ArticleJournal of medical systems2025
From Conflict to Care - Telemedicine Utilization During Wartime: A Retrospective Cohort Study.
Article in Journal of medical systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Maintaining ambulatory care capacity through telemedicine during wartime: insights from a tertiary center's experience.Israel journal of health policy research · 2026Article
- The Impact of Recent Collective Trauma in Israel on Eating Disorders and Disordered Eating: An Overview and Clinical Perspective.Healthcare (Basel, Switzerland) · 2026Review
- War, spinal cord injuries and rehabilitation: A revisited perspective.Spinal cord series and cases · 2026Article
- Rapid scale-up of hospital-at-home services during wartime: lessons learned from the Sheba Medical Center experience.Frontiers in medicine · 2026Article
- Mental health distress and associated factors among online CBT service users during the Iron Swords War.Frontiers in psychology · 2026Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundArmed conflict poses severe challenges to healthcare delivery, requiring rapid adaptation. This study evaluates how telemedicine enabled continuity of care during the October 7, 2023, war in Israel, and assess regional and service-specific utilization patterns in relation to conflict intensity.
methodsA retrospective cohort study of 7.19 million healthcare interactions from an Israeli HMO covering one-third of Israel's population. The study compared three periods: (T0) the first month of the war, (T1) the month before, and (T2) the same period last year. Interactions included visits and inquiries in primary care, secondary care, mental health, and allied health services. Data were categorized by service type and geographic conflict zones. Chi-square tests and effect sizes assessed trends.
resultsTelemedicine utilization increased significantly during the war, especially in primary conflict zones (13-20%, p < 0.01). Remote consultations in mental health tripled (10-30%, p < 0.01), and nutrition services reached the highest telemedicine adoption (27-52%, p < 0.01). Family medicine, pediatrics, and gynecology also showed significant increases. Digital inquiries surged in family medicine but declined in pediatrics.
conclusionThis study offers timely insights into telemedicine's role in maintaining access during armed conflict within a digitally advanced system. By examining service utilization across medical domains and conflict zones, it highlights how remote care supports system adaptability in crises. Notably, patient satisfaction remained high, suggesting telemedicine preserved access and perceived care quality. Findings may inform digital health planning to strengthen continuity, equity, and resilience in future emergencies.
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