Synchronous Home-Based Telemedicine for Primary Care: A Review

Synchronous home-based telemedicine for primary care experienced growth during the coronavirus disease 2019 pandemic. A review was conducted on the evidence reporting on the feasibility of synchronous telemedicine implementation within primary care, barriers and facilitators to implementation and us...

Full description

Saved in:
Bibliographic Details
Published in:Medical Care Research and Review 2023-02, Vol.80 (1), p.3-15
Main Authors: Lindenfeld, Zoe, Berry, Carolyn, Albert, Stephanie, Massar, Rachel, Shelley, Donna, Kwok, Lorraine, Fennelly, Kayla, Chang, Ji Eun
Format: Article
Language:English
Subjects:
Barriers
Communication
Coronaviruses
COVID-19
Feasibility
Female
Health care
Home based
Humans
Nonuse
Pandemics
Patient satisfaction
Patients
Personal Satisfaction
Physical examinations
Pregnancy
Primary care
Primary Health Care
Telemedicine
Waiting times
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Synchronous home-based telemedicine for primary care experienced growth during the coronavirus disease 2019 pandemic. A review was conducted on the evidence reporting on the feasibility of synchronous telemedicine implementation within primary care, barriers and facilitators to implementation and use, patient characteristics associated with use or nonuse, and quality and cost/revenue-related outcomes. Initial database searches yielded 1,527 articles, of which 22 studies fulfilled the inclusion criteria. Synchronous telemedicine was considered appropriate for visits not requiring a physical examination. Benefits included decreased travel and wait times, and improved access to care. For certain services, visit quality was comparable to in-person care, and patient and provider satisfaction was high. Facilitators included proper technology, training, and reimbursement policies that created payment parity between telemedicine and in-person care. Barriers included technological issues, such as low technical literacy and poor internet connectivity among certain patient populations, and communication barriers for patients requiring translators or additional resources to communicate.
ISSN:1077-5587
1552-6801
DOI:10.1177/10775587221093043