Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/10583
Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: Effectiveness of telemedicine: A systematic review of reviews
Authors: Ekeland, Anne Granstrom
Bowes, Alison
Flottorp, Signe Agnes
Contact Email: a.m.bowes@stir.ac.uk
Keywords: Telemedicine
Telecare
Systematic review
Effectiveness
Outcome
Issue Date: Nov-2010
Publisher: Elsevier
Citation: Ekeland AG, Bowes A & Flottorp SA (2010) Effectiveness of telemedicine: A systematic review of reviews, International Journal of Medical Informatics, 79 (11), pp. 736-771.
Abstract: Objectives: To conduct a review of reviews on the impacts and costs of telemedicine services. Methods: A review of systematic reviews of telemedicine interventions was conducted. Interventions included all e-health interventions, information and communication technologies for communication in health care, Internet based interventions for diagnosis and treatments, and social care if important part of health care and in collaboration with health care for patients with chronic conditions were considered relevant. Each potentially relevant systematic review was assessed in full text by one member of an external expert team, using a revised check list from EPOC (Cochrane Effective Practice and Organisation of Care Group) to assess quality. Qualitative analysis of the included reviews was informed by principles of realist review. Results: In total 1593 titles/abstracts were identified. Following quality assessment, the review included 80 heterogeneous systematic reviews. Twenty-one reviews concluded that telemedicine is effective, 18 found that evidence is promising but incomplete and others that evidence is limited and inconsistent. Emerging themes are the particularly problematic nature of economic analyses of telemedicine, the benefits of telemedicine for patients, and telemedicine as complex and ongoing collaborative achievements in unpredictable processes. Conclusions: The emergence of new topic areas in this dynamic field is notable and reviewers are starting to explore new questions beyond those of clinical and cost-effectiveness. Reviewers point to a continuing need for larger studies of telemedicine as controlled interventions, and more focus on patients' perspectives, economic analyses and on telemedicine innovations as complex processes and ongoing collaborative achievements. Formative assessments are emerging as an area of interest.
Type: Journal Article
URI: http://hdl.handle.net/1893/10583
DOI Link: http://dx.doi.org/10.1016/j.ijmedinf.2010.08.006
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: The Norwiegan Centre for Integrated Care & Telemedicine
ASS Management and Support Team
Norwegian Knowledge Centre for the Health Services, Norway

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