Interventions of telemedicine in the management of chronic diseases: A literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v13i8.46538

Keywords:

Telemedicine; Chronic diseases; Health management.

Abstract

Introduction: Telemedicine has emerged as a crucial tool in the management of chronic diseases, offering innovative solutions to improve access and quality of healthcare. Defined by the World Health Organization (WHO) as the provision of healthcare services at a distance using information and communication technologies, telemedicine has shown efficacy in early detection, prognosis, and monitoring of chronic disease progression. Objective: This article aims to provide a comprehensive overview of the role of telemedicine in the management of chronic diseases, highlighting technological advances, challenges faced, and clinical implications to improve patient outcomes. The methodology includes an integrative literature review, using databases such as PubMed, Scopus, and Web of Science to identify relevant studies. Search terms included "telemedicine," "chronic diseases," and "health management." Results: The use of telemedicine demonstrates potential to improve glycemic control in diabetics, reduce blood pressure in hypertensive patients, and manage exacerbations in patients with COPD. However, the heterogeneity of results, clinical validation, and complexity of data interpretation remain significant challenges. Discussion: Telemedicine offers significant economic advantages and improves access to healthcare. However, the lack of adequate technological infrastructure and issues of data privacy and security are barriers to its adoption. Conclusion: Telemedicine is an effective and economical tool for the management of chronic diseases, but overcoming technological challenges and integrating with existing healthcare systems are crucial to maximizing its benefits.

References

Bashshur, R. L., Shannon, G. W., Smith, B. R., & Alverson, D. C. (2015). The empirical foundations of telemedicine interventions for chronic disease management. Telemedicine and e-Health, 21(5), 333-354. 10.1089/tmj.2014.9981

Bashshur, R. L., Shannon, G. W., Krupinski, E. A., & Grigsby, J. (2013). Sustaining and realizing the promise of telemedicine. Telemedicine and e-Health, 19(5), 339-345. 10.1089/tmj.2012.0282

Caffery, L. J., Smith, A. C., & Langbecker, D. (2018). The quality of health economic evaluations of telehealth: A systematic review. Telemedicine and e-Health, 24(9), 649-658. 10.1089/tmj.2017.0112

Dinesen, B., Nonnecke, B., Lindeman, D., Toft, E., Kidholm, K., Jethwani, K., ... & Nesbitt, T. (2016). Personalized telehealth in the future: a global research agenda. Journal of Medical Internet Research, 18(3), e53. 10.2196/jmir.5257

Ekeland, A. G., Bowes, A., & Flottorp, S. (2010). Effectiveness of telemedicine: A systematic review of reviews. International Journal of Medical Informatics, 79(11), 736-771. 10.1016/j.ijmedinf.2010.08.006

Flodgren, G., Rachas, A., Farmer, A. J., Inzitari, M., & Shepperd, S. (2015). Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews, (9), CD002098. 10.1002/14651858.CD002098.pub2

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218-221. 10.1016/j.nurpra.2020.09.013

Gil, A. C. (2017). Métodos e técnicas de pesquisa social (6a ed.). Atlas.

Kitsiou, S., Paré, G., & Jaana, M. (2015). Systematic reviews and meta-analyses of home telemonitoring interventions for patients with chronic diseases: A critical assessment of their methodological quality. Journal of Medical Internet Research, 17(7), e172. 10.2196/jmir.4164

Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: a systematic review and narrative analysis. BMJ Open, 7(8), e016242. 10.1136/bmjopen-2017-016242

Kvedar, J., Coye, M. J., & Everett, W. (2014). Connected health: a review of technologies and strategies to improve patient care with telemedicine and telehealth. Health Affairs, 33(2), 194-199. 10.1377/hlthaff.2013.0992

Lee, S. W. H., Ooi, L., & Lai, Y. K. (2017). Telemedicine for the management of glycemic control and clinical outcomes of type 2 diabetic patients: A systematic review and meta-analysis of randomized controlled trials. Frontiers in Pharmacology, 8, 302. 10.3389/fphar.2017.00330

Marcolino, M. S., Oliveira, J. A. Q., D'Agostino, M., Ribeiro, A. L., Alkmim, M. B., & Novillo-Ortiz, D. (2018). The impact of mHealth interventions: Systematic review of systematic reviews. JMIR mHealth and uHealth, 6(1), e23. 10.2196/mhealth.8873

McLean, S., Nurmatov, U., Liu, J. L. Y., Pagliari, C., Car, J., & Sheikh, A. (2011). Telehealthcare for chronic obstructive pulmonary disease: Cochrane Review and meta-analysis. British Journal of General Practice, 61(589), e739-e749. 10.3399/bjgp12X658269

Mendes, K. D. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm, 17(4), 758-64.

Omboni, S., Caserini, M., & Coronetti, C. (2016). Telemedicine and m-health in hypertension management: technologies, applications and clinical evidence. High Blood Pressure & Cardiovascular Prevention, 23, 187-196. 10.1007/s40292-016-0143-6

Polisena, J., Coyle, D., Coyle, K., & McGill, S. (2009). Home telehealth for chronic disease management: A systematic review and an analysis of economic evaluations. International Journal of Technology Assessment in Health Care, 25(03), 339-349. 10.1017/s0266462309990201

Totten, A. M., Womack, D. M., Eden, K. B., McDonagh, M. S., Griffin, J. C., Grusing, S., & Hersh, W. R. (2016). Telehealth: mapping the evidence for patient outcomes from systematic reviews. Agency for Healthcare Research and Quality (US).

Wootton, R. (2012). Twenty years of telemedicine in chronic disease management–an evidence synthesis. Journal of Telemedicine and Telecare, 18(4), 211-220. 10.1258/jtt.2012.120219

World Health Organization. (2010). Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth. Geneva: World Health Organization.

Published

12/08/2024

How to Cite

LINO, L. A.; MENDES , L. M. C.; CASTRO, P. A. de; PACIELLO, N. B. O.; COSTA, I. M. de M. .; SANTOS, A. A. M. dos; BORGES, H. L. F.; MODESTO, R. P.; FIGUEIREDO, D. F.; SOARES, M. M. .; MUNIZ, A. M. .; SANTOS, B. R. P. dos . Interventions of telemedicine in the management of chronic diseases: A literature review. Research, Society and Development, [S. l.], v. 13, n. 8, p. e4213846538, 2024. DOI: 10.33448/rsd-v13i8.46538. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/46538. Acesso em: 6 sep. 2024.

Issue

Section

Health Sciences