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27.01.2022 | Review Article

Telemedicine in the emergency department: an overview of systematic reviews

verfasst von: Ali Sharifi Kia, Mouna Rafizadeh, Leila Shahmoradi

Erschienen in: Journal of Public Health | Ausgabe 8/2023

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Abstract

Aim

There is both favorable and controversial evidence on the application of telemedicine in the emergency department (ED), which has created uncertainty regarding the effectiveness of these systems. We performed a systematic review of the literature on systematic reviews to provide an overview of the benefits and challenges to the application of telemedicine systems for the ED.

Subject and methods

PubMed, Web of Science, Scopus, Cochrane Library, and Google Scholar databases were explored for systematic reviews of telemedicine applications for the ED. Each review was critically appraised by two authors for data items to be extracted and evaluated. The most highly recommended technology, feasibility, benefits, and challenges to the application of telemedicine systems were studied and reported.

Results

We identified 18 studies of varying methodological quality and summarized their key findings. Form these 18 studies, 12 papers yielded a high risk of bias in their investigation. Nine papers concluded that real-time video conferencing was the best method of delivery, eight papers found cost reduction as an outcome of implementing these systems, and six studies found technical and infrastructure issues as a challenge when implementing telemedicine for EDs.

Conclusion

There is strong evidence suggesting that the use of telemedicine positively impacts patient care. However, there are many challenges in implementing telemedicine that may impede the process or even impact patient safety. In conclusion, despite the high potential of telemedicine systems, there is still a need for better quality of evidence in order to confirm their feasibility in the ED.

Real-time video & audio conference

Communications via an interactive conference between two or more participants at different sites, using computer networks or other telecommunication links to transmit audio, video, and data [1].

Store and Forward

Store-and-forward telemedicine is also called “asynchronous telemedicine.” It is a method by which healthcare providers share patient medical information with a physician, radiologist, or specialist at another location. It is not unlike email, but it is done using a solution that has built-in, sophisticated security features to ensure patient confidentiality [2].

Tele-monitoring

Transmission of patient vital and non-vital signs from patient site to the doctor. It is more suited for patients with chronic illnesses such as hypertension or diabetes [3].

Telepresence

Feeling present in a remote but real environment through telecommunications in order to perform tasks [4].

Tele-consultation

Synchronous or asynchronous consultation using information and communication technology to omit geographical and functional distance. Its goals are for diagnostics or treatment between two or more geographically separated health providers (for example, physicians or nurses) or between health providers and patients [5].

Tele-psychiatry

The practice of delivering psychiatric care using communications technology as a remote linkage between health-care providers and patients. Enables the productive interaction for clinical assessment, diagnosis, medication management, and therapy [6].

Tele-stroke

A network of audiovisual communication and computer systems providing the foundation for a collaborative, interprofessional care model focusing on acute stroke patients [7].

Tele-sonography

Combination of the use of ultrasound with telemedicine, allows for off-site expert interpretation as a solution to the major disadvantage of ultrasound, namely the skill required to interpret images [8].

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Titel: Telemedicine in the emergency department: an overview of systematic reviews
verfasst von: Ali Sharifi Kia
Mouna Rafizadeh
Leila Shahmoradi
Publikationsdatum: 27.01.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Journal of Public Health / Ausgabe 8/2023
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-021-01684-x

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