SynthesisJournal of telemedicine and telecare2018
Evaluating barriers to adopting telemedicine worldwide: A systematic review.
Synthesis in Journal of telemedicine and telecare, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 811 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Efficacy of a Face-to-face Versus a Remote Physiotherapy Instruction Session About Pelvic Floor in the Pelvic Floor Muscle Capacity of Incontinent Women: a Randomized Controlled Trial
Feasibility and Potential Impact of an Individualized Exercise Program Via a Telerehabilitation Device in Chronic Patients: A Pilot Study
Who cites it
811 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Mapping global inequities in telemedicine implementation: An umbrella review of barriers and facilitators.PloS one · 2026Pooled it
- The cost-effectiveness and patient satisfaction of telehealth in geriatric care: a systematic review.BMC geriatrics · 2025Pooled it
- Telerehabilitation for neck pain.The Cochrane database of systematic reviews · 2025Pooled it
- The State of the Art of Telemedicine Implementation Architecture: Rapid Umbrella Review of Systematic Reviews.Journal of medical Internet research · 2025Pooled it
- Staff-reported barriers and facilitators to the implementation of healthcare interventions within regional and rural areas: a rapid review.BMC health services research · 2025Pooled it
- Effectiveness of eHealth literacy interventions: a systematic review and meta-analysis of experimental studies.BMC public health · 2025Pooled it
- Engaging underrepresented patient groups in specialised treatment - qualitative results from the PROVIDE-C randomised trial on integrated mental health video consultations for depression and anxiety.BMC public health · 2025Trial
- Satisfaction with telemedicine versus in-person visits in rheumatology: a noninferiority randomised controlled trial.Annals of the rheumatic diseases · 2025Trial
- Transforming health care: Investigating Influenzer, a novel telemedicine-supported early discharge program for patients with lower respiratory tract infection: A non-randomized feasibility study.Journal of telemedicine and telecare · 2025Trial
- Usability and Acceptability of an App-Based Approach to Treat Low Back Pain: Preplanned Secondary Analysis of a Randomized Controlled Trial.JMIR formative research · 2025Trial
- Implementation and User Satisfaction of a Comprehensive Telemedicine Approach for SARS-CoV-2 Self-Sampling: Monocentric, Prospective, Interventional, Open-Label, Controlled, Two-Arm Feasibility Study.JMIR formative research · 2024Trial
- From rural Norway to high-density systems: translating nurse-led emergency models.Scandinavian journal of primary health care · 2026Article
- Insights on Postimplementation and Delivery of Telemedicine in Remote Areas of Rajasthan: Qualitative Study.JMIR mHealth and uHealth · 2026Article
- The Future of Cardiac Care: A Review on the Role for Non-Invasive, Home-Based Monitoring and Rehabilitation after Hospitalisation for Acute Decompensated Heart Failure.Current heart failure reports · 2026Review
- Telemedicine and the Attractiveness of a Family Medicine Career Among Hungarian Medical Students: Implications for the Digital Health Primary Care Workforce.Healthcare (Basel, Switzerland) · 2026Article
- Implementing Advanced Comprehensive Diabetes Care Within the Veterans Affairs Learning Health System.Journal of general internal medicine · 2026Article
- The Underutilized Ocular Fundus in Emergency Departments: Current Progress and Future Prospect of Imaging and Artificial Intelligence for Patient Care.Ophthalmology science · 2026Review
- Trends, disparities and projections of pericardial diseases related mortality in the United States: A 1999-2035 analysis using artificial deep neural network.American heart journal plus : cardiology research and practice · 2026Article
- From research to practice: a qualitative study examining the integration of telehealth-based suicide prevention in HIV care in Tanzania.AIDS care · 2026Article
- The 4 Ss Framework for Designing Age-Friendly Communities of the Future: Focus Group Study.JMIR aging · 2026Article
751 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction and objective Studies on telemedicine have shown success in reducing the geographical and time obstacles incurred in the receipt of care in traditional modalities with the same or greater effectiveness; however, there are several barriers that need to be addressed in order for telemedicine technology to spread. The aim of this review is to evaluate barriers to adopting telemedicine worldwide through the analysis of published work. Methods The authors conducted a systematic literature review by extracting the data from the Cumulative Index of Nursing and Allied Health Literature (CINAHL) and PubMed (MEDLINE) research databases. The reviewers in this study analysed 30 articles (nine from CINAHL and 21 from Medline) and identified barriers found in the literature. This review followed the checklist from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009. The reviewers organized the results into one table and five figures that depict the data in different ways, organized by: barrier, country-specific barriers, organization-specific barriers, patient-specific barriers, and medical-staff and programmer-specific barriers. Results The reviewers identified 33 barriers with a frequency of 100 occurrences through the 30 articles. The study identified the issues with technically challenged staff (11%), followed by resistance to change (8%), cost (8%), reimbursement (5%), age of patient (5%), and level of education of patient (5%). All other barriers occurred at or less than 4% of the time. Discussion and conclusions Telemedicine is not yet ubiquitous, and barriers vary widely. The top barriers are technology-specific and could be overcome through training, change-management techniques, and alternating delivery by telemedicine and personal patient-to-provider interaction. The results of this study identify several barriers that could be eliminated by focused policy. Future work should evaluate policy to identify which one to lever to maximize the results.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.