Evidence map›Paper›PMID 40177121›Full record

ReviewDigital health

Addressing health service equity through telehealth: A systematic review of reviews.

Siyu Wang, Amy von Huben, Prithivi Prakash Sivaprakash, Emily Saurman, Sarah Norris, Andrew Wilson

Abstract readReview
In one paragraph

Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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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

6 authors.

Siyu WangFaculty of Medicine and Health, Sydney School of Public Health, Leeder Centre for Health Policy, Economics and Data, The University of Sydney, Sydney, NSW, Australia.ORCID https://orcid.org/0009-0002-9767-3668
Amy von HubenFaculty of Medicine and Health, Sydney School of Public Health, Leeder Centre for Health Policy, Economics and Data, The University of Sydney, Sydney, NSW, Australia.
Prithivi Prakash SivaprakashFaculty of Medicine and Health, Sydney School of Public Health, Leeder Centre for Health Policy, Economics and Data, The University of Sydney, Sydney, NSW, Australia.
Emily SaurmanFaculty of Medicine and Health, School of Rural Health (Dubbo/Orange) and Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
Sarah NorrisFaculty of Medicine and Health, Sydney School of Public Health, Leeder Centre for Health Policy, Economics and Data, The University of Sydney, Sydney, NSW, Australia.
Andrew WilsonFaculty of Medicine and Health, Sydney School of Public Health, Leeder Centre for Health Policy, Economics and Data, The University of Sydney, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0002-1809-7846

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To synthesize existing reviews on the impact of telehealth programs on health service equity in non-urban areas, focusing on six dimensions of access: accessibility, availability, acceptability, affordability, adequacy, and awareness. Methods: We included systematic and non-systematic reviews published from 2012 to 2023 on telehealth interventions in rural or remote settings. Content was mapped to the six dimensions, and coverage within each dimension was rated based on predefined criteria. Results: A total of 42 reviews (43% systematic) were identified. Most reviews (90.5%) addressed at least one dimension, yet comprehensive coverage was rare. Acceptability had the highest number of "good" ratings (24%), while awareness was the least explored. Gaps included digital literacy, infrastructure challenges, and cultural barriers-factors critical to equitable telehealth access. Cost-effectiveness analyses were also limited, leaving affordability underexamined. Conclusion: Telehealth shows promise for improving healthcare access in non-urban regions. However, existing reviews often provide incomplete assessments across the six dimensions. This suggests a need for clearer, more robust evaluation frameworks to ensure more comprehensive reporting of equity impacts in telehealth research.

Indexed as

accessibilitydigital healthhealthcare disparitieshealth equityreviewrural healthcareTelehealthtelemedicine

Identifiers

PMID40177121
PMCPMC11963783

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.