The impact on treatment adherence and the physician-patient relationship in telemonitoring consultations: Integrative review
DOI:
https://doi.org/10.33448/rsd-v14i2.48277Keywords:
Treatment adherence; Doctor-patient relationship; Telemonitoring.Abstract
Objective: To identify, in the scientific literature, the limits and possibilities of telemonitoring consultations in the doctor-patient relationship and their impacts on treatment adherence in medical consultations conducted through telemedicine systems. Methods: This is an integrative literature review, including articles published between 2014 and 2022 in Portuguese, English, and Spanish languages, with full-text availability. Bibliographic research was conducted in the Scientific Electronic Library Online (SCIELO) and PubMed (MEDLINE) databases, using Health Sciences Descriptors (DeCs): Treatment adherence, Doctor-patient relationship, and Telemonitoring, with combinations using the Boolean operator "AND." Results: 36 articles met the inclusion and exclusion criteria, of which 22 were related to the benefits found in telemonitoring consultations, and 18 presented difficulties encountered in this same mode of consultation. Conclusion: Telemedicine is gaining increasing prominence in the doctor-patient relationship, offering benefits to both parties. However, there are obstacles to be overcome with the primary goal of increasing treatment adherence.
References
Adler, G. et al. (2014). A pilot project to improve access to telepsychotherapy at rural clinics. Telemedicine and e-health. 20(1), 83-5.
Alvarez, P. et al. (2021). Chronic disease management in heart failure: focus on telemedicine and remote monitoring. reviews in cardiovascular medicine. 22(2), 403-13.
Anima. (2014). Manual revisão bibliográfica sistemática integrativa: a pesquisa baseada em evidências. Grupo Anima.
Avila, M.S. & Belfort, D.S.P. (2022). há uma função para o telemonitoramento na insuficiência cardíaca?. Arquivos Brasileiros de Cardiologia. 118, 605-6.
Balint, M. (1984). O médico seu paciente e a doença. in: o médico seu paciente e a doença. Ed. Atheneu.
Banbury, A. et al. (2020). Adding value to remote monitoring: co-design of a health literacy intervention for older people with chronic disease delivered by telehealth-the telehealth literacy project. Patient Education and Counseling. 103(3), 597-606.
Bigna, J. J. R. et al. (2014). Barriers to the implementation of mobile phone reminders in pediatric hiv care: a pre-trial analysis of the cameroonian more care study. BMC Health Services Research. 14, 1-7.
Broers, E. R. et al. (2020). A personalized ehealth intervention for lifestyle changes in patients with cardiovascular disease: randomized controlled trial. Journal of Medical Internet Research. 22 (5), e14570.
Cantarini, K. V. et al. (2022). Telemonitoring in home mechanical ventilation. Jornal Brasileiro de Pneumologia. 48 (06). https://doi.org/10.36416/1806-3756/e20220142.
Citoni, B. et al. (2022). Home blood pressure and telemedicine: a modern approach for managing hypertension during and after covid-19 pandemic. High Blood Pressure & Cardiovascular Prevention. 29(1), 1-14.
Crossetti, M. G. M. (2012). Revisión integradora de la investigación en enfermería el rigor científico que se le exige. Maria Da Graça Oliveira Crossetti. Rev. Gaúcha Enferm. 33(2): 8-9.
Cruz, I. O. et al. (2022). Telemonitoramento da insuficiência cardíaca–a experiência de um centro. Arquivos Brasileiros de Cardiologia. 118, 599-604.
Gijsbers, H. et al. (2022). Enablers and barriers in upscaling telemonitoring across geographic boundaries: a scoping review. BMJ Open. 12(4), e057494.
Hammersley, V. et al. (2020). Telemonitoring at scale for hypertension in primary care: an implementation study. Plos Medicine. 17(6), e1003124.
Hsia, B. C. et al. (2020). Developing and evaluating asthmaxcel adventures: a novel gamified mobile application for pediatric patients with asthma. Annals of Allergy, Asthma & Immunology. 125(5), 581-8.
Hutchesson, M. J. et al. (2020). Be health e for your heart: a pilot randomized controlled trial evaluating a web-based behavioral intervention to improve the cardiovascular health of women with a history of preeclampsia. International Journal of Environmental Research and Public Health. 17(16), 5779.
Iyengar, K. et al. (2020). Pitfalls in telemedicine consultations in the era of covid-19 and how to avoid them. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 14(5), 797-9.
Jiang, X. et al. (2021). Cost-effectiveness of a telemonitoring program for patients with heart failure during the covid-19 pandemic in hong kong: model development and data analysis. Journal of Medical Internet Research. 23 (3), e26516.
Kruse, C. & Heinemann, K. (2022). Facilitators and barriers to the adoption of telemedicine during the first year of covid-19: systematic review. Journal of Medical Internet Research. 24(1), e31752.
Kruse, C. et al. (2018). Evaluating barriers to adopting telemedicine worldwide: a systematic review. Journal of Telemedicine and Telecare. 24(1), 4-12.
Kontos. E. et al. (2014). Predictors of eHealth usage: insights on the digital divide from the health information national trends survey 2012. Journal of Medical Internet Research. 16(7), e172.
Levine, M. et al. (2014). Novel telemedicine technologies in geriatric chronic non-cancer pain: primary care providers' perspectives. Pain Medicine. 15(2), 206-13.
Lycett, K. et al. (2014). The challenges of real-world implementation of web-based shared care software: the hopscotch shared-care obesity trial in children. BMC Medical Informatics and Decision Making. 14(1), 1-8.
Maldonado, J. M. et al. (2016). Telemedicina: desafios à sua difusão no brasil. Cadernos de Saúde Pública. 32(Sup 2): e00155615. https://doi.org/10.1590/0102-311X00155615. https://www.scielo.br/j/csp/a/54bg8d5mfWmCC9w7M4FKFVq/?format=pdf&lang=pt
Medhanyie, A. A. et al. (2015). Health workers’ experiences, barriers, preferences and motivating factors in using mhealth forms in ethiopia. Human Resources for Health. 13(1), 1-10. https://human-resources-health.biomedcentral.com/articles/10.1186/1478-4491-13-2.
Molfenter, T. et al. (2015). Trends in telemedicine use in addiction treatment. Addiction Science & Clinical Practice. 10, 1-9.
Papp-Zipernovszky, O. et al. (2021). Generation gaps in digital health literacy and their impact on health information seeking behavior and health empowerment in hungary. Frontiers in Public Health. 9, 635943.
Plaete, J. et al. (2014). What do general practitioners think about an online tailored self-regulation programme for primary prevention. European Health Psychologist, 889-889. https://ehps.net/ehp/index.php/contents/article/view/680
Richards, A. E. et al. (2021). Patient satisfaction with telehealth in neurosurgery outpatient clinic during covid-19 pandemic. Interdisciplinary Neurosurgery. 23, 101017.
Ronda, M. C .M. et al. (2014). Reasons and barriers for using a patient portal: survey among patients with diabetes mellitus. Journal of Medical Internet Research. 16(11), e263.
Ross, J. et al. (2015). Exploring the challenges of implementing e-health: a protocol for an update of a systematic review of reviews. BMJ Open. 5(4), e006773.
Sacco, G. et al. (2020). Communication technology preferences of hospitalized and institutionalized frail older adults during covid-19 confinement: cross-sectional survey study. JMIR Mhealth and Uhealth. 8(9), e21845.
Scharwz, F. et al. (2014). e-health readiness in outback communities: an exploratory study. Rural and Remote Health. 14(3), 305-9.
Scott, K.C. et al. (2018). Evaluating barriers to adopting telemedicine worldwide: a systematic review. Journal of Telemedicine and Telecare. 24(1), 4-12.
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.
Silva, R.S. et al. (2021). O papel da telessaúde na pandemia covid-19: uma experiência brasileira. Ciência & Saúde Coletiva. 26, 2149-57.
Silven, A.V. et al. (2020). Telemonitoring for patients with covid-19: recommendations for design and implementation. Journal of Medical Internet Research. 22(9), e20953.
Van den Bergh, R. et al. (2021). The state of telemedicine for persons with parkinson's disease. Current Opinion in Neurology. 34(4), 589.
Yu, J. et al. (2021). Evaluation and feedback for telehealth from patients and physicians during the early stage of covid-19 pandemic period. Cureus. 13(1): e12633.
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Copyright (c) 2025 Jailson Antônio da Luz Júnior; Brenda de Oliveira Melo; Eduardo Chaves Ferreira Coelho; Ana Beatriz Ferro de Melo; Pedro Gabriel de Lima Carneiro Borges; João Paulo Félix Ferreira
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