Diagnosis, access and outcomes: Update of a systematic review of telemedicine services

William (Bill) Hersh, David H. Hickam, Susan M. Severance, Tracy Dana, Kathryn Pyle, Mark Helfand

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

Telemedicine services are being increasingly used. Although insurers and other payers are covering some services in the USA, the rationale for these coverage decisions is not always evidence-based. We reviewed the literature for telemedicine services that substitute for face-to-face medical diagnosis and treatment. We focused on three types of telemedicine services: store-andforward, home-based and office/hospital-based services. Studies were included if they were relevant to at least one of the three study areas, addressed at least one key question and contained reported results. We excluded articles that did not study a service requiring face-to-face encounters (i.e. teleradiology was excluded). Our search initially identified 4083 citations. After review, 597 were judged to be potentially relevant at the title/abstract level. Following a full-text review, 106 studies were included. Store-and-forward services have been studied in many specialties, the most common being dermatology, wound care and ophthalmology. The evidence for their efficacy is mixed. Several limited studies showed the benefits of home-based telemedicine interventions in chronic diseases. Studies of office/hospital-based telemedicine suggest that telemedicine is most effective for verbal interactions, e.g. videoconferencing for diagnosis and treatment in specialties like neurology and psychiatry. There are still significant gaps in the evidence base between where telemedicine is used and where its use is supported by high-quality evidence. Further well-designed research is necessary to understand how best to deploy telemedicine services in health care.

Original languageEnglish (US)
JournalJournal of Telemedicine and Telecare
Volume12
Issue numberSUPPL. 2
StatePublished - Sep 1 2006

Fingerprint

Telemedicine
Teleradiology
Videoconferencing
Insurance Carriers
Ophthalmology
Neurology
Dermatology
Psychiatry
Chronic Disease
Delivery of Health Care
Wounds and Injuries
Research

ASJC Scopus subject areas

  • Health Informatics
  • Health Policy
  • Nursing(all)

Cite this

Diagnosis, access and outcomes : Update of a systematic review of telemedicine services. / Hersh, William (Bill); Hickam, David H.; Severance, Susan M.; Dana, Tracy; Pyle, Kathryn; Helfand, Mark.

In: Journal of Telemedicine and Telecare, Vol. 12, No. SUPPL. 2, 01.09.2006.

Research output: Contribution to journalArticle

@article{e124f5ac8d394d7e9ad8b212dcd106bc,
title = "Diagnosis, access and outcomes: Update of a systematic review of telemedicine services",
abstract = "Telemedicine services are being increasingly used. Although insurers and other payers are covering some services in the USA, the rationale for these coverage decisions is not always evidence-based. We reviewed the literature for telemedicine services that substitute for face-to-face medical diagnosis and treatment. We focused on three types of telemedicine services: store-andforward, home-based and office/hospital-based services. Studies were included if they were relevant to at least one of the three study areas, addressed at least one key question and contained reported results. We excluded articles that did not study a service requiring face-to-face encounters (i.e. teleradiology was excluded). Our search initially identified 4083 citations. After review, 597 were judged to be potentially relevant at the title/abstract level. Following a full-text review, 106 studies were included. Store-and-forward services have been studied in many specialties, the most common being dermatology, wound care and ophthalmology. The evidence for their efficacy is mixed. Several limited studies showed the benefits of home-based telemedicine interventions in chronic diseases. Studies of office/hospital-based telemedicine suggest that telemedicine is most effective for verbal interactions, e.g. videoconferencing for diagnosis and treatment in specialties like neurology and psychiatry. There are still significant gaps in the evidence base between where telemedicine is used and where its use is supported by high-quality evidence. Further well-designed research is necessary to understand how best to deploy telemedicine services in health care.",
author = "Hersh, {William (Bill)} and Hickam, {David H.} and Severance, {Susan M.} and Tracy Dana and Kathryn Pyle and Mark Helfand",
year = "2006",
month = "9",
day = "1",
language = "English (US)",
volume = "12",
journal = "Journal of Telemedicine and Telecare",
issn = "1357-633X",
publisher = "SAGE Publications Ltd",
number = "SUPPL. 2",

}

TY - JOUR

T1 - Diagnosis, access and outcomes

T2 - Update of a systematic review of telemedicine services

AU - Hersh, William (Bill)

AU - Hickam, David H.

AU - Severance, Susan M.

AU - Dana, Tracy

AU - Pyle, Kathryn

AU - Helfand, Mark

PY - 2006/9/1

Y1 - 2006/9/1

N2 - Telemedicine services are being increasingly used. Although insurers and other payers are covering some services in the USA, the rationale for these coverage decisions is not always evidence-based. We reviewed the literature for telemedicine services that substitute for face-to-face medical diagnosis and treatment. We focused on three types of telemedicine services: store-andforward, home-based and office/hospital-based services. Studies were included if they were relevant to at least one of the three study areas, addressed at least one key question and contained reported results. We excluded articles that did not study a service requiring face-to-face encounters (i.e. teleradiology was excluded). Our search initially identified 4083 citations. After review, 597 were judged to be potentially relevant at the title/abstract level. Following a full-text review, 106 studies were included. Store-and-forward services have been studied in many specialties, the most common being dermatology, wound care and ophthalmology. The evidence for their efficacy is mixed. Several limited studies showed the benefits of home-based telemedicine interventions in chronic diseases. Studies of office/hospital-based telemedicine suggest that telemedicine is most effective for verbal interactions, e.g. videoconferencing for diagnosis and treatment in specialties like neurology and psychiatry. There are still significant gaps in the evidence base between where telemedicine is used and where its use is supported by high-quality evidence. Further well-designed research is necessary to understand how best to deploy telemedicine services in health care.

AB - Telemedicine services are being increasingly used. Although insurers and other payers are covering some services in the USA, the rationale for these coverage decisions is not always evidence-based. We reviewed the literature for telemedicine services that substitute for face-to-face medical diagnosis and treatment. We focused on three types of telemedicine services: store-andforward, home-based and office/hospital-based services. Studies were included if they were relevant to at least one of the three study areas, addressed at least one key question and contained reported results. We excluded articles that did not study a service requiring face-to-face encounters (i.e. teleradiology was excluded). Our search initially identified 4083 citations. After review, 597 were judged to be potentially relevant at the title/abstract level. Following a full-text review, 106 studies were included. Store-and-forward services have been studied in many specialties, the most common being dermatology, wound care and ophthalmology. The evidence for their efficacy is mixed. Several limited studies showed the benefits of home-based telemedicine interventions in chronic diseases. Studies of office/hospital-based telemedicine suggest that telemedicine is most effective for verbal interactions, e.g. videoconferencing for diagnosis and treatment in specialties like neurology and psychiatry. There are still significant gaps in the evidence base between where telemedicine is used and where its use is supported by high-quality evidence. Further well-designed research is necessary to understand how best to deploy telemedicine services in health care.

UR - http://www.scopus.com/inward/record.url?scp=35548959107&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=35548959107&partnerID=8YFLogxK

M3 - Article

C2 - 16989671

AN - SCOPUS:35548959107

VL - 12

JO - Journal of Telemedicine and Telecare

JF - Journal of Telemedicine and Telecare

SN - 1357-633X

IS - SUPPL. 2

ER -