Telemedicine journal and e-health : the official journal of the American Telemedicine Association最新文献

{"title":"Exploring Telehealth Utilization Among Seniors in Community Wellness Centers in DC During the Pandemic.","authors":"Brigitte Kwinze Smith, Mary K Awuonda, Adaku Ofoegbu, Earl B Ettienne, La'Marcus Wingate, Carrie Crowther Brown, Kany Bonnaire, Weetsnie Eloy, Ivan Mbami","doi":"10.1177/15305627261436127","DOIUrl":"10.1177/15305627261436127","url":null,"abstract":"<p><strong>Background: </strong>Telehealth utilization (TU) increased during the pandemic. Currently, there is limited literature on telehealth use among older adults. This study aims to examine the prevalence and predictive factors of telehealth use among seniors from wellness centers in Washington, DC and to explore barriers associated with TU during the pandemic.</p><p><strong>Methods: </strong>A cross-sectional study was done among members of senior wellness centers in DC who were ≥60 years old. Descriptive statistical analysis was conducted for all study variables. Logistic regression analyses were conducted to assess predictive factors of TU during the COVID-19 pandemic. Bivariable associations between telehealth barriers and study factors were also evaluated. All statistical analysis was conducted using SPSS version 28 at an alpha level of 0.05.</p><p><strong>Results: </strong>A total of 105 seniors were included in the study. Of them, 72.4% were female, 57.7% had public health insurance, 88.6% were African American, and 48.6% reported they have remote visits using any type of device. Multivariable analysis showed that gender (<i>p</i> = 0.010), computer access (<i>p</i> < 0.001), communal housing (<i>p</i> = 0.039), and computer self-efficacy (CSE) (<i>p</i> = 0.047) were significant predictors of TU. Fear of fraud, navigation, and computer access were barriers identified as factors associated with gender, age, and having a remote connection, respectively.</p><p><strong>Conclusions: </strong>Findings showed that only 48.6% of seniors in DC used telehealth during the pandemic, with gender, computer access, communal housing, and CSE playing a significant role. More studies are needed to confirm our study findings. Targeted policies are needed to sustain telehealth use after the pandemic.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"730-738"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Telemedicine for Mission Support-Importance of a Cost-Benefit Analysis.","authors":"Patrick L Scheid, David Padi, Hynek Schvach, Simon E Scheid","doi":"10.1177/15305627261440753","DOIUrl":"10.1177/15305627261440753","url":null,"abstract":"<p><strong>Background: </strong>Digital health is more relevant now than ever before, and interventions have a clear potential to improve the quality of care while reducing health care costs. Telemedicine has emerged as a transformative approach to health care delivery, particularly accelerated by the COVID-19 pandemic. In mission environments, telemedicine increasingly supports the management of acute injuries, chronic conditions, predeployment screening, and follow-up assessments, often using low-bandwidth store-and-forward modalities.</p><p><strong>Method: </strong>By reviewing existing literature and considering several different (heterogeneous) programs for \"telemedicine for mission support,\" the key performance indicators are explored to evaluate telemedicine in missions, following its implementation. Both acute and chronic care use cases, as well as operational, clinical, and technical determinants of feasibility, were considered.</p><p><strong>Results: </strong>This article presents the clinical, operational, and economic benefits of \"telemedicine in missions\" and the metrics for a comprehensive cost-effectiveness analysis or cost-benefit analysis, considering its economic and clinical impacts.</p><p><strong>Conclusions: </strong>Telemedicine in missions shows considerable differences from other telemedicine applications depending on the actors and the resulting circumstances. Considering the heterogeneity of the metrics provided, even within the field of \"telemedicine in missions,\" the analyses have to be conducted in accordance with the encountered conditions. Nevertheless, a set of metrics can be applied to nearly all use cases across the different applications and actors. A mission-adaptable minimum data set is proposed to support standardized evaluation across diverse operational contexts.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"682-691"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic Evaluation of Pediatric Teledermatology in a Tertiary Hospital.","authors":"Juan Carlos Palazon Cabanes, Gloria Juan Carpena, Begoña Palazon Cabanes, Laura Berbegal De Gracia, María-Teresa Martínez-Miravete, Isabel Betlloch-Mas","doi":"10.1177/15305627261432980","DOIUrl":"10.1177/15305627261432980","url":null,"abstract":"<p><strong>Introduction: </strong>Comprehensive evaluation of teledermatology systems includes socioeconomic assessment. In 2021, we implemented an intervention to improve the use of teledermatology in the health care area of <i>Alicante-Hospital General</i>. This study aimed to evaluate the socioeconomic impact of our intervention by comparing the costs and waiting times associated with teledermatology compared with conventional in-person care.</p><p><strong>Material and methods: </strong>We designed a cost-effectiveness study from a health care system perspective using 2021 data. The monetary variables included the costs of the materials, application software, and training associated with teledermatology, as well as the costs of the consultations in both modalities. Our clinical outcome variable was waiting time until evaluation by a pediatric dermatologist. Using these data, we calculated an incremental cost-effectiveness ratio, then performed a sensitivity analysis. We also calculated the break-event point between the two modalities, based on the percentage of remote resolution of teleconsultations.</p><p><strong>Results: </strong>There were 357 teleconsultations in 2021, and we estimated 3,108 conventional referrals. The average per-patient cost of teledermatology was EUR 22.97 more than conventional care, with a cost-effectiveness ratio of EUR 0.21/day saved, which increased to EUR 0.35/day saved in the sensitivity analysis. To balance the costs of the two modalities, 84% of teleconsultations would need to be resolved remotely.</p><p><strong>Conclusions: </strong>Teledermatology is more expensive than conventional in-person care but is a cost-effective option from a health care system perspective.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"709-714"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>Retraction:</i> Revolutionizing Sports Rehabilitation: Unleashing the Power of Tele-Rehabilitation for Optimal Physiotherapy Results.","authors":"","doi":"10.1177/15305627261462555","DOIUrl":"10.1177/15305627261462555","url":null,"abstract":"","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"761"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148335613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Telemedicine and COVID Pandemic on Utilization of Advanced Pediatric Surgical Services.","authors":"Leigh Selesner, Xiao-Yue Han, Cortnie R Vaughn, Kelsi Krakauer, Deepthi Nacharaju, Vahagn Nikolian, Emily Byrd, James P Marcin, Mubeen Jafri","doi":"10.1177/15305627261426889","DOIUrl":"10.1177/15305627261426889","url":null,"abstract":"<p><strong>Purpose: </strong>The COVID-19 pandemic disrupted health care worldwide. We evaluated telemedicine utilization in a pediatric surgery ambulatory setting before and during the pandemic to assess its impact on surgical access.</p><p><strong>Methods: </strong>We conducted a retrospective single-center cohort study of pediatric surgery ambulatory visits from 2019 to 2021. Visit modality, type, and complexity were collected. Socioeconomic and geographic variables included Community Needs Index (CNI) and United States Department of Agriculture rural-urban continuum codes. Chi-square, <i>t</i> tests, and multivariable logistic regression were performed.</p><p><strong>Results: </strong>Among 4,106 visits, monthly volume declined during the pandemic (median 192 vs. 151, <i>p</i> = 0.03), with fewer new patients (26% vs. 30%, <i>p</i> = 0.04). Telemedicine increased (46% vs. 3.6%, <i>p</i> < 0.001), with higher adoption among rural patients (61% vs. 43%, <i>p</i> < 0.001). The proportion of complex visits increased (high complexity: 13-35%, <i>p</i> < 0.001; highest complexity: 1-9%, <i>p</i> < 0.001). In multivariable analysis, utilization increased with rural residence (odds ratios [OR] 1.80, 95% confidence intervals [CI] 1.44-2.25). Utilization was lower among higher-income households (OR 0.90, 95% CI 0.86-0.94) and higher-deprivation communities (CNI OR 0.71, 95% CI 0.61-0.83; all <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Telemedicine preserved access to pediatric surgical care during the pandemic, with increased use among rural patients. Lower utilization among both higher-income and higher-deprivation groups highlights complex inequities in access.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"626-633"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147314778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health and Substance Use Treatment Telehealth Shifts During COVID-19 by Race, Ethnicity, and Population Density.","authors":"Ashley D Benitez, Catherine H Gong, Maureen Stewart, Andrea Acevedo","doi":"10.1177/15305627261428644","DOIUrl":"10.1177/15305627261428644","url":null,"abstract":"<p><strong>Objective: </strong>Telehealth can increase health care utilization for substance use disorder (SUD) and mental health (MH) services, particularly for underserved populations. We examined shifts to telehealth for SUD and MH services during the COVID-19 public health emergency and whether they occurred similarly by race, ethnicity, and population density.</p><p><strong>Methods: </strong>We used data from the 2021 to 2022 National Survey on Drug Use and Health, focusing on adults with an SUD and/or MH condition in the past year. Estimated prevalence of SUD and MH appointments shifting from in-person to telehealth and used adjusted logistic regression models to examine differences by race, ethnicity, and population density. Sample sizes ranged from 2,440 to 9,695 (∼11-42 million weighted), depending on condition and outcome.</p><p><strong>Results: </strong>Approximately 26% of adults with an SUD reported their SUD appointments shifted to telehealth, whereas 66% of adults with an MH condition reported their MH appointments shifted to telehealth. Black (59%) and Latinx (61%) adults with an MH condition were significantly less likely to report appointment shifts to telehealth than White adults (69%, <i>p</i> < 0.01 for both). Individuals in less populated areas were significantly less likely to report their SUD and MH appointments shifted to telehealth, compared with those in highly populated areas.</p><p><strong>Conclusion: </strong>Shifts to telehealth were less common for SUD than MH appointments. Rates differed by race and ethnicity. Telehealth was underutilized by those in less populated areas. Research to identify barriers for telehealth services and strategies to ensure telehealth equity in the present day are needed.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"634-643"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts SEARCH 2026 - The National Telehealth Research Symposium.","authors":"","doi":"10.1177/15305627261440603","DOIUrl":"https://doi.org/10.1177/15305627261440603","url":null,"abstract":"","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":"32 6","pages":"NP25-NP64"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adoption of AI-Based Scribes in Telemedicine: Provider Attitudes and Insights.","authors":"Lindsey B Kuiper, Avery J Watson, Audrey C Eckerson, Farhana A Lima, Yueh-Yun Lin, Tearsanee Davis, Vanessa Trammell, Vinayak K Nahar, Chandra Saurabh","doi":"10.1177/15305627261424693","DOIUrl":"10.1177/15305627261424693","url":null,"abstract":"<p><strong>Background: </strong>Technological advancements and legislation have led to the widespread use of electronic health records (EHRs) in the 21st century. Along with EHR implementation came improved health care quality, continuity of care, and data availability. However, EHRs are not without drawbacks. Physician burnout rates are rising, and EHRs are among the top causative factors. The consequences of burnout can offset the benefits of EHRs, prompting the health care community to seek solutions for the burnout epidemic. One proposed solution is to use artificial intelligence (AI) scribes, which utilize voice-recognition software to transcribe patient-physician interactions in real time, resulting in comprehensive documentation of the encounter. Since AI technology is in its infancy, limited research is available regarding provider perceptions and the real-world use of AI scribes. This study aimed to evaluate health care providers' experiences with documentation burden and perceived quality of patient interactions while using an AI scribe in a telehealth setting.</p><p><strong>Methods: </strong>Participants used the AI scribe exclusively during telehealth encounters. Provider attitudes and experiences were measured across the 3-month pilot period to assess changes in documentation burden, workflow efficiency, satisfaction, and perceived impact on patient interaction quality.</p><p><strong>Results: </strong>Study results revealed that three-fifths of the providers experienced decreased burnout attributed to the AI scribe, and two-thirds of the providers reported enhanced satisfaction with documentation time and the time spent engaging with patients.</p><p><strong>Conclusion: </strong>Given our study results and the promising direction of AI technology, the use of AI scribes in the telehealth setting has the potential to mitigate burnout, improve the provider-patient relationship, and help restore patient-centered care.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"617-625"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tele-Dance Interventions for Health Outcomes: A Scoping Review.","authors":"Minjung Shim, Sarah G Park, Drew Smith, Emily Uhler, Clarissa Lacson","doi":"10.1177/15305627261427355","DOIUrl":"10.1177/15305627261427355","url":null,"abstract":"<p><strong>Introduction: </strong>The rapid expansion of telehealth, particularly during the COVID-19 pandemic, accelerated the development of technology-mediated movement interventions to support physical and psychological health. Among these, tele-dance interventions (TDI) emerged as accessible and scalable models of care; however, a comprehensive synthesis of the evidence supporting these interventions remains limited. This scoping review maps existing literature on the feasibility, acceptability, and health-related outcomes of TDI across diverse populations.</p><p><strong>Methods: </strong>Guided by Arksey and O'Malley's framework and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines, we conducted a systematic search of 6 electronic databases and identified 26 eligible studies employing quantitative, qualitative, or mixed-methods designs. Methodological quality was appraised using the Mixed Methods Appraisal Tool. All interventions were delivered synchronously via videoconferencing platforms and were primarily adapted from established in-person dance programs, typically incorporating warm-up activities, structured or improvisational movement, and cool-down phases.</p><p><strong>Results: </strong>Across studies, TDI were consistently feasible and well accepted among older adults, individuals with neurological conditions, and people living with chronic illness. Psychosocial benefits, including enhanced social connection, improved mood, and reduced loneliness, were commonly reported. Physical outcomes such as improvements in balance, gait, and strength were also observed, suggesting potential functional benefits relevant to rehabilitation and health promotion.</p><p><strong>Conclusion: </strong>TDI offer important advantages, including increased accessibility, flexible delivery formats, and scalability beyond in-person care. However, limitations include methodological heterogeneity, small sample sizes, underrepresentation of diverse populations, and limited long-term follow-up. Overall, TDI represent a promising telehealth modality, warranting future research emphasizing methodological rigor, inclusive design, hybrid delivery models, and implementation-focused evaluations.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"547-565"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147461464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Videoconferencing with the Hospitalized Premature Infant while Expressing Milk: A Randomized Crossover Trial.","authors":"Adrienne Hoyt-Austin, Kristin R Hoffman, Iesha T Miller, Jennifer L Rosenthal, Daniel J Tancredi, Caroline J Chantry, Mark A Underwood, James P Marcin, Kara Kuhn-Riordon, Laura R Kair","doi":"10.1177/15305627261422093","DOIUrl":"10.1177/15305627261422093","url":null,"abstract":"<p><strong>Objective: </strong>Human milk supports optimal health outcomes for infants in the neonatal intensive care unit; however, expressing milk is impacted by separation, stress, and time. We examined the impact of using videoconferencing with one's infant while expressing milk on the volume, efficiency, human milk macronutrient content, and the milk expression experience.</p><p><strong>Methods: </strong>In this randomized controlled crossover trial (NCT03957941), mothers of premature infants expressed milk three times with videoconferencing and three times without. Milk volumes and expression time were self-recorded. Experience was assessed with the Breast Milk Expression Personal Experience (BMEE) subscale. Milk samples were analyzed using the Miris Human Milk Analyzer™. Data were analyzed using a panel data fixed-effects model to estimate within-person mean differences (MDs) between study arms in human milk volume, efficiency, macronutrient content, and BMEE scores.</p><p><strong>Results: </strong>A total of 39 women were enrolled in the study, 28 provided milk volume and efficiency data, 26 completed BMEE scores, and 24 provided milk samples. Videoconferencing improved the milk expression experience, with mean BMEE subscale scores higher with videoconferencing (MD 0.10; 95% confidence interval [CI]: 0.02, 0.18; <i>p</i> = 0.01). There was no difference in milk volume (MD -2.5 mL; CI: -11.9, 6.9; <i>p</i> = 0.6) nor efficiency (MD 0.3 mL/min; CI: -0.4, 0.9; <i>p</i> = 0.4).</p><p><strong>Conclusions: </strong>Videoconferencing with one's hospitalized premature infant improves the pumping experience. However, the use of videoconferencing was not associated with significant effects on human milk expression nor efficiency.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"599-607"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13453150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}