Journal of Telemedicine and Telecare最新文献

{"title":"2025 JTT Statistics and Acknowledgements.","authors":"Anthony C Smith","doi":"10.1177/1357633X261494938","DOIUrl":"https://doi.org/10.1177/1357633X261494938","url":null,"abstract":"","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261494938"},"PeriodicalIF":3.3,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of anxiety toward AI-based health technologies on attitudes toward the use of telemedicine services: The mediating role of online privacy perception.","authors":"Mehmet Yorulmaz, Nidanur Demirhan","doi":"10.1177/1357633X261491790","DOIUrl":"https://doi.org/10.1177/1357633X261491790","url":null,"abstract":"<p><p>IntroductionThis study aimed to examine the effect of individuals' anxiety toward AI-based health technologies on their attitudes toward the use of telemedicine services and to determine the mediating role of online privacy perception in this relationship.MethodsDesigned within a quantitative research approach, the study employed a cross-sectional design. Data were collected through an online survey from 404 participants aged 18 years and older living in Istanbul, selected using convenience sampling. The Artificial Intelligence Anxiety Scale, the Telemedicine Service Attitude Scale, and the Online Privacy Perception Scale were used as data collection instruments. The reliability levels of the scales were found to be satisfactory.ResultsThe findings showed that AI anxiety had a direct negative effect on attitudes toward telemedicine services, while also increasing online privacy perception. Online privacy perception negatively affected attitudes toward the use of telemedicine services. Mediation analysis indicated that online privacy perception had a significant and partial mediating role in the effect of AI anxiety on telemedicine use (β = -0.651; <i>p < </i>0.001).DiscussionThe findings suggest that individuals' psychological concerns and privacy-related perceptions are important determinants of the adoption of digital health services. Accordingly, reducing AI-related anxiety and strengthening privacy assurance may support more positive attitudes toward telemedicine services.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261491790"},"PeriodicalIF":3.3,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telecardiology bridges the gap in pediatric heart care: A systematic review.","authors":"Youmna Faheem, Abhishek Adhikari, Paula Espinosa-Villagomez, Camila Astudillo-Silva, Michael Olaseni Bamgbose, Nicolas Hidalgo Corral","doi":"10.1177/1357633X261491800","DOIUrl":"https://doi.org/10.1177/1357633X261491800","url":null,"abstract":"<p><p>BackgroundGeographic disparities limit access to pediatric cardiology care in rural and underserved communities, contributing to delayed diagnosis, increased transfers, higher costs, and preventable morbidity. Telecardiology has emerged as a scalable strategy to address subspecialty workforce shortages. This review evaluates the effectiveness of telecardiology versus standard in-person care in improving diagnostic timeliness, access to specialist care, and clinical outcomes; its diagnostic accuracy relative to in-person evaluation; and barriers to implementation, in pediatric populations with congenital or acquired heart disease in rural or underserved communities.MethodsPubMed, Medline, Scopus, and Google Scholar were searched, identifying 1200 articles; 182 underwent full-text review. After exclusions, 74 studies were quality appraised using the Joanna Briggs Institute checklist, and 49 high-quality studies were included, evaluating synchronous tele echocardiography, asynchronous store and forward transmission, or remote physiologic monitoring in pediatric patients in rural or resource limited settings.ResultsAcross the 49 included studies, tele echocardiography demonstrated diagnostic concordance ≥98% versus in person evaluation, and fetal telecardiology achieved 100% sensitivity and specificity for complex congenital heart disease in select programs. In the included studies, telecardiology reduced time to diagnosis (100 vs. 147 min, <i>P </i>< .001), interfacility transport by up to 58%, and emergency department utilization (0.4-0.0 visits per patient month in one interstage monitoring program, <i>P = </i>0.0004). Hospital survival improved from 29.8% to 54.1% (<i>P = </i>0.002) in one ECMO program, and post Stage II palliation complications decreased from 34.1% to 18.4% (<i>P = </i>0.02). Cost analyses showed net savings across settings. Barriers included broadband limitations, reimbursement constraints, and regulatory challenges.ConclusionsTelecardiology is a high-impact, evidence-based strategy that can improve diagnostic efficiency, reduce interfacility transfers, lower healthcare utilization, and expand access to pediatric cardiology care without compromising outcomes when implemented with adequate sonographer training and infrastructure investment; consistent with clinical experience, these requirements have limited adoption of store-and-forward fetal echocardiography at some centers. Addressing reimbursement and regulatory barriers is essential for equitable, sustainable implementation.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X261491800"},"PeriodicalIF":3.3,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From the ground up: Learnings from the development of an innovative statewide adult urgent virtual care service.","authors":"Paul Tait, Darren Daff, Jackie Davidson, Pamela Everingham, Ashley Leahy, Mark Morphett, David Nouju, Rebecca Perry, David Morris","doi":"10.1177/1357633X261428922","DOIUrl":"10.1177/1357633X261428922","url":null,"abstract":"<p><p>Virtual Care (VC) enables clinicians to remotely assess and manage healthcare needs. While many healthcare services have integrated virtual components into existing in-person care models, the COVID-19 pandemic prompted organisations worldwide to rapidly develop new VC services from the ground up. This article outlines the establishment of a statewide adult urgent VC Service, detailing its conception, development and the first 6 months of operations. The conceptual phase (7 weeks) involved the project team collecting data and insights from stakeholders to build a business case for the VC Service, with a focus on two referral pathways. The development phase (7 weeks) included creating the model and establishing infrastructure, a workforce, and governance to ensure a high-quality, timely and safe service. The initial operations phase (26 weeks) fully integrated the first two referral pathways. During this time, the leadership team completed recruitment, developed a learning system, expanded operating hours and built a model to expand its referral pathways. The leadership team plans to enhance VC by improving assessment capabilities and by enabling new referral pathways into settings such as aged care. Including research methods in this model is essential to capture the benefits and risks associated with these important changes in healthcare delivery.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"789-796"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wearable device monitoring reduces the MACEs in patients with atrial fibrillation: A systematic review and meta-analysis.","authors":"Jiahui Wang, Shiyi Bai, Dan Huang, Kongbo Zhu, Hong Zhi, Lina Wang","doi":"10.1177/1357633X261425749","DOIUrl":"10.1177/1357633X261425749","url":null,"abstract":"<p><p>ObjectiveAtrial fibrillation (AF), the most common type of arrhythmia, significantly impacts patients' prognosis. While wearable devices are increasingly integrated into cardiovascular monitoring, their effect on clinical outcomes in AF remains unclear. This review demonstrates the impact of wearable technology on major adverse cardiovascular events (MACEs) and assesses its role in AF management and prognosis.MethodsA systematic literature search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines across PubMed, Embase, Web of Science, and the Cochrane Library databases. Included studies investigated AF patients using wearable devices and reported clinical outcomes. Evidence quality was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation framework. Statistical analyses were performed using R 4.4.2 and Review Manager 5.4.ResultsEleven articles were included in this meta-analysis, comprising 10 studies (seven randomized controlled trials and three observational studies). Compared with usual care, wearable devices uses significantly reduced risks of MACEs (risk ratio [RR], 0.66; 95% confidence interval [CI], 0.47-0.93), all-cause mortality (RR, 0.49; 95% CI, 0.29-0.85), ischemic stroke (RR, 0.13; 95% CI, 0.07-0.26), bleeding events (RR, 0.48; 95% CI, 0.33-0.70), and hospitalization (RR, 0.85; 95% CI, 0.74-0.97). Subgroup analyses suggested that the composite endpoint definitions and follow-up duration primarily explained heterogeneity. Evidence certainty ranged from high to low across outcomes. Sensitivity analysis confirmed the robustness of the findings for MACEs and hospitalization outcomes.ConclusionWearable devices for cardiac monitoring significantly reduce the MACEs risk and improve prognosis in AF patients. This review supports the effectiveness of wearable technology in AF management.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"733-742"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The sedentary business of telemedicine: A review of ergonomic interventions for physicians working from home and recommendations to reduce work-related musculoskeletal disorders.","authors":"Sarah A Commaroto, Nicholas Chin, Anthony Sun, Logan Smith, Sharon Albers","doi":"10.1177/1357633X261425744","DOIUrl":"10.1177/1357633X261425744","url":null,"abstract":"<p><p>Previous investigations of work-related musculoskeletal disorders (WMSDs) and proper ergonomics in physicians have largely focused on interventionalists and surgeons, given the nature of their jobs. However, with the societal shift toward increased desk work and the widespread adoption of telemedicine, it is essential to examine the ergonomic challenges associated with remote care. Understanding and addressing these factors is critical to prevent musculoskeletal (MSK) strain among physicians and to ensure they can continue delivering high-quality patient care in the long run. Therefore, the goal of this review is to summarize recent interventions targeting ergonomic workspace improvements to mitigate WMSD in physicians practicing telemedicine. A database search was conducted in August 2024 using PubMed, Embase, CINAHL, and Scopus. Studies published in the last 15 years were included if they examined adults in interventional designs measuring musculoskeletal outcomes or sitting time. A total of 47 studies met the inclusion criteria, exploring various ergonomic interventions including: ergonomic training, active workstations, exercise programs, standing desks, backrests, ergonomic chairs, forearm supports, head-alignment devices, and biofeedback devices. Most studies had a positive impact on WMSD. This review highlights the importance of integrating movement, posture optimization, and personalized workspace adjustments to alleviate MSK discomfort and enhance workplace health for physicians.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"773-788"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of digital health literacy of healthcare professionals: A systematic review.","authors":"Yonca Özatkan, Perihan Şenel Tekin","doi":"10.1177/1357633X261426228","DOIUrl":"10.1177/1357633X261426228","url":null,"abstract":"<p><p>BackgroundDigital health literacy (DHL) is essential for ensuring effective, safe, and equitable healthcare delivery. Understanding the DHL levels of healthcare professionals and the factors shaping them is critical for guiding workforce development and managing digital transformation processes. This study aimed to identify determinants of DHL among healthcare professionals and examine their implications from a managerial perspective.MethodsA systematic review was conducted following PRISMA guidelines on August 13 to 14, 2024. Web of Science, Scopus, PubMed, MEDLINE, and CINAHL were searched without time restrictions using terms such as \"digital health literacy,\" \"e-health literacy,\" and terms related to healthcare professions, yielding 2702 records. Peer-reviewed full-text studies in English involving healthcare professionals were included, while non-research articles and studies on non-healthcare populations were excluded. Screening and selection were performed independently by two reviewers.ResultsEleven studies published between 2022 and 2024 were included. Content analysis identified several determinants of DHL, including education level, professional experience, access to digital infrastructure, and technological competence. Younger professionals tended to report higher DHL, while more experienced staff demonstrated strong adaptability when required by evolving clinical processes. Some studies noted that digital health tools could create time pressures and affect communication with patients, potentially hindering effective DHL use.ConclusionsStrengthening DHL among healthcare professionals is essential for optimising healthcare quality, safety, and operational efficiency. Integrating digital health competencies in undergraduate curricula, providing role-specific training, and implementing organisational strategies that support digital adoption are key priorities. Although this review is based on a limited number of heterogeneous studies, it provides important insights and highlights the need for more robust and standardised research on DHL in healthcare settings.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"717-732"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A telehealth fracture clinic model for rural and remote communities: A retrospective review of the telehealth fracture clinic at Mount Isa hospital.","authors":"Nariyoshi Miyata, Takahisa Ogawa, John B North","doi":"10.1177/1357633X261426060","DOIUrl":"10.1177/1357633X261426060","url":null,"abstract":"<p><p>BackgroundAccess to orthopaedic care in rural and remote regions of Australia remains limited due to geographic, logistical, and resource constraints. The Mount Isa Hospital Telehealth Fracture Clinic (TFC) was established to address this disparity by delivering consultant-led fracture management via telehealth to communities across North-West Queensland.MethodsA 12-month retrospective clinical audit of the TFC was conducted from January to December 2023. Data on clinic activity, patient demographics, attendance, fracture characteristics, treatment pathways, and outcomes were analysed. Six-month periods were compared using chi-square tests. No significant difference was observed between the two periods (n = 1550, p-value from 0.15 to 0.66), and detailed subset analysis of the first 6 months was performed to evaluate fracture types and management outcomes.ResultsA total of 1550 patients were booked across 96 telehealth clinics, with an attendance rate of 67.1%. Indigenous patients accounted for 41.1% of referrals, reflecting substantial community need. Among 340 new patients analysed in detail, 91.2% completed management within TFC and were discharged locally; 5% required surgical intervention. Most fractures were stable upper limb injuries suitable for conservative management. The failure-to-attend (FTA) rate of 32.9% highlights the need for improved engagement strategies.ConclusionThe TFC model demonstrated high efficacy and accessibility, reducing patient travel and tertiary hospital utilisation while enabling more equitable access to orthopaedic care for remote communities. High FTA rates remain a challenge, highlighting the need for culturally responsive care models, digital literacy support, and community engagement. Telehealth represents a scalable solution for fracture management in geographically isolated populations.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"757-765"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving access and management of skin tumours: Over a decade of teledermoscopy in northern Sweden.","authors":"Virginia Zazo, Antonia Lindfors, Gabriel Michaëlsson, Zinaida Bucharbajeva, Senada Hajdarevic, Maja Af Klinteberg, Nirina Andersson","doi":"10.1177/1357633X261426680","DOIUrl":"10.1177/1357633X261426680","url":null,"abstract":"<p><p>IntroductionTeledermoscopy (TD), introduced in Västerbotten, northern Sweden in 2014, enables dermatological consultation in primary care via high-resolution images. As skin cancer incidence increases in Sweden, TD offers potential for diagnostic efficiency and resource optimisation. Despite increasing referrals, TD remains unevaluated. This study examines TD's impact on equitable access to dermatological assessment for skin tumours in this region.MethodsThis descriptive study analysed 67,137 TD referrals submitted between 2014 and 2024, excluding 2,384 due to incomplete data. Variables included age, diagnosis (benign vs malignant), and referral origin (public/private; urban/rural). A survey examined TD routines across primary care centres (PCCs), staff roles, training, and frequency of internal TD discussions.ResultsOver the 11-year period, mean age increased from 50 (2014) to 61 years (2024) (<i>P</i> < 0.001). The proportion of benign referrals decreased from 80% to 69% (<i>P</i> < 0.001). Private PCCs referred 78% benign lesions versus 75% from public PCCs (<i>P</i> < 0.001); urban PCCs referred 77% versus 73% PCCs in remote areas (<i>P</i> < 0.001). Assessment by a nurse was associated with higher benign referral rates (odds ratio (OR) 1.132, 95% confidence interval (CI) 1.052-1.219), whereas internal TD discussions (OR 0.714, 95% CI 0.669-0.763) and lack of dermoscopy training (OR 0.893, 95% CI 0.882-0.971) were associated with lower benign referral rates.DiscussionTD has enhanced access to dermatological evaluation for suspected skin tumours in Västerbotten. The increasing age of referred patients and higher proportion of tumour diagnoses imply improved targeting of high-risk groups. Local routines influenced referral quality, underscoring the need for structured TD implementation.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"766-772"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of telepractice for speech-language pathology intervention with children younger than 12 years: A meta-analysis.","authors":"Jolijn Vanderauwera, Femke Vanden Bempt, Wendy D'haenens, Heleen Leysen, Anne-Lise Leclercq, Sabine Van Eerdenbrugh","doi":"10.1177/1357633X261426068","DOIUrl":"10.1177/1357633X261426068","url":null,"abstract":"<p><p>BackgroundSince Coronavirus disease 2019, telepractice delivery has become increasingly integrated in the standard practice of speech-language pathologists and audiologists. It is therefore important to synthesize existing knowledge on this intervention modality. However, limited evidence exists regarding its use in children. This meta-analysis evaluated evidence on the effectiveness of telepractice compared to in-person intervention for children aged ≤ 12 years.MethodA systematic search was conducted for systematic reviews, meta-analyses and randomized controlled trials comparing telepractice and in-person intervention for children ≤12 years. Eight databases were searched: PsychINFO, Linguistics and Language Behaviour Abstracts, Education Resources Information Centre, Web of Sciences, PubMed, Embase, the Joanna Briggs Institute database, and Cumulative Index to Nursing and Allied Health Literature.ResultsSeven studies on speech-language pathology intervention met the inclusion criteria; no audiology studies could be included. Effect sizes were calculated for 31 outcomes reported across both conditions (telepractice and in-person intervention). Eight effect sizes were inverted, allowing all positive values to indicate favourable intervention outcomes. Overall, interventions resulted in moderate to high effects, with telepractice intervention resulting in equal or larger effect sizes compared to in-person intervention.ConclusionTelepractice intervention demonstrated outcomes comparable or better than in-person intervention across speech-language pathology subdomains. This applies to both child-related and caregiver-related outcomes, as well as for child-directed (typically for children ≥ 4 years) and caregiver-mediated approaches, where caregivers are trained to implement the strategies at home with their child. These findings suggest that telepractice intervention is an effective alternative to in-person intervention.</p>","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"743-756"},"PeriodicalIF":3.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}