Evidence map›Paper›PMID 33882598›Full record

ArticleYearbook of medical informatics2021

Telehealth and the COVID-19 Pandemic: International Perspectives and a Health Systems Framework for Telehealth Implementation to Support Critical Response.

Arindam Basu, Craig Kuziemsky, Magdala de Araújo Novaes, Araujo Kleber, Fernando Sales, Najeeb Al-Shorbaji, José F Flórez-Arango, Shashi B Gogia, Kendall Ho, Inga Hunter and 7 more

Abstract read
In one paragraph

Article in Yearbook of medical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Telehealth Implementation Response to COVID-19 in the OneFlorida+ Clinical Research Network: Perspectives of Clinicians and Health Systems Leaders.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  10. Telehealth as a Component of One Health: a Position Paper.Yearbook of medical informatics · 2023
    Review
  11. Article
  12. Review
  13. Telemedicine Use and the Perceived Risk of COVID-19: Patient Experience.International journal of environmental research and public health · 2023
    Article
  14. Article
  15. Use of the Internet for Health Purposes-A National Web-Based Cross-Sectional Survey among Adults in Poland.International journal of environmental research and public health · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Arindam BasuUniversity of Canterbury, Christchurch, New Zealand.
Craig KuziemskyMacEwan University, Edmonton, Canada.
Magdala de Araújo NovaesMedical Sciences Center, Telehealth Center, Clinics Hospital, Federal University of Pernambuco, Recife, Brazil.
Araujo KleberTelehealth Center (NUTES), Federal University of Pernambuco, Recife, Brazil.
Fernando SalesTechnology and Geosciences Center, Telehealth Center, Federal University of Pernambuco, Recife, Brazil.
Najeeb Al-ShorbajieHealth Development Association of Jordan, Amman, Jordan.
José F Flórez-ArangoTexas A & M University, College Station, United States of America.
Shashi B GogiaSociety for Administration of Telemedicine and Healthcare Informatics, New Delhi, India.
Kendall HoUniversity of British Columbia, Vancouver, Canada.
Inga HunterMassey University, Palmerston North, New Zealand.
Sriram IyengarUniversity of Arizona, Phoenix, United States of America.
Oommen JohnGeorge Institute for Global Health, University of New South Wales, Sydney, Australia.
Sheila JohnSankara Nethralaya, Chennai, India.
Gumindu KulatungaPostgraduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka.
Vije Kumar RajputKeele University, Staffordshire, UK.
Prasad RanatungaPostgraduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka.
Jai Ganesh UdayasankaranSri Sathya Sai Central Trust, Puttaparthi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTelehealth implementation is a complex systems-based endeavour. This paper compares telehealth responses to (COrona VIrus Disease 2019) COVID-19 across ten countries to identify lessons learned about the complexity of telehealth during critical response such as in response to a global pandemic. Our overall objective is to develop a health systems-based framework for telehealth implementation to support critical response.

methodsWe sought responses from the members of the International Medical Informatics Association (IMIA) Telehealth Working Group (WG) on their practices and perception of telehealth practices during the times of COVID-19 pandemic in their respective countries. We then analysed their responses to identify six emerging themes that we mapped to the World Health Organization (WHO) model of health systems.

resultsOur analysis identified six emergent themes. (1) Government, legal or regulatory aspects of telehealth; (2) Increase in telehealth capacity and delivery; (3) Regulated and unregulated telehealth; (4) Changes in the uptake and perception of telemedicine; (5) Public engagement in telehealth responses to COVID-19; and (6) Implications for training and education. We discuss these themes and then use them to develop a systems framework for telehealth support in critical response.

conclusionCOVID-19 has introduced new challenges for telehealth support in times of critical response. Our themes and systems framework extend the WHO systems model and highlight that telemedicine usage in response to the COVID-19 pandemic is complex and multidimensional. Our systems-based framework provides guidance for telehealth implementation as part of health systems response to a global pandemic such as COVID-19.

Indexed as

COVID-19Government RegulationTelemedicineHumansInternationalitySocieties, Medical

Identifiers

PMID33882598
PMCPMC8416231

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.