Telemedicine and e-Health最新文献

{"title":"Expansion in Teleophthalmology Use for Diabetic Retinopathy Screening During the COVID-19 Pandemic.","authors":"Lindsey Nguyen, Trisha Jaishankar, Tanvi Chokshi, Maria Jessica Cruz, Joshua Kim, Treysi Vargas-Ramos, Blake Snyder, Abraham Hang, Lauren Guajardo, Glenn Yiu","doi":"10.1089/tmj.2024.0526","DOIUrl":"https://doi.org/10.1089/tmj.2024.0526","url":null,"abstract":"<p><p><b>Introduction:</b> During the COVID-19 pandemic, the University of California, Davis Health (UCDH) system expanded teleophthalmology for diabetic retinopathy (DR) screening through increased sites and personnel, custom workflows, and improved awareness. Here, we report the outcomes of the expansion and investigate disparities during the pandemic lockdown. <b>Methods:</b> We retrospectively reviewed patients who received remote DR screening to compare demographic, socioeconomic, and clinical differences between individuals who underwent screening before, during, and after the COVID-19 lockdown. <b>Results:</b> UCDH increased quarterly teleophthalmology visits from 46.4 ± 13.9 before to 253.8 ± 38.0 visits after the COVID-19 lockdown (<i>p</i> < 0.001), while DR screening rates improved from 51.0 ± 1.5% to 56.9 ± 1.6% over that period (<i>p</i> = 0.03). During the pandemic, we observed greater proportions of unemployed (<i>p</i> < 0.001), higher-income (<i>p</i> < 0.001), geographically nearby (<i>p</i> = 0.001) patients, and fewer individuals with socioeconomic disadvantage as measured by their area deprivation index (<i>p</i> = 0.02). Fewer patients with poorly controlled diabetes (<i>p</i> = 0.014) or hypertension (<i>p</i> = 0.04) also received remote screening during the pandemic, although most of these disparities were no longer detectable after the initial lockdown. <b>Discussion:</b> Teleophthalmology expansion at UCDH during the COVID-19 pandemic led to sustained improvements in DR screening. Although some vulnerable individuals had reduced access to teleophthalmology during the initial lockdown, these disparities were not sustained postpandemic.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784529","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":"Telehealth Strategies in Arthritis Chronic Pain Management: Bibliometric Analysis of Two Decades of Research and Innovations.","authors":"Mahmoud Kandeel, Mohamed A Morsy, Khalid M Al Khodair, Sameer Alhojaily","doi":"10.1089/tmj.2024.0385","DOIUrl":"https://doi.org/10.1089/tmj.2024.0385","url":null,"abstract":"<p><p><b>Background:</b> Arthritis, characterized by joint inflammation, pain, and impaired daily activities, has seen a rapid increase globally. Telehealth has emerged as a transformative approach in managing chronic diseases, including arthritis, by overcoming barriers such as geographic limitations and high costs. <b>Objectives:</b> The primary objectives of this study were to conduct a comprehensive bibliometric analysis of telehealth in arthritis pain management over the past two decades, examine publication trends, citation patterns, and keyword co-occurrences related to telehealth strategies in arthritis management, identify key research areas, influential works, and emerging themes within the field. <b>Methods:</b> A comprehensive search was conducted in the Scopus database for articles related to telehealth in arthritis. A systematic screening process, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, was adopted. Bibliometric analysis was used for keyword analysis, citation analysis, and research trends. <b>Results:</b> The bibliometric analysis revealed significant trends in telehealth research for arthritis pain management. A sharp increase in publications was observed from 2020 onwards, coinciding with advancements in digital health technologies and the COVID-19 pandemic. Frequently occurring keywords included \"telemedicine,\" \"telehealth,\" \"digital health,\" \"m-health,\" and \"telerehabilitation.\" The top cited articles primarily explored the efficacy of telerehabilitation in managing postsurgical recovery and chronic knee pain. Emerging themes indicated an increased focus on mobile applications, digital health solutions, and patient-centered care. <b>Conclusion:</b> Telehealth has evolved from a novel concept to a mainstream solution in managing arthritis, driven by technological advancements and the necessity for accessible and cost-effective care.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784532","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":"Teleconsultations' Impact on Referral Streamlining and Waitlist Reduction: A Large-Scale Retrospective Cohort Study of Over 200,000 Cases.","authors":"Juliana Nunes Pfeil, Natan Katz, Dimitris Rucks Varvaki Rados, Rodolfo Souza da Silva, Roberto Nunes Umpierre, Rita Mattiello, Rudi Roman, Erno Harzheim","doi":"10.1089/tmj.2025.0023","DOIUrl":"https://doi.org/10.1089/tmj.2025.0023","url":null,"abstract":"<p><p><b>Introduction:</b> Long waiting lists for elective medical consultations present significant challenges within health care systems globally. Remote consultation (teleconsultation) between a primary care physician and a specialist doctor can resolve some of these demands, reducing waiting lists. This study aims to evaluate the effectiveness of teleconsultations in reducing unnecessary specialist referrals and waitlist time within the referral process with primary care doctors. <b>Methods:</b> A retrospective cohort study was conducted from January 2017 to December 2019. The regulation process of specialized consultations waiting lists was made by two groups: (1) those regulated by RegulaSUS associated with the provision of teleconsultation and (2) those regulated by the usual procedures of the Ambulatory Regulation Center of the State of Rio Grande do Sul (contemporaneous controls group). The primary outcome evaluated the proportion of patients managed within primary health care (PHC) without requiring in-person specialist care, and the waitlist times during the regulation process were compared between the different groups. <b>Results:</b> The analysis encompassed 245,643 referral requests for specialized consultations across 23 medical specialties. The RegulaSUS project reduced the need for in-person specialized medical consultation by 29% (31.6% vs. 44.5%, <i>p</i> < 0.001). The median waitlist time was 1,140.4 (interquartile range [IQR], 1,393.6-476.6) days in individuals in the RegulaSUS and 1,271.0 (IQR, 778.4-1,723.0) control (<i>p</i> < 0.0001). <b>Discussion:</b> The RegulaSUS teleconsultations demonstrated an effective approach to increasing the resolution of primary care physicians, reducing unnecessary specialist referrals, and reducing waitlist time for specialized medical consultations. This initiative is a model for efficient referral management, prioritizing patients needing specialized care while optimizing health care resource allocation in PHC settings.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765641","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":"Impact of Telemedicine on the Follow-up of Chronic Diseases During the COVID-19 Pandemic: Experience of a Brazilian Public Tertiary Hospital.","authors":"Sérgio Serrano-Gomez, Henrique Turin Moreira, Claudia Marques Canabrava, Tonicarlo Rodrigues Velasco, Diego Marques Moroço, Danilo Arruda de Souza, André Schmidt, Benedito Carlos Maciel, Antonio Pazin-Filho","doi":"10.1089/tmj.2024.0546","DOIUrl":"https://doi.org/10.1089/tmj.2024.0546","url":null,"abstract":"<p><p><b>Background:</b> The COVID-19 pandemic significantly impacted patients with chronic diseases (CDs), disrupting in-person consultations and health care services. In response, telemedicine was rapidly adopted to maintain continuity of care, especially in tertiary hospitals such as the Clinical Hospital of the Ribeirão Preto Medical School at the University of São Paulo, which became a leader in telemedicine in Brazil. The objective of this study was to describe the hospital's experience with telemedicine for managing CDs during the COVID-19 pandemic and evaluate its impact on hospital admissions and mortality. <b>Methods:</b> We conducted a retrospective cohort study analyzing 614,367 consultations from 2020 to 2021. Consultations were categorized as in-person or telemedicine, and patients with more than four consultations annually were included. Data were retrieved from electronic health records, and outcomes of interest included hospital admissions and mortality within 3 days of consultation. Telemedicine intensity was assessed by the percentage of teleconsultations per patient. <b>Results:</b> Of the 614,367 consultations, 52% met the inclusion criteria, representing 36,033 patients. The percentage of teleconsultations was 36.1%, with higher rates in 2020 (48.0%) compared with 2021 (28.8%). Psychiatry had the highest rate of teleconsultations (53.5%), while oncology had the lowest (11.2%). Patients with teleconsultations had lower hospital admission rates (0.15% for the Charlson Comorbidity Index [CCI] of 0) compared with in-person consultations. Mortality was inversely related to the intensity of telemedicine use, with teleconsultation rates above 16.7% associated with a significant reduction in mortality across all CCI levels. <b>Conclusion:</b> Telemedicine proved to be a crucial tool during the pandemic, restoring access to care and reducing hospital admissions and mortality for patients with CDs. Future studies using artificial intelligence techniques will further explore the impact of telemedicine on chronic disease management across specialties.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755947","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":"Identifying Factors Associated with Self-Reported Adult Telehealth Utilization: Evidence from Mississippi.","authors":"Will Davis, Ayoung Kim","doi":"10.1089/tmj.2025.0015","DOIUrl":"https://doi.org/10.1089/tmj.2025.0015","url":null,"abstract":"<p><p><b>Background:</b> Mississippi faces significant health disparities and barriers to health care access, particularly in its most rural areas. Telehealth offers a promising solution to address these challenges, but its adoption remains uneven. The purpose of this study was to investigate the potential factors associated with self-reported telehealth utilization among adult Mississippi residents, focusing on individual-, household-, and area-level characteristics. <b>Methods:</b> Data were collected from a state-representative survey of adult Mississippi residents (<i>N</i> = 821) using both online- and phone-based platforms, supplemented with secondary internet quality and local health care access data. A two-stage hurdle regression model was used to examine factors associated with telehealth use and conditional on any use, utilization frequency. A regression estimating associations with the use of in-person medical care was also estimated for comparison purposes. <b>Results:</b> Telehealth use was significantly associated with specific health conditions and health insurance status. However, local internet quality did not significantly impact the likelihood of telehealth use aside from a marginally significant association with local upload speed. Findings suggest that other demographic- and health-related factors may play a more prominent role. We also find differential telehealth utilization rates by region, suggesting that area-level characteristics like health care infrastructure may affect telehealth use likelihood. <b>Conclusions:</b> Telehealth adoption in Mississippi is associated with individual factors like health and insurance status rather than broadband access alone. Efforts to expand telehealth use should also address noninfrastructure barriers, such as digital literacy and awareness, particularly in rural and underserved populations.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733239","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":"Satisfaction with Telehealth Treatment for Opioid Use Disorder Among Individuals Living in Rural and Nonrural Areas.","authors":"Lauren Hendy, Amanda Olguin, Cynthia Jimes, Eileen Barrett, M Justin Coffey, Marlene C Lira","doi":"10.1089/tmj.2024.0598","DOIUrl":"https://doi.org/10.1089/tmj.2024.0598","url":null,"abstract":"<p><p><b>Background:</b> Telehealth has grown as a common treatment modality for substance use disorders following expanded telehealth flexibilities during the COVID-19 pandemic. Telehealth can increase access to treatment in rural areas, where there are limited local addiction providers. <b>Methods:</b> We conducted a cross-sectional survey of adults in telehealth treatment for opioid use disorder and compared satisfaction with care and provider-patient relationship quality between participants in rural and nonrural areas. <b>Results:</b> Respondents scored a mean of 4.51 ± 0.694 on the Telemedicine Satisfaction Questionnaire (range: 1-5) and 27.12 ± 5.633 on the Provider-Patient Depth of Relationship Questionnaire (range: 0-32), indicating high overall satisfaction and a deep provider-patient relationship. There were no significant differences based on rural residence. <b>Conclusions:</b> Based on high patient satisfaction, our findings support the future expansion of telemedicine treatment platforms across rural and nonrural areas to address the substantial unmet need for substance use treatment across the United States.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733243","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":"Telemedicine and Missed Appointments Among Pediatric Patients of an Academic Safety-Net System.","authors":"Chinedum O Ojinnaka, Lara Johnstun, Lora Nordstrom, Jodi P Carter, Sandra Yuh","doi":"10.1089/tmj.2024.0438","DOIUrl":"https://doi.org/10.1089/tmj.2024.0438","url":null,"abstract":"<p><p><b>Background:</b> Missed appointments adversely affect clinical outcomes, clinic efficiency, and quality of care and could worsen the impact of pediatric workforce shortages on health care access. Telemedicine has the potential to reduce missed appointments. However, interventions that do not account for neighborhood factors could widen disparities. We analyzed the relationship between missed appointments and type of pediatric appointment and the role of telemedicine and neighborhood factors. <b>Methods:</b> This retrospective cohort study used three data sources: (1) electronic health records, (2) American Community Survey, and (3) Housing and Urban Development crosswalk data. The analyses were restricted to pediatric patients (<18 years) with completed or missed outpatient visits (March 2020-December 2022). The outcome was missed appointments. The primary predictors were pediatric visit type, appointment modality, census tract (CT) residential segregation, and CT poverty level. Generalized estimating equations were used. <b>Results:</b> The final sample size was 90,712 appointments for 32,305 unique patients. The overall no-show rate was 20.75%. The no-show rate for general pediatrics was 20.36% and 27.82% for specialty appointments. In multivariable analyses, there was an increased likelihood of missed appointments for pediatric subspecialty appointments compared to general pediatrics (Odds Ratio (OR): 1.62; 95% Confidence Interval (CI): 1.51, 1.74). Telemedicine appointments were associated with a decreased likelihood of missed appointments compared to in-person appointments (OR: 0.41; 95% CI:0.39, 0.44). There was a positive interaction between appointment type and pediatrics visit type with a larger effect for subspecialty visits. <b>Conclusions:</b> Tailored interventions that integrate telemedicine uptake and contextual factors have the potential to reduce missed appointments.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733246","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":"Measuring Patient-Reported Acceptability Outcomes via the Program Acceptability Tool for Telehealth.","authors":"Bridgette L Kelleher, Veronika Vozka, Kaleb Emerson, Riley Naughton, Katlyn Peek, Lyndsey N Graham","doi":"10.1089/tmj.2024.0536","DOIUrl":"10.1089/tmj.2024.0536","url":null,"abstract":"<p><p><b>Introduction:</b> Assessing treatment acceptability is critical to understanding patient experiences in clinical trials, especially in telehealth settings where exposure and engagement experiences are unique. However, the use of patient-reported acceptability outcomes in mental health-focused trials has been mixed, with most published studies relying on objective behavior (e.g., dropout rates) or fit-for-use measures, rather than instruments rooted in a specific theoretical model. This study introduces the Program Acceptability Tool for Telehealth (PATT), a novel, theoretically grounded instrument designed to capture patient-reported acceptability in telehealth-based trials. <b>Methods:</b> Here, we describe the initial development and validation of the PATT, including its performance with 123 caregivers participating in an ongoing clinical trial that includes multiple types of interventions and support programs focused on caregiver well-being. <b>Results:</b> The final 12-item PATT demonstrated robust psychometric properties, including high internal consistency (α = 0.82-0.90) and content validity. Convergent validity was established through significant correlations between PATT scores and behavioral engagement metrics. <b>Conclusions:</b> Our findings suggest that the PATT is a reliable, valid tool for capturing patient acceptability, offering a nuanced perspective on program, process, and impact-related experiences. Further validation studies are recommended to confirm the PATT's utility in broader applications.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702148","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":"Longer-Term Results of a Clinician-to-Clinician e-Consult Program in Patients with Heart Failure: Implications for Heart Failure Clinical Management.","authors":"Sergio Cinza-Sanjurjo, Pilar Mazón-Ramos, María Álvarez-Barredo, Inés Gómez-Otero, Daniel Rey-Aldana, David García-Vega, Manuel Portela-Romero, José R González-Juanatey","doi":"10.1089/tmj.2024.0383","DOIUrl":"https://doi.org/10.1089/tmj.2024.0383","url":null,"abstract":"<p><p><b>Objectives:</b> To compare the health outcomes, specifically hospitalization and mortality rates, of primary care physicians' referrals to the cardiology department for ambulatory assistance in heart failure (HF) over three clearly defined periods: before, during the electronic consultation program implementation (e-consult), and during the COVID-19 pandemic. <b>Methods:</b> Between 2010 and 2021, 6,859 HF patients were referred at least once. Of these, 4,851 received e-consultations, and 2,008 underwent single-act consultations. A time series regression model was used to analyze the impact of e-consult implementation (started in 2013) on all-cause, cardiovascular (CV), and HF-related hospital admissions and mortality rates. <b>Results:</b> e-Consults reduced the waiting time for cardiology care to 9 days. Hospital admissions decreased significantly after the implementation of e-consult (relative risk incidence [RRi] [95% confidence interval {CI95%}]: 0.867 [0.875-0.838] for HF, 0.838 [0.825-0.856] for cardiovascular disease, and 0.639 [0.635-0.651] for all-cause diseases), and mortality decreased (RRi [CI95%]: 0.981 [0.977-0.983] for HF, 0.977 [0.970-0.980] for CV, and 0.985 [0.984-0.985] for all causes). These improvements persisted during the COVID-19 pandemic. <b>Conclusions:</b> The implementation of the e-consult program for managing HF patient referrals resulted in reduced waiting times for cardiology care and decreases in hospitalizations and mortality rates. These benefits were maintained during the COVID-19 pandemic.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702125","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":"Measuring and Comparing Telemedicine Utilization Trends Among U.S. Hospitals.","authors":"Kevin Wiley, Jada Johnson, Jillian Harvey, Phillip Warr, Dunc Williams","doi":"10.1089/tmj.2024.0545","DOIUrl":"https://doi.org/10.1089/tmj.2024.0545","url":null,"abstract":"<p><p><b>Objective:</b> To characterize organizational and financial factors associated with hospital telemedicine utilization reporting. <b>Methods:</b> We used an explanatory sequential mixed methods design to quantitatively analyze hospital-level data from Medicare Cost Reports (2017-2021) and the American Hospital Association Annual Survey (AHAAS) (2020-2021) to assess telemedicine utilization reporting. Semistructured interviews were conducted with key informants from various health care sectors to contextualize quantitative findings. <b>Results:</b> Among 4,224 nonfederal acute care hospitals in our sample, most were urban (50.7%), not-for-profit (60.3%), and nonteaching hospitals (91.4%). For-profit, southern, and western hospitals were more likely to report telemedicine utilization data to the AHAAS compared to other ownership status and region categories. Qualitative interviews identified six domains that support enhanced telemedicine reporting: (1) resource and infrastructure availability, (2) organizational reporting issues, (3) survey design, (4) reconcilable vendor documentation, (5) lack of reporting requirements, and (6) lack of standardized definitions of telemedicine and telemedicine utilization. <b>Conclusions:</b> Addressing telemedicine reporting barriers is essential for accurate telemedicine utilization measurement and improved health care delivery. Future research should advance robust methodologies for capturing telemedicine utilization and explore the impact of reporting incentives and mandates on data completeness.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702128","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}