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Outcomes and methods in telemedicine evaluation.

Noriaki Aoki1, Kim Dunn, Kathy A Johnson-Throop

  • 1School of Health Information Sciences, University of Texas Health Science Center-Houston, Houston, Texas, USA. Noriaki.Aoki@uth.tmc.edu

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|February 26, 2004
PubMed
Summary

Telemedicine evaluation studies show strong reporting on diagnostic accuracy and patient satisfaction. However, research on clinical effectiveness and cost-effectiveness needs more attention for comprehensive telemedicine assessment.

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Area of Science:

  • Health Informatics
  • Medical Technology Evaluation
  • Digital Health

Background:

  • Telemedicine has evolved significantly since 1966, necessitating robust evaluation methods.
  • A review of 104 articles (1966-2000) identified 112 telemedicine evaluations.
  • Evaluations span clinical and non-clinical domains, assessing various aspects of telemedicine implementation.

Purpose of the Study:

  • To investigate the methods and outcomes of telemedicine evaluation studies.
  • To identify trends and gaps in the existing body of telemedicine research.
  • To provide insights for future telemedicine evaluation strategies.

Main Methods:

  • Systematic review of 104 articles published between 1966 and 2000.
  • Categorization of 112 evaluations into clinical (effectiveness, satisfaction, accuracy, cost) and non-clinical (technical, management) types.

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  • Analysis of evaluation methodologies, including descriptive, quantitative, statistical (ROC, kappa), and qualitative approaches.

    • Main Results:

    • Diagnostic accuracy (49 evaluations) and patient satisfaction (26 evaluations) were the most frequently studied clinical outcomes.
    • Technical issues (15 evaluations) and efficiency of care (10 evaluations) were key non-clinical evaluation areas.
    • Descriptive methods dominated (72 evaluations), with limited use of advanced statistical (19 evaluations) and qualitative (1 evaluation) techniques.

    Conclusions:

    • Current telemedicine evaluations excel in assessing diagnostic accuracy and patient satisfaction.
    • Clinical effectiveness and cost-effectiveness evaluations are underrepresented.
    • Future telemedicine research should adopt multidisciplinary perspectives and diverse methodologies for comprehensive assessment.