Evidence map›Paper›PMID 37468871›Full record

SynthesisBMC primary care2023

Telemedicine in the primary care of older adults: a systematic mixed studies review.

Marwa Ilali, Mélanie Le Berre, Isabelle Vedel, Vladimir Khanassov

Abstract readSystematic Review
In one paragraph

Synthesis in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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. Trial
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  9. Review
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  11. Reimagining Resilience in Aging: Leveraging AI/ML, Big Data Analytics, and Systems Innovation.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
    Article
  12. Article
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  14. Observational
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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

4 authors.

Marwa IlaliDepartment of Family Medicine, McGill University, 5858 Côte-Des-Neiges Road, 3Rd Floor, Montreal, Québec, H3S 1Z1, Canada.
Mélanie Le BerreDepartment of Family Medicine, McGill University, 5858 Côte-Des-Neiges Road, 3Rd Floor, Montreal, Québec, H3S 1Z1, Canada.
Isabelle VedelDepartment of Family Medicine, McGill University, 5858 Côte-Des-Neiges Road, 3Rd Floor, Montreal, Québec, H3S 1Z1, Canada.
Vladimir KhanassovDepartment of Family Medicine, McGill University, 5858 Côte-Des-Neiges Road, 3Rd Floor, Montreal, Québec, H3S 1Z1, Canada. vladimir.khanassov@mcgill.ca.

Funding

CIHR
6 · The paper itself

Abstract

backgroundFamily physicians had to deliver care remotely during the COVID-19 pandemic. Their efforts highlighted the importance of developing a primary care telemedicine (TM) model. TM has the potential to provide a high-quality option for primary care delivery. However, it poses unique challenges for older adults. Our aim was therefore to explore the effects of TM and the determinants of its use in primary care for older adults.

methodsIn this systematic mixed studies review, MEDLINE, PsycINFO, EMBASE, CINHAL, AgeLine, DARE, Cochrane Library, and clinical trials research registers were searched for articles in English, French or Russian. Two reviewers performed study selection, data extraction and assessment of study quality. TM's effects were reported through the tabulation of key variables. TM use determinants were interpreted using thematic analysis based on Chang's framework. All data were integrated using a joint display matrix.

resultsFrom 3,328 references identified, 20 studies were included. They used either phone (n = 8), videoconference (n = 9) or both (n = 3). Among studies reporting positive outcomes in TM experience, 'user habit or preferences' was the most cited barrier and 'location and travel time' was the most cited facilitator. Only one study reported negative outcomes in TM experience and reported 'comfort with patient communication' and 'user interface, intended use or usability' as barriers, and 'technology skills and knowledge' and 'location and travel time' as facilitators. Among studies reporting positive outcomes in service use and usability, no barrier or facilitator was cited more than once. Only one study reported a positive outcome in health-related and behavioural outcomes.

conclusionsTM in older adults' primary care generally led to positive experiences, high satisfaction and generated an interest towards alternative healthcare delivery model. Future research should explore its efficacy on clinical, health-related and healthcare services use.

Indexed as

COVID-19TelemedicineAgedDelivery of Health CareHumansPandemicsPrimary Health CareAgedFamily PracticeMixed MethodsPrimary CareSystematic ReviewTelemedicine

Identifiers

PMID37468871
PMCPMC10357882

What OpenQuestion holds

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LicenceCC BY
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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.