A systematic review of the efficacy of telemedicine for making diagnostic and management decisions.

William (Bill) Hersh, Mark Helfand, James Wallace, Dale Kraemer, Patricia Patterson, Susan Shapiro, Merwyn Greenlick

Research output: Contribution to journalArticle

88 Citations (Scopus)

Abstract

We conducted a systematic review of the literature to evaluate the efficacy of telemedicine for making diagnostic and management decisions in three classes of application: office/hospital-based, store-and-forward, and home-based telemedicine. We searched the MEDLINE, EMBASE, CINAHL and HealthSTAR databases and printed resources, and interviewed investigators in the field. We excluded studies where the service did not historically require face-to-face encounters (e.g. radiology or pathology diagnosis). A total of 58 articles met the inclusion criteria. The articles were summarized and graded for the quality and direction of the evidence. There were very few high-quality studies. The strongest evidence for the efficacy of telemedicine for diagnostic and management decisions came from the specialties of psychiatry and dermatology. There was also reasonable evidence that general medical history and physical examinations performed via telemedicine had relatively good sensitivity and specificity. Other specialties in which some evidence for efficacy existed were cardiology and certain areas of ophthalmology. Despite the widespread use of telemedicine in most major medical specialties, there is strong evidence in only a few of them that the diagnostic and management decisions provided by telemedicine are comparable to face-to-face care.

Original languageEnglish (US)
Pages (from-to)197-209
Number of pages13
JournalJournal of Telemedicine and Telecare
Volume8
Issue number4
StatePublished - 2002

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Telemedicine
Ophthalmology
Dermatology
Cardiology
Radiology
MEDLINE
Physical Examination
Psychiatry
Research Personnel
Medicine
Databases
Pathology
Sensitivity and Specificity

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)
  • Health Informatics

Cite this

A systematic review of the efficacy of telemedicine for making diagnostic and management decisions. / Hersh, William (Bill); Helfand, Mark; Wallace, James; Kraemer, Dale; Patterson, Patricia; Shapiro, Susan; Greenlick, Merwyn.

In: Journal of Telemedicine and Telecare, Vol. 8, No. 4, 2002, p. 197-209.

Research output: Contribution to journalArticle

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