on this question [11-13].”
Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews
Totten, A. M., Womack, D. M., Eden, K., McDonagh, M. S., Griffin, J. C., Grusing, S., & Hersh, W. (2016) · Europe PMC (PubMed Central) · Cited by 175 · see citing works
Breton, M., Sullivan, E. E., Deville-Stoetzel, N., McKinstry, D., DePuccio, M., Sriharan, A., Deslauriers, V., Dong, A., & McAlearney, A. S. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01543-4 · Cited by 174 · cited 1× · see citing works
“Although telehealth can increase accessibility to health care by lowering barriers to access [19-21], few studies exist to support the use of telehealth as an equivalent and equitable replacement for in-person care, and the potential adverse effects have not been well defined [18].”
Expanding Access through Virtual Care: The VA’s Early Experience with Covid-19
Heyworth, L., Kirsh, S., Zulman, D. M., et al. (2020) · Nejm Catalyst Innovations in Care Delivery · doi:10.1056/cat.20.0327 · Cited by 167
A Systematic Review of mHealth-Based Heart Failure Interventions
Cajita, M. I., Gleason, K. T., & Han, H.-R. (2016) · Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000305 · Cited by 138 · cited 1× · see citing works
“Although we found only 20% (1/5) of the studies on telehealth for chronic management of heart failure as a substitute for in-person care, previous reviews report mixed results for the impact of other supplemental types of telehealth on heart failure outcomes [41-43].”
Telemedicine Improved Diabetic Management
Whitlock, W. L., Brown, A., Moore, K., Pavliscsak, H. H., Dingbaum, A., Lacefield, D., Buker, K. L., & Xenakis, S. (2000) · Military Medicine · doi:10.1093/milmed/165.8.579 · Cited by 133 · cited 10× · see citing works
“%) studies included ≤ 60 patients [30,34,35] and 1 (25”
InfluentialMohammed, H. T., Hyseni, L., Bui, V., Gerritsen, B., Fuller, K., Sung, J., & Alarakhia, M. (2021) · PLoS ONE · doi:10.1371/journal.pone.0253665 · Cited by 125 · cited 1× · see citing works
“The successful incorporation of telehealth into health care delivery relies upon the fit between the telehealth modality, care delivery context, and disease management approaches [9,19,50].”
Srinivasan, M., Asch, S. M., Vilendrer, S. M., Thomas, S., Bajra, R., Barman, L., Edwards, L. M., Filipowicz, H., Giang, L. M., Jee, O., et al. (2020) · Annals of Internal Medicine · doi:10.7326/m20-1814 · Cited by 119 · cited 2× · see citing works
“However, the effects of telehealth as a replacement for in-person health care delivery for CHF, T2DM, and other chronic illnesses remain uncertain [10,17,18] Before the COVID-19 pandemic, many patients with chronic medical conditions, such as CHF, chronic obstructive pulmonary disease (COPD), and…”
Yun, J. E., Park, J.-E., Park, H.-Y., Lee, H.-Y., & Park, D.-A. (2018) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2017.09.006 · Cited by 115 · cited 1× · see citing works
“Although we found only 20% (1/5) of the studies on telehealth for chronic management of heart failure as a substitute for in-person care, previous reviews report mixed results for the impact of other supplemental types of telehealth on heart failure outcomes [41-43].”
Accelerating Research Impact in a Learning Health Care System
Kilbourne, A. M., Elwy, A. R., Sales, A. E., & Atkins, D. (2016) · Medical Care · doi:10.1097/mlr.0000000000000683 · Cited by 100 · see citing works
Tourkmani, A. M., Alharbi, T., Rsheed, A. M. B., Alrasheedy, A. A., Almadani, W. H., ALJuraisi, F., Alotaibi, A., AlHarbi, M., Alabood, A., & Alshaikh, A. A. I. (2021) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x20985763 · Cited by 66 · cited 1× · see citing works
“Several recent analyses on the impact of telehealth in T2DM indicated that health outcomes did not worsen because of switching to telehealth compared with those in-person clinic care [14,40,44,45].”
Jeong, J. Y., Jeon, J.-H., Bae, K.-H., Choi, Y.-K., Park, K.-G., Kim, J.-G., Won, K. C., Cha, B. S., Ahn, C. W., Kim, D. W., et al. (2018) · Telemedicine and e-Health · doi:10.1089/tmj.2017.0203 · Cited by 63 · cited 10× · see citing works
“Overall, 50% (2/4) of the studies examined emergency department visits [30,32].”
InfluentialRasmussen, O. W., Lauszus, F., & Loekke, M. (2016) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x15608984 · Cited by 59 · cited 10× · see citing works
“The study by Rasmussen et al [34], which tested standard care and video consultation for home treatment of T2DM, reported on (1) number of visits and missed visits and (2) consultation time.”
InfluentialHu, Y., Wen, X., Wang, F., Yang, D., Liu, S., Li, P., & Xu, J. (2019) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x18776823 · Cited by 57 · cited 1× · see citing works
“However, there is evidence that telehealth as an adjunctive strategy to typical in-person care can be associated with a decrease in HbA 1c level in patients with both type 1 and type 2 diabetes [46-49].”
Zachrison, K. S., Yan, Z., & Schwamm, L. H. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.29973 · Cited by 48 · cited 2× · see citing works
“The successful incorporation of telehealth into health care delivery relies upon the fit between the telehealth modality, care delivery context, and disease management approaches [9,19,50].”
Almutairi, M., Tourkmani, A. M., Alrasheedy, A. A., Alharbi, T., Rsheed, A. M. B., Aljehani, M., & AlRuthia, Y. S. (2021) · Therapeutic Advances in Chronic Disease · doi:10.1177/20406223211042542 · Cited by 36 · cited 1× · see citing works
“Several recent analyses on the impact of telehealth in T2DM indicated that health outcomes did not worsen because of switching to telehealth compared with those in-person clinic care [14,40,44,45].”
Impact of Longitudinal Virtual Primary Care on Diabetes Quality of Care
Lu, A. D., Gunzburger, E. C., Glorioso, T. J., Smith, W. B., Kenney, R. R., Whooley, M. A., & Ho, P. M. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06547-x · Cited by 35 · cited 2× · see citing works
“Several recent analyses on the impact of telehealth in T2DM indicated that health outcomes did not worsen because of switching to telehealth compared with those in-person clinic care [14,40,44,45].”
Video Teleconferencing for Disease Prevention, Diagnosis, and Treatment
Albritton, J., Ortiz, A., Wines, R., Booth, G., DiBello, M., Brown, S. L., Gartlehner, G., & Crotty, K. (2021) · Annals of Internal Medicine · doi:10.7326/m21-3511 · Cited by 33 · cited 6× · see citing works
“Results from that review indicated that video teleconferencing resulted in similar clinical effectiveness as in-person care for certain diseases [18].”
InfluentialChakranon, P., Lai, Y. K., Tang, Y. W., Choudhary, P., Khunti, K., & Lee, S. W. H. (2019) · Diabetic Medicine · doi:10.1111/dme.14156 · Cited by 25 · see citing works
Hansen, C., Loges, C., Seidl, K., Eberhardt, F., Tröster, H., Petrov, K., Grönefeld, G., Bramlage, P., Birkenhauer, F., & Weiß, C. H. (2018) · BMC Cardiovascular Disorders · doi:10.1186/s12872-018-0864-7 · Cited by 21 · cited 8× · see citing works
“The primary outcome of the study by Hansen et al [33] showed no significant differences in Packer scores in a 3-way comparison between the telemetry arm compared with the personal contact subgroups (remote monitoring and phone call vs remote monitoring and in-person visit; P =.97).”
InfluentialLewinski, A. A., Sullivan, C., Allen, K. D., Crowley, M. J., Gierisch, J. M., Goldstein, K. M., Gray, K., Hastings, S. N., Jackson, G. L., McCant, F., et al. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06517-3 · Cited by 16 · see citing works
Self-citationA Review of the Effectiveness of Audio-Only Telemedicine for Chronic Disease Management
Moran, B., Frazier, T., Brown, L. S., Case, M., Polineni, S., & Roy, L. (2022) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2021.0285 · Cited by 15 · see citing works
Type 2 diabetes specialty clinic model for the accountable care organization era
Klingeman, H., Funnell, M. M., Jhand, A. S., Lathkar‐Pradhan, S., & Hodish, I. (2017) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2017.05.011 · Cited by 5 · cited 10× · see citing works
“Overall, 50% (2/4) of the studies examined emergency department visits [30,32].”
InfluentialBrožaitienė, J., Mickuvienė, N., Kažukauskienė, N., Burkauskas, J., Duonėlienė, I., & Bunevičius, R. (2015) · European Journal of Preventive Cardiology · doi:10.1177/2047487315586749 · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- [3]Artandi M Thomas S Shah NR Srinivasan M Rapid system transformation to more than 75% primary care video visits within three weeks at Stanford: response to public safety crisis during a pandemic NEJM Catalyst 2020 4 21 2021-07-12 https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0100 · DOI
- [5]Mehrotra A Ray K Brockmeyer DM Barnett ML Bender JA Rapidly Converting to “Virtual Practices”: Outpatient Care in the Era of Covid-19 NEJM Catalyst 2020 4 1 2021-07-13 https://catalyst.nejm.org/doi/full/10.1056/CAT.20.0091 · DOI
- [22]Walsh C Lewinski AA Rushton S Soliman D Carlson SM Luedke MW Halpern DJ Crowley MJ Shaw RJ Alexopoulos AS Tabriz AA Dietch JR Uthappa DM Hwang S Ball Ricks KA Cantrell S Kosinski AS Ear B Gordon AM Gierisch JM Williams JW Goldstein KM Virtual Care for the Longitudinal Management of Chronic Conditions: A Systematic Review Health Services Research & Development 2021 2022-07-09 Washington, DC, USA U.S. Department of Veterans Affairs http://vaww.hsrd.research.va.gov/publications/esp/virtual-care.cfm 36108114
- [28]EPOC resources for review authors Cochrane Effective Practice and Organisation of Care 2020-05-12 https://epoc.cochrane.org/resources/epoc-resources-review-authors
Cited by
Sorted by citations
Kerr, D., Ahn, D., Waki, K., Wang, J., Breznen, B., & Klonoff, D. C. (2024) · Journal of Medical Internet Research · doi:10.2196/55757 · Cited by 101 · see citing works
“This can be accomplished with timely information and possibly additional support from HCPs [8].”
InfluentialComparison of Telephone and Video Telehealth Consultations: Systematic Review
(2023) · doi:10.2196/49942 · Cited by 57 · see citing works
“Studies that have examined this are generally narrowly focused on specific care providers such as nurses [6], or specific conditions such as chronic conditions [7], with no available systematic reviews that have compared telephone and video telehealth across a variety of care settings.”
Petrušić, I., Ha, W., Labastida‐Ramírez, A., Messina, R., Onan, D., Tana, C., & Wang, W. (2024) · The Journal of Headache and Pain · doi:10.1186/s10194-024-01847-7 · Cited by 36 · see citing works
Patient Engagement Using Telemedicine in Primary Care during COVID-19 Pandemic: A Trial Study
Vicente, M. A., Fernández, C., Guilabert, M., Carrillo, I., Martín-Delgado, J., Mira, J. J., & Prometeo173 Working Group (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214682 · Cited by 25 · see citing works
“[19], where they identified 8662 studies related to the effect of telemedicine use in chronic conditions.”
BackgroundWalklin, C., Young, H. M. L., Asghari, E., Bhandari, S., Billany, R. E., BISHOP, N. C., Bramham, K., Briggs, J., Burton, J. O., Campbell, J. A., et al. (2023) · BMC Nephrology · doi:10.1186/s12882-023-03173-7 · Cited by 20 · see citing works
Ostovari, M., Zhang, Z., Patel, V. V., & Jurkovitz, C. T. (2023) · Journal of Clinical and Translational Science · doi:10.1017/cts.2023.580 · Cited by 20 · see citing works
Zhang, A., Wang, J., Wan, X., Zhang, Z., Zhao, S., Bai, S., Miao, Y., Yang, S., & Jiang, X. (2025) · JMIR mhealth and uhealth · doi:10.2196/60227 · Cited by 19 · see citing works
“However, sustained and effective long-term effects are challenging without ongoing telemedicine oversight and support [32].”
Strategies to Bridge Equitable Implementation of Telehealth
Gustavson, A. M., Lewinski, A. A., Fitzsimmons‐Craft, E. E., Coronado, G. D., Linke, S., O’Malley, D. M., Adams, A. S., Glasgow, R. E., & Klesges, L. M. (2023) · Interactive Journal of Medical Research · doi:10.2196/40358 · Cited by 18 · see citing works
“The COVID-19 pandemic catalyzed the rapid development, implementation, and scaling of telehealth, which we define for this commentary as the synchronous delivery of health care services by phone or video [1,2].”
Self-citationGuney-Coskun, M., Kolay, E., & Başaranoğlu, M. (2023) · World Journal of Clinical Cases · doi:10.12998/wjcc.v11.i2.308 · Cited by 19 · see citing works
Wilkinson, J. R., Myers, L. J., Daggy, J., Martin, H., Bastin, G., Yang, Z., Damush, T. M., Narechania, A., Schriber, S., & Williams, L. S. (2023) · Journal of General Internal Medicine · doi:10.1007/s11606-023-08121-7 · Cited by 12 · see citing works
Väisänen, V., Satokangas, M., Huhtakangas, M., Antikainen, H., & Sinervo, T. S. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12409-1 · Cited by 12 · see citing works
“Additionally, the appropriateness of telehealth for treating certain, especially chronic, conditions remains unclear [70].”
Walsh, C., Sullivan, C., Bosworth, H. B., Wilson, S. M., Gierisch, J. M., Goodwin, K., McCant, F., Hoenig, H., Heyworth, L. K., Zulman, D. M., et al. (2023) · Journal of General Internal Medicine · doi:10.1007/s11606-023-08029-2 · Cited by 10 · see citing works
Self-citationHong, Y., Xie, Z., Nguyen, O. T., Turner, K. L., & Walker, A. F. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-086418 · Cited by 9 · see citing works
Leonard, C., Liu, W., Holstein, A., Slande Alliance, Nunnery, M. A., Rohs, C. M., Sloan, M., & Winchester, D. E. (2023) · Journal of the American Heart Association · doi:10.1161/jaha.122.027362 · Cited by 8 · see citing works
Telenursing as an Effective Ally for Improving Patient Outcomes in Diabetes? An Umbrella Review
Monaco, M. L., Profeta, A., & Corrao, S. (2025) · Nursing Open · doi:10.1002/nop2.70265 · Cited by 10 · see citing works
“…Paré 2007; Pimouguet et al. 2011; Polisena et al. 2009; McDaniel et al. 2022), while most of the included studies focused on various chronic conditions, including diabetes (Paré et al. 2010; Beratarrechea et al. 2014; Rush et al. 2018; Bingham et al. 2021; Lewinski et al. 2022; Lee et al. 2022).”
InfluentialTelehealth Trends and Hypertension Management Among Rural and Medicaid Patients After COVID-19
Mackwood, M., Pashchenko, O. I., Leggett, C., Fontanet, C. P., Skinner, J., & Fisher, E. S. (2024) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2023.0628 · Cited by 6 · see citing works
“31,32,44,45 While most studies have restricted their attention to just synchronous telehealth and in-person visits, our findings distinguish between synchronous (real-time telehealth or in-person visits) and asynchronous (unscheduled phone call or patient portal message) utilization, and suggest…”
Telehealth improves quality of life of COPD patients: systematic review and meta-analysis
Ariyanto, H., & Rosa, E. M. (2024) · Kontakt · doi:10.32725/kont.2024.024 · Cited by 6 · see citing works
“However, as recommended by Lewinski et al. (2022), the use of telehealth should be viewed as an adjunctive intervention to in-person nursing treatments.”
Lee, J. S., Bhatt, A., Pollack, L. M., Jackson, S. L., Chang, J. E., Tong, X., & Luo, F. (2024) · Health Affairs Scholar · doi:10.1093/haschl/qxae001 · Cited by 6 · see citing works
Cost Impact of Telehealth: A National Analysis of COVID-19 Data
Goldwater, J. C., & Harris, Y. (2025) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2024.0339 · Cited by 5 · see citing works
“18,19 Despite concerns about fraud, no evidence links telehealth to inappropriate use.”
Mezei, F., Tsiasiotis, E., Basile, M., Sciomenta, I., Calosci, E. M., Antonini, D., Lukacs, A., Bidino, R. D., Cicchetti, A., & Sacchini, D. (2025) · Journal of Market Access & Health Policy · doi:10.3390/jmahp13030046 · Cited by 4 · see citing works
Hofner, M., Hurnaus, P., DiStefano, D., Philip, S., Kim, S., Shaw, J. L. V., & Waring, A. C. (2024) · JMIR Diabetes · doi:10.2196/53835 · Cited by 4 · see citing works
“However, the effectiveness of telehealth for chronic conditions remains unconfirmed, and the various telehealth solutions studied are heterogeneous, with some providing remote coaching only and others providing synchronous video visits with a prescribing provider [15-17].”
BackgroundGrace, S., Engel, R. M., Mastronardo, C., Muddle, L., Fleischmann, M., Vaughan, B., & Fazalbhoy, A. (2023) · International journal of osteopathic medicine · doi:10.1016/j.ijosm.2023.100696 · Cited by 4 · see citing works
Cardiovascular disease risk management during COVID-19: in-person vs virtual visits
Gold, R. B. (2024) · The American Journal of Managed Care · doi:10.37765/ajmc.2024.89489 · Cited by 4 · see citing works
Zullig, L. L., Blue, C. M., Kelley, M. J., Miller, J., Weidenbacher, H. J., McWhirter, G. C., & King, H. A. (2024) · Cancer Survivorship Research & Care · doi:10.1080/28352610.2024.2329363 · Cited by 3 · see citing works
Dong, F., & Chen, Y. (2025) · Applied Research in Quality of Life · doi:10.1007/s11482-025-10516-z · Cited by 3 · see citing works
“While access is necessary, meaningful and consistent usage is what enables older adults to gain tangible benefits—such as improved health monitoring (Lewinski et al., 2022), social connectivity (Chung et al., 2024), and service access (Yu et al., 2025).”
Leveraging telemedicine to improve MNCH uptake in Kenya: a community-based hybrid model
Anab, E., Gitau, T. M., Yegon, E. K., Mwita, N., Ochieng, M., Koimur, A., Omondi, R., Smith, S., Andrews, H., Oluoch, D., et al. (2026) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1668776 · Cited by 3 · see citing works
Xu, S., Song, Z., Xiao, C., & Wang, J. (2025) · Frontiers in Allergy · doi:10.3389/falgy.2025.1503597 · Cited by 3 · see citing works
Sherazi, B. A., Sayyed, S. A., Möllenhoff, K., & Läer, S. (2024) · Integrated Pharmacy Research and Practice · doi:10.2147/iprp.s468881 · Cited by 4 · see citing works
Feasibility and Acceptability of Community-Based Telehealth to Prevent Long-Term Care Readmission
Mallow, J. A., Davis, S. M., Herczyk, J., Jaynes, M. E., Klos, B., Canaday, M., & Theeke, L. A. (2023) · Telemedicine Reports · doi:10.1089/tmr.2022.0040 · Cited by 2 · see citing works
“8,9 This observation is consistent with other research demonstrating that telehealth is underutilized in rural Medicaid populations.”
Zhou, X., Hu, D., Xiong, H., Zhou, H., Xu, H., & Tang, H. (2026) · Digital Health · doi:10.1177/20552076261433666 · Cited by 2 · see citing works
“Despite a growing body of literature on chronic disease management and telemedicine, 9 a considerable gap remains in bibliometric analyses that systematically investigate the role of telemedicine in home-based self-monitoring.”
Jones, H. T., Lynch, L., Barber, T., Rattue, M., Waters, L. J., Asboe, D., Walker, A., & Williams, I. G. (2025) · HIV Medicine · doi:10.1111/hiv.70041 · Cited by 2 · see citing works
“This work reports the positive impact virtual clinics can have for LTCM as they may help address the inequality people living in rural areas face for both HIV care and LTCM [24, 59, 86].”
Liu, W., Li, Y., Gao, S., Wang, X., & Zhang, F. (2025) · Medicine · doi:10.1097/md.0000000000042156 · Cited by 1 · see citing works
“[32]”
Morillo‐Verdugo, R., Barrueta, O. I., Conde, M. M., Vicente‐Escrig, E., & Macías, E. C. (2026) · Patient Preference and Adherence · doi:10.2147/ppa.s591288 · Cited by 1 · see citing works
“36,37 Recent evidence confirms that digital tools and hybrid models are being incorporated into chronic disease management, offering opportunities to enhance accessibility, reduce logistical burden and support longitudinal engagement.”
Association Between Telemedicine Adoption and Physician Job Satisfaction: Cross-Sectional Study
Zhai, X., Zhou, Z., Wang, Z., Liu, G., & Coyte, P. C. (2026) · Journal of Medical Internet Research · doi:10.2196/82285 · Cited by 1 · see citing works
“Telemedicine has become increasingly integrated into diverse clinical contexts, including primary care [5], chronic disease management [6], mental health services [7,8], and specialist consultations [9].”
Jiang, Y., Zhang, J. I.-X., & Wu, J. (2026) · Digital Health · doi:10.1177/20552076261458077 · Cited by 1 · see citing works
Morais, B. Q., dos Santos, A. F., Araujo, P. D. P., França, V. R., Vezzani, M. F., Araújo, M. J. D. B., Oliveira, L. C. A., Fideles, J. S., Duarte, A. P., Neves, R. M. C., et al. (2024) · STUDIES IN HEALTH SCIENCES · doi:10.54022/shsv5n4-034 · Cited by 1 · see citing works
Libin, J., Patel, D. J., & Sandeep Kumar, C. (2023) · Salud Ciencia y Tecnología · doi:10.56294/saludcyt2023444
Tele-oncology Implementation Logic Model: Results of an Instrumental Study (Preprint)Preprint
Tabriz, A. A., Turner, K. L., Naso, C. M., Gonzalez, B. D., Nguyen, O. T., Johnson, J. E. H., Patel, K., Hong, Y., Powell, B. J., & Spiess, P. E. (2023) · doi:10.2196/preprints.52291
Self-citationExploring Telemedicine: The Perceptions and Utilization among Patients
Hajj, R., & Hanoun, J. (2024) · Biomedical engineering · doi:10.5772/intechopen.1004781
Zhang, A., Wang, J., Wan, X., Zhang, Z., Zhao, S., Bai, S., Miao, Y., Yang, S., & Jiang, X. X. (2024) · doi:10.2196/preprints.60227
Impacto de la telemedicina versus consultas presenciales en la gestión de diabetes e hipertensión
Medina, H. S. A., & Mendoza, G. S. B. (2025) · LATAM Revista Latinoamericana de Ciencias Sociales y Humanidades · doi:10.56712/latam.v6i1.3554
Akter, M., Akter, S., Hossain, M. I., Akter, N., Akter, S., Koly, A., Mahmud, S., Kabir, H., & Hasan, M. K. (2025) · Annals of Medicine and Surgery · doi:10.1097/ms9.0000000000003201
“Like this, Allison et al (2022) discussed in their systematic review that patients with poor health status were more likely to demonstrate strong telehealth knowledge, supporting the findings of this study [ 29 ] .”
Luc, C. M., Wasz, M., Kadubek, G., Quach, V., Leonard, C. M., Kern, D., Rutledge, T., Tabidze, I. L., & Mehta, S. D. (2025) · Sexually Transmitted Diseases · doi:10.1097/olq.0000000000002188
Mabire, C., Panchaud, S., Wey, J., & Wicht, J. (2025) · Frontiers in Health Services · doi:10.3389/frhs.2025.1566997
“Furthermore, the integration of technology within home care, such as telehealth and remote monitoring, can further enhance Person-centered practice by facilitating continuous communication, support, and proactive care management (17).”
Cressman, S., Stewart, K., Scheuermeyer, F. X., Hedden, L., Duncan, R., Riches, L., Abu‐Laban, R. B., Raff, D., Assali, J., Lauscher, H. N., et al. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-02060-9
Walklin, C., Young, H. M. L., Asghari, E., Bhandari, S., Billany, R. E., Bishop, N., Bramham, K., Briggs, J., Burton, J. O., Campbell, J., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22735623
Walklin, C., Young, H. M. L., Asghari, E., Bhandari, S., Billany, R. E., Bishop, N., Bramham, K., Briggs, J., Burton, J. O., Campbell, J., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22735620
Walklin, C., Young, H. M. L., Asghari, E., Bhandari, S., Billany, R. E., Bishop, N., Bramham, K., Briggs, J., Burton, J. O., Campbell, J., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22735614
Walklin, C., Young, H. M. L., Asghari, E., Bhandari, S., Billany, R. E., Bishop, N., Bramham, K., Briggs, J., Burton, J. O., Campbell, J., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22735608
Walklin, C., Young, H. M. L., Asghari, E., Bhandari, S., Billany, R. E., Bishop, N., Bramham, K., Briggs, J., Burton, J. O., Campbell, J., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22735617
Walklin, C., Young, H. M. L., Asghari, E., Bhandari, S., Billany, R. E., BISHOP, N. C., Bramham, K., Briggs, J., Burton, J. O., Campbell, J. A., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22735611
Arias, E. Y. Z., Olivera, A. I. L., Jaramillo, E. V. M., & Pardillo, T. B. (2025) · ASCE MAGAZINE · doi:10.70577/asce.v4i4.564
The Future of Headache Disorders through AI Tools
Martelletti, P., & Petrušić, I. (2026) · Sustainable development goals series · doi:10.1007/978-3-032-14609-0_12
Haq, I. U., Sirica, D., Wheelock, V., Benedict, R. H. B., Sarno, M., Tjaden, K., Ozelius, L. J., Firth, R. S., Napoli, E., Sweadner, K. J., et al. (2026) · medRxiv · doi:10.64898/2026.02.18.26345928
Cheah, K. J., Razalli, N. H., Ludin, A. F. M., & Manaf, Z. A. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-104039
“23 24 Positive perception and acceptance of telehealth have been reported among both adult patients 25 26 and clinical dietitians 27 28 across various disease management.”
Jankowska-Polańska, B., Zgliczyński, W. S., Wywrot, M., & Tański, W. (2026) · Scientific Reports · doi:10.1038/s41598-026-42687-6
Fernández-Rivera, J., Marín-Fernández, Y., Gómez-Hernández, M. B., Ortíz-Romero, J., & Fernández-Moyano, A. (2026) · Revista Clínica Española (English Edition) · doi:10.1016/j.rceng.2026.502517
Азизов, В. А., Гаджиева, Ф. Ф., Muradova, S. R., Ибадова, Ф. А., Ширалиева, Г. Ш., Гаджиева, С. З., & Гарибова, К. А. (2026) · Azerbajdžanskij medicinskij žurnal · doi:10.34921/amj.2026.1.023
Gontarczyk, J., Makowska, P., Laske, A., Sitko, N., Sowa, M., Majda, A., Pająk, J., Kucharski, K., Kamosińska, A., Kowal, A., et al. (2026) · International Journal of Innovative Technologies in Social Science · doi:10.31435/ijitss.1(49).2026.5380
Fernández-Rivera, J., Marín-Fernández, Y., Gómez-Hernández, M. B., Ortíz-Romero, J., & Fernández-Moyano, A. (2026) · Revista Clínica Española · doi:10.1016/j.rce.2026.502517
Scalvini, S., Donati, V., Zanelli, E., Giudici, V., Viscardi, L., D’Isa, S., Trevisan, R., & Bernocchi, P. (2026) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2026.106981
Dias, F. M. V., Leite, K. C., Boening, A., & Nascimento, L. R. (2026) · Rehabilitación · doi:10.1016/j.rh.2026.100999
Zucker, N., Flores, E., Mandell, D. S., Clapp, J. T., & Aronowitz, S. V. (2026) · Harm Reduction Journal · doi:10.1186/s12954-026-01474-2
Challenges and Barriers to the Implementation of Women-Tailored Evidence-Based Interventions
Vernon, M., Ilatovskaya, D., Hollis, F., Carrillo, A., Harris, R. A., Ryan, M. J., & Sullivan, J. C. (2026) · Physiology in health and disease · doi:10.1007/978-3-032-26472-5_2
Uncertainty-aware personalized estimation of Parkinson’s disease severity from longitudinal speech
Shahriar, K. A. (2026) · PLoS ONE · doi:10.1371/journal.pone.0343191
“This assumption neglects the longitudinal structure of telemonitoring data, where repeated observations are collected from the same individual over time [20].”
Väisänen, V., Tynkkynen, L., & Sinervo, T. S. (2026) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813432.2026.2718263
“…for the ageing population in rural areas. consequently, the Wscs must adequately support service use and safeguard opportunities to access traditional service provision when needed, especially as the suitability of digital services as a replacement for physical services remains unclear [46].”
Barakat‐Johnson, M., Mak, C., Lai, M., Baharudin, P., Rosa, D. D., Heuer, K., Ko, N., Leong, T., Low-Clarke, V., Vaccari, A. R.-L., et al. (2026) · International Wound Journal · doi:10.1111/iwj.71016
Al-Shakhshir, H., Kier, S., Hoke, D., Hoiriis, S., Vicinus, M.-E., Thadhani, R., & Madabhushi, A. (2026) · JMIR Medical Informatics · doi:10.2196/88441
“Efficient call center operations are critical as they serve as the primary communication link between patients and health care providers, ensuring timely medical services and patient satisfaction [4].”
Barak, M., Biezen, R., & Lau, A. Y. (2026) · Applied Clinical Informatics · doi:10.1055/a-2950-6345
School of Health and the Prevention of Chronic Diseases in Nursing Practice
Habibulina, M., Bazhenova, O., & Shamilov, M. (2026) · Meditsinskaya sestra · doi:10.29296/25879979-2026-07-02
- Authors
- Lewinski, A. A., Walsh, C., Rushton, S., Soliman, D., Carlson, S. M., Luedke, M. W., Halpern, D. J., Crowley, M. J., Shaw, R. J., Sharpe, J. A., Alexopoulos, A.-S., Tabriz, A. A., Dietch, J. R., Uthappa, D. M., Hwang, S., Ball Ricks, K. A., Cantrell, S., Kosinski, A. S., Ear, B., Gordon, A. M., Gierisch, J. M., Williams Jr, J. W., & Goldstein, K. M.
- Affiliations
- Duke University (US)
- Duke Medical Center (US)
- Durham VA Health Care System (US)
- Moffitt Cancer Center (US)
- Oregon State University (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Lewinski, Allison A
- ORCID
- Lewinski, Allison A
- Walsh, Conor
- Rushton, Sharron
- Soliman, Diana
- Carlson, Scott M
- Luedke, Matthew W
- Halpern, David J
- Crowley, Matthew J
- Shaw, Ryan J
- Sharpe, Jason A
- Alexopoulos, Anastasia-Stefania
- Tabriz, Amir Alishahi
- Dietch, Jessica R
- Uthappa, Diya M
- Hwang, Soohyun
- Ball Ricks, Katharine A
- Cantrell, Sarah
- Kosinski, Andrzej S
- Ear, Belinda
- Gordon, Adelaide M
- Gierisch, Jennifer M
- Williams Jr, John W
- Goldstein, Karen M
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2022-08-26
- Volume
- 24
- Issue
- 8
- Pages
- e37100
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC9463619
- OpenAlex
- W4293125272
- Cited by
- 71
- References
- 39
- Citations by year
- 2026: 23 · 2025: 15 · 2024: 14 · 2023: 18 · 2022: 1
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- U.S. Department of Veterans Affairs (CIN 13–410, ESP-09-010, 18-234)
- Office of Research and Development
- Health Services Research and Development (#18-234, CIN 13‐410)
- Quality Enhancement Research Initiative
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- telemedicine, synchronous telehealth, chronic disease management, congestive heart failure, type 2 diabetes, chronic obstructive pulmonary disease, HbA1c, health care utilization, adverse effects, risk of bias, health equity, remote patient monitoring, telephone care, glycemic control, health care costs
- MeSH terms
- Adult, Chronic Disease, Diabetes Mellitus, Type 2, Heart Failure, Humans, Telemedicine, Pulmonary Disease, Chronic Obstructive, Text Messaging
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
