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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.
Telemedicine Reports
|December 25, 2023
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.
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.
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