Evidence map›Paper›PMID 40109500›Full record

ReviewJAMIA open2025

Barriers to telehealth uptake and use: a scoping review.

Mackenzie Kemp, Kristin L Rising, Gregory Laynor, Jessica Miao, Brooke Worster, Anna Marie Chang, Andrew J Monick, Amanda Guth, Tracy Esteves Camacho, Kiana McIntosh and 4 more

Abstract readReview
In one paragraph

Review in JAMIA open, 2025. 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
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  4. Barriers and Facilitators to Telehealth in Underserved Rural Communities: A Mixed-Methods Formative Evaluation.Health expectations : an international journal of public participation in health care and health policy · 2026
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  10. Structured pelvic floor physiotherapy rehabilitation for low anterior resection syndrome in colorectal cancer: An Australian feasibility study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

14 authors.

Mackenzie KempCenter for Connected Care, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Kristin L RisingCenter for Connected Care, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Gregory LaynorHealth Sciences Library, NYU Grossman School of Medicine, New York, NY 10016, United States.
Jessica MiaoCenter for Connected Care, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Brooke WorsterDepartment of Medical Oncology, Sidney Kimmel Cancer Center, Philadelphia, PA 19107, United States.
Anna Marie ChangCenter for Connected Care, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Andrew J MonickSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Amanda GuthCenter for Connected Care, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Tracy Esteves CamachoCenter for Connected Care, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Kiana McIntoshCenter for Connected Care, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Grace AmadioCenter for Connected Care, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Lindsey ShughartCenter for Connected Care, Thomas Jefferson University, Philadelphia, PA 19107, United States.
TingAnn HsiaoSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Amy E LeaderDivision of Population Science, Department of Medical Oncology, Sidney Kimmel Cancer Center, Philadelphia, PA 19107, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: We conducted a scoping review to identify barriers to telehealth use and uptake from the perspective of patient, provider, and system that were documented in the literature. In addition to identifying and categorizing the barriers, we aimed to assess how barriers differed for studies conducted during the COVID-19 pandemic, as well as how barriers differed between the United States vs internationally based studies. Materials and Methods: Comprehensive searches of the PubMed/MEDLINE, CINAHL, and Scopus databases conducted on December 29, 2021 yielded 17 887 results, with 11 221 potentially eligible documents after duplicates were removed. The team conducted an initial title and abstract review, followed by full text review. Data from the included sources were extracted and summarized into primary themes. Results: We identified 395 articles specifically related to barriers of telehealth use. The top 5 barriers, in order of frequency, were: lack of skills or ability (55%), lack of interest (49%), lack of access to technology (45%), limitations of technology infrastructure (45%), and lack of quality of care (42%). Roughly one-third (39%) of studies were related to the COVID-19 pandemic and 54% were US-based studies. The rank order of barriers between COVID-19 vs non-COVID-19 studies and US vs non-US studies was the same; however, patients in the United States and those using telehealth during COVID-19 were more likely to cite barriers related to the lack of access to technology (COVID = 56% vs 38%; United States = 51% vs 38%). Discussion: Interventions to address barriers need to consider the unique needs of specific populations and the ways in which different barriers may intersect. Conclusion: This review found that barriers to telehealth uptake and use are multilayered and occur at several levels (individual, structural, technological).

Indexed as

digital healthhealth equityscoping reviewtelemedicine

Identifiers

PMID40109500
PMCPMC11921419

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.