ReviewMayo Clinic proceedings. Digital health2026
Patients' Perspectives on Telemedicine for Type 2 Diabetes in Primary Care: Systematic Review and Thematic Synthesis.
Review in Mayo Clinic proceedings. Digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To identify and synthesize the factors influencing the delivery and uptake of telemedicine for managing type 2 diabetes mellitus (T2DM) in primary care based on patients' experiences and perspectives. Patients and Methods: In this systematic review and thematic synthesis, we searched MEDLINE, EMBASE, PsycINFO, Google Scholar, SCOPUS, and CINAHL from inception to December 2023. The reference lists of eligible studies and other relevant systematic reviews were also searched. We included qualitative studies that explored patients' perspectives and experiences of using telemedicine to manage T2DM in primary care. Primary outcomes were the factors influencing the delivery and uptake of telemedicine interventions, identified through thematic synthesis following the approach by Thomas and Harden. Themes were presented in alignment with Karsh Health IT Implementation Framework to support theory-informed interpretation. The review was conducted in accordance with the ENTREQ guidelines and registered in PROSPERO (ID: CRD42024544785). Results: Of 3006 records retrieved, 25 studies met the inclusion criteria. Six key themes influenced patients' use of telemedicine for T2DM in primary care: access and navigation of services, communication and therapeutic relationship, patient engagement and self-management, quality and personalization of care, usability and technical support, and financial barriers. Patients valued timely support, flexible scheduling, continuity with providers, and personalized care. Telemedicine was seen as convenient and empowering, especially when digital literacy and system usability were supported. However, challenges such as internet access, lack of training, and affordability limited engagement with telemedicine. Conclusion: This review identifies multilevel factors that influence patients' use of telemedicine and offers a theory-informed understanding of the obstacles to the successful implementation of telemedicine. Digital and health literacy, patient-provider relationships, and clear communication are essential for building trust and sustaining engagement. Usability is enhanced by user-friendly interfaces, timely access, and tailored training. These findings offer practical implications for healthcare providers, system designers, and policymakers. Future research should examine long-term engagement through theory-driven approaches.
Identifiers
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Registered trials
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.