Telemedicine and e-Health最新文献

{"title":"Building a Telemedicine Program to Create a Sustainable Care Delivery Model for a Rural Hospital at Risk for Closure.","authors":"Yotam Papo, Jillian Harvey, Dunc Williams, Kit N Simpson, Ryan Kruis, Kathryn King, Dee W Ford, Susanne Jaques, Robert W Harrington, Marc Heincelman","doi":"10.1089/tmj.2024.0488","DOIUrl":"https://doi.org/10.1089/tmj.2024.0488","url":null,"abstract":"<p><p><b>Introduction:</b> Rural hospitals continue to close nationally. High fixed costs, low patient volume, and outmigration remain problematic for surviving rural hospitals. This article presents an innovative telemedicine partnership between a small, not-for-profit rural hospital and a tertiary care medical center in the southeast. The vision was to create a sustainable care delivery model where patients receive care at a rural hospital in their home community with the added benefit of clinical expertise from a tertiary care center. <b>Methods:</b> A single-center descriptive case study involving a 32-bed not-for-profit rural community hospital and South Carolina's only comprehensive medical center. This article details the development and implementation of this innovative care delivery model. The strategy and logic model utilized to analyze the program is described. <b>Results:</b> From fiscal year 2019 to 2022, Hampton Regional Medical Center saw an increased number of yearly admissions from 442 to 965. Associated, there was a 20% reduction in inpatient transfers to another facility and a 35% reduction in 30-day readmission, while seeing a more complex patient population as demonstrated by an increase in case-mix index. There was no increase in outmigration. <b>Conclusions:</b> While rural hospitals continue to close nationally, we describe an innovative telemedicine partnership between a small, not-for-profit rural hospital and a tertiary care medical center to build a sustainable care delivery model that can support rural hospital survivability.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459921","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":"Unlocking The Potential: Telehealth Services and Social Determinants of Health Outcomes in Health Care Delivery.","authors":"Hanadi Y Hamadi, Mei Zhao, Franscisca Sam, Bryan Murphy, Shehzad Niazi, Aaron C Spaulding","doi":"10.1089/tmj.2024.0358","DOIUrl":"https://doi.org/10.1089/tmj.2024.0358","url":null,"abstract":"<p><p><b>Background:</b> Unmet social needs may hinder health care providers' ability to deliver suitable care. Telehealth has emerged as a mechanism to broaden care reach; however, limited studies have examined the relationships between telehealth services and social need outcomes. This study explores the impact of telehealth services, encompassing (1) telestroke, (2) telepsychiatry and addiction treatment, (3) teleconsultation and office visits,(4) tele-intensive care units, (5) telemonitoring postdischarge, (6) ongoing chronic care management, and (7) other remote monitoring, on social need performance outcomes. <b>Methods:</b> The 2022 American Hospital Association annual survey and the Area Health Resource Files, which include comprehensive hospital and community indicators, were utilized. A mixed-effects logistic regression was applied, analyzing 1,005 acute care general hospitals. <b>Results:</b> The results revealed that patients who received telemonitoring services after discharge were 1.72 (95% confidence interval [CI]: 1.03-2.88) times more likely to achieve better health outcomes compared with those who did not receive such services. These patients also experienced a significant decrease in the likelihood of requiring additional hospital or system services, with an odds ratio of 2.39 (95% CI: 1.32-4.00). Additionally, patients utilizing telepsychiatry and addiction treatment services had 1.66 times higher odds of reporting improved community health status (95% CI: 1.22-2.27). Lastly, patients who used teleconsultation and office visit services had 38% lower odds of experiencing poor community health status (95% CI: 0.40-0.95). <b>Discussion:</b> The findings highlight the potential of targeted telehealth services to positively impact health outcomes, reduce health care costs, and improve community health status.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442744","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":"Needs and Demands of e-Mental Health Interventions for Elite Athletes: User-Centered Design Approach Based on a Cross-Sectional Study.","authors":"Sheila Geiger, Julia Aufderlandwehr, Anna Julia Esser-Seraphin, Eileen Reinemann, Thomas Muehlbauer, Sara Viehweger, Eva-Maria Skoda, Martin Teufel, Alexander Bäuerle","doi":"10.1089/tmj.2024.0496","DOIUrl":"https://doi.org/10.1089/tmj.2024.0496","url":null,"abstract":"<p><p><b>Introduction:</b> Elite athletes experience sport-specific stressors and are at risk of developing mental health symptoms during and after their careers. E-Mental health interventions may pioneer a new approach to health care, which could help overcome barriers regarding its accessibility for elite athletes. This study aims to examine the needs and demands regarding the design and content of e-mental health interventions for elite athletes. <b>Methods:</b> A cross-sectional study was conducted via a web-based survey with N = 275 elite athletes, of which 167 were female and who participated in a variety of individual and/or team sports. Previous experience using e-mental health interventions was assessed. Needs and demands regarding format, frequency, content, and topics of an e-mental health intervention were analyzed descriptively and were compared between individual and team athletes using ANOVAs. <b>Results:</b> Elite athletes expressed a preference for an individual program via smartphone app (94.2%) with audio/video material (69.1%) and interactive tasks (60.4%). Regarding the frequency of e-mental health intervention, athletes in individual (62.2%) and team sports (60.0%) both preferred weekly intervention with sessions lasting between 20 and 30 min, whereas athletes engaged in both kinds of sports favored an intervention either on a weekly basis (44.7%) or on request (38.3%). The most relevant topics of e-mental health interventions for elite athletes were \"Coping with pressure\" (92%) and \"Self-worth/self-esteem\" (90%). <b>Conclusions:</b> The results of this study highlight the potential relevance of a user-centered design approach and could contribute valuable insights into developing e-mental health interventions for elite athletes.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400892","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":"Advancements in Telemedicine for Surgical Practices: A Comprehensive Bibliometric Analysis.","authors":"Runang Ding, Dongmei Zhuang, Xinyu Zuo, Wenzhuo Wei, Lijun Ma, He Du, Anran Jin, Xiaoming Li","doi":"10.1089/tmj.2024.0455","DOIUrl":"https://doi.org/10.1089/tmj.2024.0455","url":null,"abstract":"<p><p><b>Purposes:</b> This study aims to use bibliometric analysis to explore the development, research hotspots, and trends in the field of telemedicine for surgical practices (TSPs). <b>Methods:</b> A bibliometric analysis of 3,235 documents from the Web of Science Core Collection was conducted, spanning from 2004 to 2022. Citespace (6.2.R5) was used to perform a bibliometric analysis. <b>Results:</b> The findings highlight a marked escalation in researches of TSPs, particularly between 2019 and 2022, aligning with the COVID-19 pandemic. The Telemedicine and e-Health Journal was the most productive journal with 118 publications, and <i>Journal of Telemedicine and Telecare</i> had the most citations (<i>n</i> = 700). Howard S. An and Mohammad El-sharkawi had the most papers (<i>n</i> = 8). Harvard University was the most prolific institution (<i>n</i> = 103). The United States, England, and Canada were identified as the predominant contributing countries with a total of 1,521 publications. There was a notable shift in research focus areas over time, with recent emphasis being placed on pediatric surgery, COVID-19-related studies, and orthopedics. Future trends may involve teleconsulting, ameliorating the quality and safety of telemedicine, and improving satisfaction levels of patients and caregivers when they are using telemedicine. <b>Conclusions:</b> The study reveals that the rapid and sustained advancement in TSPs, significantly driven by the COVID-19 pandemic, and huge gaps between developed countries and developing countries. This study also reflects the current hotspots and future directions for TSPs.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366820","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":"\"Four I\" Framework for Telehealth Optimization in Congregate Care Communities.","authors":"Tabor Flickinger, Mary Mathew, David Gordon, Anthony Nappi, Amy Ryall, Michael Patterson, Katharine Wibberly, Samuel Collins, Aaron Pannone, Laurie Archbald-Pannone","doi":"10.1089/tmj.2024.0218","DOIUrl":"https://doi.org/10.1089/tmj.2024.0218","url":null,"abstract":"<p><p><b>Background:</b> Telehealth can provide innovative models of care for people living in congregate care communities (CCC), but lack of consistent workflow is a barrier for administrators and staff. We propose a framework for CCC to implement workflows for age-inclusive telehealth. <b>Methods:</b> As part of an infection control initiative with a focus on telehealth optimization, Virginia Infection Mitigation, Prevention and Control Through Technology developed relationships with administrators and staff of CCC across the Commonwealth of Virginia. Partners in this community of practice completed a statewide survey that we conducted on anticipated and experienced barriers to telehealth implementation. Through survey responses, virtual meetings with organizational leadership, and on-site facility visits, our team assessed the strengths, needs, and goals for telehealth capability. Working with administrative and clinical teams, we developed a consultation report to define short- and long-term implementation steps. <b>Results:</b> We collaborated with a nonprofit organization supporting a community of people with neurodevelopmental disabilities and a rural Program of All-Inclusive Care for the Elderly. We developed a framework for telehealth optimization with four tiers: Initiate, Integrate, Incentivize, and Inspire. Each stage included an overall goal with corresponding interventions to guide program implementation. <b>Discussion:</b> The \"Four I\" Framework can be used to outline telehealth readiness and implement workflows for CCC. We aim to further develop an iterative process and to collaborate with additional organizations to optimize telehealth programs.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371430","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 Review of Telesurgery in Extreme Settings: A Narrative Review.","authors":"Laila Rahmah, Sukadiono Sukadiono, Mundakir Mundakir, Gholamreza Hassanzadeh, Mohammad Reza Keramati, Ardalan Shariat","doi":"10.1089/tmj.2024.0428","DOIUrl":"https://doi.org/10.1089/tmj.2024.0428","url":null,"abstract":"<p><p><b>Objective:</b> This article aims to provide a concise overview of the benefits, challenges, and suggestions pertaining to extreme forms of telesurgery, as documented in existing publications. In the future, medical personnel will have to overcome the challenges of providing health services in extreme settings, such as on the sea, humanitarian assistance missions, battlefields, underwater missions, and space missions. The advancement of telesurgery technology over the past 25 years will gradually resolve this problem. <b>Methods:</b> This study conducted a narrative review and a comprehensive literature search to explore the topics of extreme telesurgery. This article only included real attempts or experiments with telesurgery on humanitarian missions, on sea or hospital ships, underwater, on planes, and in space station settings. It has also summarized the benefits, challenges, and recommendations related to the extreme types of telesurgery and how they could be useful to shape the future of extreme health care. <b>Results:</b> Over the course of the past quarter century, telesurgery has undergone remarkable advancements, which have made it possible to receive effective treatment for even the most critical cases. When providing surgical care in difficult environments such as a battlefield, humanitarian mission, underwater, zero gravity planes, or in space, it is important to have comprehensive medical support for telesurgery in case the initial plan fails. <b>Conclusions:</b> The use of robotic systems in health care can augment human surgeons' skills and provide accurate support for a broad range of surgical operations.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366818","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 Association Between Patient Upsurge and Telemedicine Utilization During the COVID-19 Period in Japan: A Seasonal Autoregressive Integrated Moving Average Analysis with 9 Years Claims Data.","authors":"Yuki Egashira, Ryo Watanabe","doi":"10.1089/tmj.2024.0561","DOIUrl":"https://doi.org/10.1089/tmj.2024.0561","url":null,"abstract":"<p><p><b>Background:</b> While the coronavirus disease 2019 (COVID-19) pandemic led many countries to relax telemedicine regulations resulting in increased usage, limited research exists on telemedicine utilization patterns throughout the entire pandemic period. <b>Methods:</b> We conducted a retrospective study using the claims data with National Health Insurance in Kanagawa Prefecture, Japan, from April 2014 to March 2023. Using seasonal autoregressive integrated moving average modeling, we compared observed telemedicine usage with predicted values based on pre-COVID-19 data (April 2014-March 2020) and analyzed utilization patterns across different infection waves. <b>Results:</b> Telemedicine usage increased during peak infection periods of each wave following the first wave (April 2020). From the sixth wave onward (January 2022), COVID-19-related consultations accounted for over 50% of telemedicine usage. Subgroup analysis by disease showed that while most conditions had high proportions of patients with COVID-19 comorbidities, mental disorders maintained relatively low proportions. The highest utilization was observed during the seventh wave, significantly exceeding predicted values. <b>Conclusions:</b> Telemedicine usage increased in parallel with infection surges throughout the pandemic period, not just during the initial outbreak. The findings suggest the necessity of improving telemedicine service quality and accessibility during nonpandemic periods in preparation for future emerging infectious disease outbreaks. This study reveals both the critical role of telemedicine during infectious disease outbreaks and the varying utilization patterns across different diseases.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371432","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":"Current Use, Challenges, Barriers, and Chances of Telemedicine in the Ambulatory Sector in Germany-A Survey Study Among Practicing Cardiologists, Internists, and General Practitioners.","authors":"Jan Gehrmann, Franziska Hahn, Johannes Stephan, Alexander Steger, Manuel Rattka, Isabel Rudolph, David Federle, Josephine Heller, Geraldine Wunderlin, Karl-Ludwig Laugwitz, Petra Barthel, Stefan Veith, Eimo Martens","doi":"10.1089/tmj.2024.0528","DOIUrl":"https://doi.org/10.1089/tmj.2024.0528","url":null,"abstract":"<p><p><b>Introduction:</b> Digital technologies, such as telemedicine and wearable devices, are transforming health care by enhancing cross-sectoral care and targeted health responses. Despite these advancements, challenges such as data protection, lack of interoperability, reimbursement, and financial costs hinder telemedicine's broader implementation, especially within the German health care system. This study explores the use, acceptance, and barriers of telemedicine among cardiologists, internists, and general practitioners in Germany. <b>Methods:</b> A web-based survey was conducted from October 2023 to January 2024, targeting cardiologists, internists, and general practitioners. The survey assessed current telemedicine usage, acceptance, and barriers. Data analysis included descriptive statistics and exploratory cluster analysis. <b>Results:</b> Of the 172 physicians analyzed, 76.2% were cardiologists. Telemonitoring (45.9%) and wearable devices (26.2%) were the most used telemedicine applications, whereas video consultations (11.0%) and apps (19.2%) were less common. Despite high costs (57.7%), insufficient technical expertise (20.8%), and lack of system interoperability (45.8%), respondents rated telemedicine positively and saw several chances and potentials. Cluster analysis identified four user groups: The pioneers, the focused practitioners, the using skeptics, and the uninformed distanced, each with unique needs and challenges. <b>Discussion:</b> The acceptance of elemedicine among physicians indicates recognition of its benefits for patient care. Only half of the respondents felt reasonably well informed about telemedicine. Overall, our study shows the current use of telemedicine as well as the acceptance, barriers, and challenges perceived in the German ambulatory sector. It underlines the increasing importance of telemedicine for patient care and highlights existing barriers to enable wider implementation in the outpatient sector. The results show that telemedicine in Germany is on a promising path. The biggest obstacles still appear to be reimbursement and the technical infrastructure.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256686","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":"Transportation-Associated Carbon Dioxide Emissions Avoided by Use of Telehealth Through COVID-19 Pandemic.","authors":"Anna Barent, Siddhi Munde, El Kerns, Haiyue Li, Charity Swain, Nicole Tranisi, Jesse E Bell","doi":"10.1089/tmj.2024.0531","DOIUrl":"https://doi.org/10.1089/tmj.2024.0531","url":null,"abstract":"<p><p><b>Background:</b> Increasing carbon dioxide (CO₂) in the atmosphere contributes to Earth's warming, which has negative impacts on human health. The health care system is a major contributor to CO₂ emissions. Telehealth has the capacity to reduce health-care-related emissions by eliminating patient travel to in-person appointments. <b>Methods:</b> Data were obtained from Nebraska Medicine's (NM) electronic medical record. Parameters included patient zip code, provider location, calendar year of visit, and provider specialty. Euclidean distance from centroid zip code to clinic location was calculated. Environmental Protection Agency estimates were used to convert mileage to CO₂ saved. <b>Results:</b> During the period January 1, 2019, to January 31, 2022, the NM health care system completed 214,241 telemedicine visits for patients whose home zip code is within Nebraska, resulting in greater than 2,600 metric tons of CO₂ avoided. Telehealth appointments increased by more than 22,000% from 2019 to 2020. An average of 12.38 kg of CO₂ was avoided with each telehealth visit. Medical specialties that avoided the most CO₂ included family medicine, endocrinology, and infectious disease. <b>Conclusion:</b> This study demonstrates the capability of the NM health care system to rapidly adjust to an emergency pandemic by drastically increasing the use of telehealth, which also avoided thousands of tons of transportation-associated CO₂ emissions. Telehealth appointments increased during the height of the pandemic by more than 22,000%. Telehealth is an effective CO₂ emission-reducing strategy and a worthy avenue to further explore reduced health-care-related emissions.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191368","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":"Combined Treatment of Face-to-Face Physical Therapy and Telerehabilitation in Workers with Whiplash Syndrome.","authors":"Mònica Rodríguez-Bagó, José Miguel Martínez-Martínez, Jordi Ortner-Sancho, Xavier Farrús-Esteban, Maite Sampere-Valero, Elena Ronda-Pérez","doi":"10.1089/tmj.2024.0401","DOIUrl":"10.1089/tmj.2024.0401","url":null,"abstract":"<p><p><b>Objective:</b> Interventions through telerehabilitation have shown positive effects in various clinical conditions, facilitating the return to work of the working population. This study aimed to compare conventional, center-based physiotherapy versus an intervention combining home- and center-based treatment for whiplash syndrome in workers enrolled in a mutual insurance company, evaluating differences in the number of face-to-face sessions and the duration of sickness absence. The secondary aim was to assess the acceptability and usability of the telerehabilitation intervention. <b>Methods:</b> The study population (<i>n</i> = 387) comprised workers aged 16 to 65 years who required physiotherapy due to whiplash (ICD-9 847.0). The main outcome variable was the number of face-to-face sessions. The duration of sickness absence was also calculated. A survey was also conducted to determine patient acceptance and usability of the platform. The analyses were adjusted for sex, age, occupation, and the center where the physiotherapy treatment was administered. <b>Results:</b> The number of face-to-face physiotherapy sessions dropped significantly, from 9 to 7, due to the implementation of telerehabilitation. This decrease was not associated with a longer duration of sickness absence. The difference in the median duration of sickness absence between patients who had not undergone telerehabilitation and those who had undergone telerehabilitation was -1 [95% CI= (-6 to 2)]. <b>Conclusion:</b> Telerehabilitation reduces the number of face-to-face physiotherapy sessions needed, which can reduce the care burden in physiotherapy centers and avoid the need for patients to travel (with a corresponding reduction in transportation costs), without increasing the duration of sickness absence.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"212-221"},"PeriodicalIF":2.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301096","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}