Evidence map›Paper›PMID 40851401›Full record

ArticleThe Permanente journal2026

The Impact of Telehealth on Cost and Time Efficiency for Patients With Disabilities During Nonemergency Encounters: A Scoping Review.

Kaushalya Mendis, Veda Priya Puligundla, Myles Rosenzweig, Melissa Coffel, John Geracitano, Saif Khairat

Abstract readScoping Review
In one paragraph

Article in The Permanente journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kaushalya MendisSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0003-2668-3404
Veda Priya PuligundlaInstitute of Health Informatics, University of Minnesota, Minneapolis, MN, USA.
Myles RosenzweigGillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Melissa CoffelSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
John GeracitanoCarolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Saif KhairatSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-8992-2946

Funding

Center for Virtual Care Value and Excellence (ViVE). RC2TR004380 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Saif Khairat · 2023 to 2026
$3.0M
NCATS NIH HHS RC2 TR004380
6 · The paper itself

Abstract

backgroundTelehealth services have expanded in recent years, showing promising potential to improve health care access. This review examined the impact of telehealth on individuals of all ages living with chronic disabilities with a focus on cost, as well as other key outcomes such as time efficiency, clinical outcomes, and patient satisfaction.

methodsPRISMA guidelines were followed to examine US-based studies between 2018 and 2024 across 4 databases using keywords related to cost, telehealth, and disability. Studies were screened using Covidence software. Two reviewers independently assessed studies for inclusion. Data was extracted using a standardized form and thematically analyzed.

resultsOut of 230 preliminary studies, 8 met the inclusion criteria. Telehealth interventions were found to be time and cost effective with comparable clinical outcomes and high patient satisfaction for individuals of all ages with disabilities. However, some challenges of integrating processes in emergency departments resulting in longer stays and implementation issues were noted. DISCUSSION: Although cost benefits were evident for patients, programs, and health systems, successful implementation depends on resolving challenges related to digital infrastructure, equitable access, and patient-practitioner rapport.

conclusionTelehealth represents a promising approach to improving health care access for individuals with disabilities, if implementation challenges are strategically addressed.

Indexed as

Persons with DisabilitiesTelemedicineCost-Benefit AnalysisHealth Services AccessibilityHumansPatient Satisfactionand Disabled PersonsClinical OutcomesCosts and Cost AnalysisPatient satisfactionTelehealth

Identifiers

PMID40851401
PMCPMC13266665

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.