Show simple item record

The Empirical Foundations of Telemedicine Interventions in Primary Care

dc.contributor.authorBashshur, Rashid L.
dc.contributor.authorHowell, Joel D.
dc.contributor.authorKrupinski, Elizabeth A.
dc.contributor.authorHarms, Kathryn M.
dc.contributor.authorBashshur, Noura
dc.contributor.authorDoarn, Charles R.
dc.date.accessioned2017-12-19T21:17:01Z
dc.date.available2017-12-19T21:17:01Z
dc.date.issued2016-04-29
dc.identifier.citationBashshur, Rashid L.; Howell, Joel D.; Krupinski, Elizabeth A.; Harms, Kathryn M.; Bashshur, Noura; Doarn, Charles R. (2016). "The Empirical Foundations of Telemedicine Interventions in Primary Care." Telemedicine and e-Health 22 (5): 342-375.
dc.identifier.issn1530-5627
dc.identifier.urihttps://hdl.handle.net/2027.42/140293
dc.description.abstractIntroduction: This article presents the scientific evidence for the merits of telemedicine interventions in primary care. Although there is no uniform and consistent definition of primary care, most agree that it occupies a central role in the healthcare system as first contact for patients seeking care, as well as gatekeeper and coordinator of care. It enables and supports patient-centered care, the medical home, managed care, accountable care, and population health. Increasing concerns about sustainability and the anticipated shortages of primary care physicians have sparked interest in exploring the potential of telemedicine in addressing many of the challenges facing primary care in the United States and the world. Materials and Methods: The findings are based on a systematic review of scientific studies published from 2005 through 2015. The initial search yielded 2,308 articles, with 86 meeting the inclusion criteria. Evidence is organized and evaluated according to feasibility/acceptance, intermediate outcomes, health outcomes, and cost. Results: The majority of studies support the feasibility/acceptance of telemedicine for use in primary care, although it varies significantly by demographic variables, such as gender, age, and socioeconomic status, and telemedicine has often been found more acceptable by patients than healthcare providers. Outcomes data are limited but overall suggest that telemedicine interventions are generally at least as effective as traditional care. Cost analyses vary, but telemedicine in primary care is increasingly demonstrated to be cost-effective. Conclusions: Telemedicine has significant potential to address many of the challenges facing primary care in today's healthcare environment. Challenges still remain in validating its impact on clinical outcomes with scientific rigor, as well as in standardizing methods to assess cost, but patient and provider acceptance is increasingly making telemedicine a viable and integral component of primary care around the world.
dc.publisherMary Ann Liebert, Inc., publishers
dc.titleThe Empirical Foundations of Telemedicine Interventions in Primary Care
dc.typeArticle
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/140293/1/tmj.2016.0045.pdf
dc.identifier.doi10.1089/tmj.2016.0045
dc.identifier.sourceTelemedicine and e-Health
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.