ArticleTherapeutic advances in chronic disease2019
Addressing cost and time barriers in chronic disease management through telemedicine: an exploratory research in select low- and middle-income countries.
Article in Therapeutic advances in chronic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 38 papers, 1 of them a synthesis that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.
- Evaluation of the Effectiveness of Telehealth Chronic Disease Management System: Systematic Review and Meta-analysis.Journal of medical Internet research · 2023Pooled it
- Analysis of the costs of teleconsultation for the treatment of diabetes mellitus in the SUS.Revista de saude publica · 2024Trial
- Access, stigma and community engagement: implementation strategies for rural and underserved populations.Journal of neural transmission (Vienna, Austria : 1996) · 2026Review
- User-Centered Virtual Clinic Services for Remote, Rural, and Underserved Sub-Saharan Africa: Development and Usability Study.JMIR human factors · 2026Article
- Turkish medical students' perspectives on the advantages and disadvantages of telemedicine: scale development and psychometric evaluation.BMC medical education · 2026Article
- Impact of technological acceptance on application-based engagement among type 2 diabetes patients: local insights and implications for developing countries.Journal of pharmaceutical policy and practice · 2026Article
- On telemedicine and healthcare spending.International journal of circumpolar health · 2025Article
- Innovation through telemedicine to improve medication abortion access in primary health centers: findings from a pilot study in Musanze District, Rwanda.BMC public health · 2025Article
- Strengths, Weaknesses, Opportunities, and Threats (SWOT) of Implementing Teleconsultation: A Systematic Review.Health science reports · 2025Review
- Evaluating the feasibility, adoption, cost-effectiveness, and sustainability of telemedicine interventions in managing COVID-19 within low-and-middle-income countries (LMICs): A systematic review.PLOS digital health · 2025Article
- A Cost-Minimization Analysis of Teleconsultation Versus In-Person Care for Chronic Diseases and Rehabilitation in Medically Underserved Areas of South Korea.Healthcare (Basel, Switzerland) · 2025Article
- Telehealth satisfaction among patients with chronic diseases: a cross-sectional analysis.PeerJ · 2025Article
- Feasibility, safety, and acceptability of a 4-week nurse-led comprehensive rehabilitation program for women after mastectomy: A non-randomized control trial.Journal of education and health promotion · 2025Article
- Using School-Based Teleconsultation Services to Make Community Health Services Accessible in Semirural Settings of Pakistan: Sequential Explanatory Mixed Methods Study.JMIR formative research · 2024Article
- A cross sectional study of role of technology in health for middle-aged and older adults in Singapore.Scientific reports · 2024Article
- [Pediatric telecardiology experience in the COVID-19 pandemic context].Archivos de cardiologia de Mexico · 2023Article
- Preferences and willingness-to-pay for a blood pressure telemonitoring program using a discrete choice experiment.NPJ digital medicine · 2023Article
- Diagnostic Concordance of Telemedicine as Compared With Face-to-Face Care in Primary Health Care Clinics in Rural India: Randomized Crossover Trial.JMIR formative research · 2023Article
- Telehealth services for global emergencies: implications for COVID-19: a scoping review based on current evidence.BMC health services research · 2023Article
- A tale of two applications: lessons learned from national LMIC COVID applications.Journal of the American Medical Informatics Association : JAMIA · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite evidence supporting telehealth provision in developed countries, there is limited evidence regarding its economic benefits for patients living in areas where access and cost present major barriers to health care, particularly in low- and middle-income countries (LMICs). This study explores the economic benefits of telemedicine for patients, in terms of cost and times savings, and its potential role in improving chronic disease outcomes.
methodsThis retrospective cross-sectional study compared telemedicine services with hypothetical in-person consultations, with a focus on patient travel time and travel cost savings. A database containing teleconsultation visits (
resultsThe study extracted data from 25,182 teleconsultation visits (12,814 males; 12,368 females). The cumulative patient savings through the program amounted to USD 9,175,132, and 1,876,146 h, or 213.1 years. A significant difference was seen between the two groups in terms of mean time savings (
conclusionsThis study suggests that considerable economic benefits imparted to patients in low-resource settings of LMICs via accessing telemedicine. Telemedicine has great potential to improve chronic disease outcomes in low-resource areas by reducing socioeconomic barriers related to cost and access, and increasing uptake of services, thereby enabling early intervention and long-term management.
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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.