Evidence map›Paper›PMID 41093627›Full record

ArticleBMJ health & care informatics2025

Implementing an integrated multidisciplinary telehealth platform: a case study at Taichung Veterans General Hospital.

Pei-Ju Tu, Jin-An Huang, Chi-Sheng Wang, Pi-Shan Hsu, Shi-Yi Lin, Yi-Ting Tsai, Ching-Tsung Chen, Chia-Hua Chu, Hui-Mei Huang, Jiunn-Cherng Lin and 2 more

Abstract read
In one paragraph

Article in BMJ health & care informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

12 authors.

Pei-Ju TuTelehealth Center, Taichung Veterans General Hospital, Taichung, Taiwan.
Jin-An HuangDepartment of Neurology, Taichung Veterans General Hospital, Taichung, Taiwan.
Chi-Sheng WangDepartment of Neurology, Taichung Veterans General Hospital, Taichung, Taiwan.
Pi-Shan HsuDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Shi-Yi LinCenter for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung, Taiwan.
Yi-Ting TsaiDivision of Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Ching-Tsung ChenComputer and Communication Center, Taichung Veterans General Hospital, Taichung, Taiwan.
Chia-Hua ChuComputer and Communication Center, Taichung Veterans General Hospital, Taichung, Taiwan.
Hui-Mei HuangTelehealth Center, Taichung Veterans General Hospital, Taichung, Taiwan.
Jiunn-Cherng LinTelehealth Center, Taichung Veterans General Hospital, Taichung, Taiwan.
Hsin-Ju TuTelehealth Center, Taichung Veterans General Hospital, Taichung, Taiwan.
Yi-Ju ChenTelehealth Center, Taichung Veterans General Hospital, Taichung, Taiwan yjchenmd@gmail.com.ORCID http://orcid.org/0000-0001-8932-5095

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the impact of implementing a multidisciplinary integrated telehealth platform in central Taiwan on healthcare accessibility, emergency response and chronic disease management.

methodsWe analysed data from 26 institutions within a central Taiwan telehealth network between 2022 and 2024. The study evaluated the use and benefits of teleconsultation, artificial intelligence-assisted ECG monitoring during prehospital ambulance transfers and outcomes in patients with cryptogenic stroke following the platform integration. Satisfaction surveys were performed.

resultsBy 2024, more than 300 teleconsultations were performed across 26 partner facilities. Non-emergent referral rates fell from 30% in 2022 to 10% in 2024 following teleconsultations. Emergent stroke teleconsultations allowed thrombolytic therapy within the golden hour in 83% of cases. At-home ECG monitoring helped detect atrial fibrillation in 25% of cryptogenic stroke patients within 2 weeks, ensuring timely recall and initiation of appropriate antiarrhythmic therapy to prevent recurrent stroke. Surveys indicated that 83% of healthcare providers and patients were satisfied with telehealth services. DISCUSSION: The single-centre study showcases a multidisciplinary integrated telehealth model. However, confounders existed, including changes in the healthcare system, selection bias and technology disparities. Satisfaction data may be biased. The short timeframe precludes long-term analysis, underscoring the need for broader, controlled studies to assess the sustained impact of telehealth.

conclusionThe integrated telehealth centre model provides a scalable and replicable approach for healthcare delivery. Studies for long-term benefits and outcomes will help improve telehealth models.

Indexed as

Hospitals, VeteransStrokeTelemedicineAgedFemaleHealth Services AccessibilityHumansMaleMiddle AgedOrganizational Case StudiesPatient SatisfactionRemote ConsultationTaiwanContinuity of Patient CareHealth Services AccessibilityPatient-Centered CareTelemedicineTelenursing

Identifiers

PMID41093627
PMCPMC12530431

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.