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Asynchronous Telemedicine: A Systematic Literature Review.

Nathan Culmer1, Todd Brenton Smith2, Catanya Stager1

  • 1College of Community Health Sciences, The University of Alabama, Tuscaloosa, Alabama, USA.

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|December 25, 2023
PubMed
Summary

Asynchronous telemedicine (ATM) research primarily focuses on care quality and patient satisfaction. Future studies should address provider costs and well-being, improving methodological rigor for this growing telemedicine modality.

Keywords:
asynchronous telemedicinee-visitstore-and-forwardsystematic review

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Area of Science:

  • Telemedicine and Digital Health
  • Health Services Research
  • Medical Informatics

Background:

  • Asynchronous telemedicine (ATM) involves non-simultaneous patient-provider interactions.
  • ATM is an increasingly utilized modality within telemedicine.
  • This review examines ATM literature to identify terminology, assess Quadruple Aim alignment, and evaluate research rigor.

Purpose of the Study:

  • To identify terms used to describe asynchronous telemedicine (ATM).
  • To evaluate how ATM research addresses the Quadruple Aim of Medicine.
  • To assess the methodological rigor of existing ATM research.

Main Methods:

  • Systematic literature review adhering to PRISMA guidelines.
  • Extensive database search yielding 2624 abstracts, refined to 104 articles for data extraction.
  • Literature divided into pre- and post-COVID-19 periods to identify temporal variations.

Main Results:

  • "Store-and-forward" and "e-visit" are common terms for ATM.
  • Care quality and patient satisfaction are the most studied aspects of the Quadruple Aim.
  • Methodological rigor is predominantly weak, with only 2 "Strong" quantitative studies; qualitative studies show methodological limitations.

Conclusions:

  • "E-visit" terminology is increasing in ATM research.
  • Future ATM research should prioritize provider costs and well-being.
  • Enhancing methodological rigor in quantitative and qualitative studies is crucial for ATM research advancement.