SynthesisJournal of medical Internet research2023
Analyzing the Effect of Telemedicine on Domains of Quality Through Facilitators and Barriers to Adoption: Systematic Review.
Synthesis in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- General practitioners' experience about synchronous teleconsultation in primary care: a mixed-method systematic review.BMC primary care · 2025Pooled it
- Usability of Telehealth Systems for Noncommunicable Diseases in Primary Care From the COVID-19 Pandemic Onward: Systematic Review.Journal of medical Internet research · 2023Pooled it
- A Stepwise Telemedicine Follow-Up System for Blood Donors in a University Blood Bank: Prospective Implementation Study.JMIR formative research · 2026Article
- Child and adolescent psychiatry: challenges, solutions, opportunities, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Article
- Telemedicine Adoption for Managing Chronic and Rare Diseases in Indonesia During and Beyond the COVID-19 Era: Qualitative Study.Journal of medical Internet research · 2026Article
- Competition or Complementarity Among Telemedicine Tools in Ambulatory Care Practice: Cross-Sectional Analysis.JMIR medical informatics · 2025Article
- Smart e-Textile Singlet Prototype and Concept: Multi Sensor Sensing for Geriatric Monitoring.Bioengineering (Basel, Switzerland) · 2025Article
- Adoption of Telemedicine for Dementia Care in Nigeria: Scoping Review.Interactive journal of medical research · 2025Review
- Leveraging Telemedicine to Manage Adolescent Obesity: A Systematic Literature Review.Health science reports · 2025Article
- Enabling Telemedicine From the System-Level Perspective: Scoping Review.Journal of medical Internet research · 2025Article
- The COVID-19 pandemic and older adults in prison: a brief report from a nominal group.The journal of forensic psychiatry & psychology · 2025Article
- Telemedicine care coordination and visit frequency in pediatric patients with type 1 diabetes in Oregon.Journal of clinical & translational endocrinology · 2024Article
- Development of a complex intervention to prevent complications in patients recovering at home after transcatheter aortic valve replacement by optimizing home-based cardiac rehabilitation processes: a Delphi study.Frontiers in public health · 2024Article
- Editorial: Advances in physical and psychosocial telecare: promises and pitfalls.Frontiers in rehabilitation sciences · 2024Article
- Article
- Perception and Knowledge About Telenursing and eHealth Among Nursing University Students: A Cross-Sectional Study in the United Arab Emirates.Public health nursing (Boston, Mass.)Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTelemedicine has a long history; however, its efficacy has been reported with mixed reviews. Studies have reported a wide range of quality implications when using the telemedicine modality of care.
objectiveThis study aimed to analyze the effectiveness of telemedicine through 6 domains of quality through an analysis of randomized controlled trials (RCTs) published in the literature published, to date, in 2022.
methodsA total of 4 databases were searched using a standard Boolean string. The 882,420 results were reduced to 33 for analysis through filtering and randomization. The systematic literature review was conducted in accordance with the Kruse Protocol and reported in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses; 2020).
resultsThe Cohen κ statistic was calculated to show agreement between the reviewers (Cohen κ=0.90, strong). Medical outcomes associated with the telemedicine modality were 100% effective with a weighted average effect size of 0.21 (small effect). Many medical outcomes were positive but not statistically better than treatment as usual. RCTs have reported positive outcomes for physical and mental health, medical engagement, behavior change, increased quality of life, increased self-efficacy, increased social support, and reduced costs. All 6 domains of quality were identified in the RCTs and 4 were identified in 100% of the studies. Telemedicine is highly patient-centered because it meets digital preferences, is convenient, avoids stigma, and enables education at one's own pace. A few barriers exist to its wide adoption, such as staff training and cost, and it may not be the preferred modality for all.
conclusionsThe effectiveness of telemedicine is equal to or greater than that of traditional care across a wide spectrum of services studied in this systematic literature review. Providers should feel comfortable offering this modality of care as a standard option to patients where it makes sense to do so. Although barriers exist for wide adoption, the facilitators are all patient facing.
trial registrationPROSPERO CRD42022343478; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=343478.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.