{"title":"Dimensions related to telemedicine and telehealth competencies of health professionals: A scoping review.","authors":"Jacqueline Ibarra-Peso, Marcela Hechenleitner-Carvallo, Carlos Zúñiga-San Martín, Angelica Avendaño-Veloso, Eileen Sepúlveda-Valenzuela","doi":"10.5867/medwave.2025.03.3003","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Telehealth and telemedicine have proven to be useful in complementing face-to-face care, especially when long distances exist or when it is difficult to access specialists. New competencies are required to implement telehealth and telemedicine, not only in the use of technologies, but also in areas such as communication and ethics.</p><p><strong>Objective: </strong>To identify the dimensions associated with competencies in telemedicine and telehealth from the perspective of professionals in the area based on research developed in the last ten years.</p><p><strong>Methods: </strong>A Scoping Review was carried out by reviewing the WoS, Scopus, PubMed, and Scielo databases. The selection of publications included only original articles in both Spanish and English available under Open Access between the years 2013 and 2023.</p><p><strong>Results: </strong>The review identified twelve key dimensions in telemedicine and telehealth, highlighting \"Technological knowledge in general and in telehealth technologies\", present in 25 papers. Seventeen papers addressed the dimensions of \"coordination, cooperation and management\", highlighting the effective integration of multidisciplinary teams. Ethical competencies, professionalism and legal aspects, essential to guarantee privacy, informed consent and safety in telehealth, were also highlighted. Professionalism includes effective communication, technical skills and clinical reasoning, while safety encompasses data protection, promoting ethical and patient-centered care.</p><p><strong>Interpretation: </strong>The dimensions identified can guide researchers to better understand the competencies needed in the field of telehealth. Moreover, they can provide key elements for the development of a contextualized training framework leading to quality, flexible and more equitable remote care, responding to the needs of a society that is changing and adapting daily.</p>","PeriodicalId":18597,"journal":{"name":"Medwave","volume":"25 3","pages":"e3003"},"PeriodicalIF":1.2000,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medwave","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5867/medwave.2025.03.3003","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Telehealth and telemedicine have proven to be useful in complementing face-to-face care, especially when long distances exist or when it is difficult to access specialists. New competencies are required to implement telehealth and telemedicine, not only in the use of technologies, but also in areas such as communication and ethics.
Objective: To identify the dimensions associated with competencies in telemedicine and telehealth from the perspective of professionals in the area based on research developed in the last ten years.
Methods: A Scoping Review was carried out by reviewing the WoS, Scopus, PubMed, and Scielo databases. The selection of publications included only original articles in both Spanish and English available under Open Access between the years 2013 and 2023.
Results: The review identified twelve key dimensions in telemedicine and telehealth, highlighting "Technological knowledge in general and in telehealth technologies", present in 25 papers. Seventeen papers addressed the dimensions of "coordination, cooperation and management", highlighting the effective integration of multidisciplinary teams. Ethical competencies, professionalism and legal aspects, essential to guarantee privacy, informed consent and safety in telehealth, were also highlighted. Professionalism includes effective communication, technical skills and clinical reasoning, while safety encompasses data protection, promoting ethical and patient-centered care.
Interpretation: The dimensions identified can guide researchers to better understand the competencies needed in the field of telehealth. Moreover, they can provide key elements for the development of a contextualized training framework leading to quality, flexible and more equitable remote care, responding to the needs of a society that is changing and adapting daily.
期刊介绍:
Medwave is a peer-reviewed, biomedical and public health journal. Since its foundation in 2001 (Volume 1) it has always been an online only, open access publication that does not charge subscription or reader fees. Since January 2011 (Volume 11, Number 1), all articles are peer-reviewed. Without losing sight of the importance of evidence-based approach and methodological soundness, the journal accepts for publication articles that focus on providing updates for clinical practice, review and analysis articles on topics such as ethics, public health and health policy; clinical, social and economic health determinants; clinical and health research findings from all of the major disciplines of medicine, medical science and public health. The journal does not publish basic science manuscripts or experiments conducted on animals. Until March 2013, Medwave was publishing 11-12 numbers a year. Each issue would be posted on the homepage on day 1 of each month, except for Chile’s summer holiday when the issue would cover two months. Starting from April 2013, Medwave adopted the continuous mode of publication, which means that the copyedited accepted articles are posted on the journal’s homepage as they are ready. They are then collated in the respective issue and included in the Past Issues section.