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N. 121 (2022)

Analisi sistematica di servizi di telemedicina a supporto della morbilità: tecnologie e prospettive future

DOI
https://doi.org/10.3280/mesa2022-121oa13861
Inviata
maggio 25, 2022
Pubblicato
2022-09-16

Abstract

Lo scopo principale di questa ricerca è di fornire una revisione sistematica della letteratura scientifica in merito all’uso della telemedicina rivolta a pazienti caratterizzati da situazioni di morbilità (in alcuni casi di vera e propria cronicità), cercando di mettere in evidenza come questa sia accolta dai pazienti, la sua efficacia nelle cure e in che modo essa incrementi l’accesso ai servizi sanitari e con quali tecnologie.
La review di letteratura è stata condotta utilizzando l’approccio Tranfield (2003), metodo efficiente e di alta qualità per selezionare e valutare in maniera oggettiva e quantitativa gli studi presi in esame. La metodologia è stata seguita passo dopo passo, analizzando parole chiave, argomenti, qualità delle riviste e giungendo, alla fine, alla selezione di alcuni paper che sono stati analizzati in dettaglio. Tali lavori, inoltre, vengono confrontati tra loro e classificati secondo metriche significative, valutando anche le tecnologie e le metodologie utilizzate.
A valle della review sistematica è stato possibile riscontrare che la maggior parte dei pazienti coinvolti nei programmi di telemedicina è propensa all’utilizzo di questo nuovo modello di erogazione di servizi sanitari e i risultati clinici sembrano essere incoraggianti.
Gli stessi risultati suggeriscono che i servizi di telemedicina sono apprezzati dai pazienti, aumentano l’accesso alle cure e potrebbero rappresentare un modo efficace ed efficiente per affrontare al meglio emergenze e pandemie, abbassando i costi complessivi e promuovendo, altresì, l’inclusione sociale.

Riferimenti bibliografici

  1. Alaboudi A., Atkins A., Sharp B., Balkhair A., Alzahrani M., Sunbul T. (2016). Barriers and challenges in adopting Saudi telemedicine network: The perceptions of decision makers of healthcare facilities in Saudi Arabia. Journal of Infection and Public Health, 9(6): 725-733. DOI: 10.1016/j.jiph.2016.09.001.
  2. Alajlani M., Clarke M. (2013). Effect of culture on acceptance of telemedicine in middle eastern countries: Case study of Jordan and Syria. Telemedicine and e-Health, 19(4): 305-311. DOI: 10.1089/tmj.2012.0106.
  3. AlDossary S., Martin-Khan M.G., Bradford N.K., Smith A.C. (2017). A systematic review of the methodologies used to evaluate telemedicine service initiatives in hospital facilities. International Journal of Medical Informatics, 97: 171-194. DOI: 10.1016/j.ijmedinf.2016.10.012.
  4. Avidor D., Loewenstein A., Waisbourd M., Nutman A. (2020). Cost-effectiveness of diabetic retinopathy screening programs using telemedicine: A systematic review. Cost Effectiveness and Resource Allocation, 18(1). DOI: 10.1186/s12962-020-00211-1.
  5. Bajowala S.S., Milosch J., Bansal C. (2020). Telemedicine pays: Billing and coding update. Current Allergy and Asthma Reports, 20(10). DOI: 10.1007/s11882-020-00956-y.
  6. Beck J.A., Jensen J.A., Putzier R.F., Stubert L.A., Stuart K.D., Mohammed H., Fang J.L. (2018). Developing a newborn resuscitation telemedicine program: A comparison of two technologies. Telemedicine and e-Health, 24(7): 481-488. DOI: 10.1089/tmj.2017.0121.
  7. Brady C.J., Garg S. (2020). Telemedicine for age-related macular degeneration. Telemedicine and e-Health, 26(4): 565-568: DOI: 10.1089/tmj.2020.0011.
  8. Chakraborty C., Gupta B., Ghosh S.K. (2013). A review on telemedicine-based WBAN framework for patient monitoring. Telemedicine and e-Health, 19(8): 619-626. DOI: 10.1089/tmj.2012.0215.
  9. Cipriani A., Geddes J. (2003). Comparison of systematic and narrative reviews: the example of the atypical antipsychotics. Epidemiology and psychiatric sciences, 12(3): 146-153.
  10. Compton M., Soper M., Reilly B., Gettle L., List R., Bailey M., Albon D. (2020). A feasibility study of urgent implementation of cystic fibrosis multidisciplinary telemedicine clinic in the face of COVID-19 pandemic: Single-center experience. Telemedicine and e-Health, 26(8): 978-984. DOI: 10.1089/tmj.2020.0091.
  11. Corallo A., Lazoi M., Striani F. (2020). Process mining and industrial applications: A systematic literature review. Knowledge and Process Management, 27(3): 225-233. DOI: 10.1002/kpm.1630.
  12. Davis A.M., James R.L., Boles R.E., Goetz J.R., Belmont J., Malone B. (2011). The use of TeleMedicine in the treatment of paediatric obesity: Feasibility and acceptability. Maternal and Child Nutrition, 7(1): 71-79. DOI: 10.1111/j.1740-8709.2010.00248.
  13. De La Torre-Diéz I., López-Coronado M., Vaca C., Aguado J.S., De Castro C. (2015). Cost-utility and cost-effectiveness studies of telemedicine, electronic, and mobile health systems in the literature: A systematic review. Telemedicine and e-Health, 21(2): 81-85. DOI: 10.1089/tmj.2014.0053.
  14. Driessen J., Chang W., Patel P., Wright R.M., Ernst K., Handler S.M. (2018). Nursing home provider perceptions of telemedicine for providing specialty consults. Telemedicine and e-Health, 24(7): 510-516. DOI: 10.1089/tmj.2017.0076.
  15. Durach C.F., Kembro J., Wieland A. (2017). A New Paradigm for Systematic Literature Reviews in Supply Chain Management. Journal of Supply Chain Management, 53(4): 67-85.
  16. Ekeland A.G., Bowes A., Flottorp S. (2012). Methodologies for assessing telemedicine: A systematic review of reviews. International Journal of Medical Informatics, 81(1): 1-11. DOI: 10.1016/j.ijmedinf.2011.10.009.
  17. Ekeland A.G., Grottland A. (2016). Assessment of mast in european patient-centered telemedicine pilots. International Journal of Technology Assessment in Health Care, 31(5): 304-311. DOI: 10.1017/S0266462315000574.
  18. Elliott T., Shih J., Dinakar C., Portnoy J., Fineman S. (2017). American college of allergy, asthma & immunology position paper on the use of telemedicine for allergists. Annals of Allergy, Asthma and Immunology, 119(6): 512-517. DOI: 10.1016/j.anai.2017.09.052.
  19. Epstein N.E. (2020). Case report (precis): Two telemedicine consultants miss foot drop: When to see patients in person. Surgical Neurology International, 11. DOI: 10.25259/SNI_584_2020.
  20. Govil N., Raol N., Tey C.S., Goudy S.L., Alfonso K. P. (2020). Rapid telemedicine implementation in the context of the COVID-19 pandemic in an academic pediatric otolaryngology practice. International journal of pediatric otorhinolaryngology, 139, 110447. DOI: 10.1016/j.ijporl.2020.110447.
  21. Guitton M.J. (2015). Telemedicine at sea and onshore: Divergences and convergences. International Maritime Health, 66(1): 18-21. DOI: 10.5603/IMH.2015.0005.
  22. Hark L.A., Adeghate J., Katz L.J., Ulas M., Waisbourd M., Maity A., Myers J.S. (2020). Philadelphia telemedicine glaucoma detection and follow-up study: Cataract classifications following eye screening. Telemedicine and e-Health, 26(8): 992-1000. DOI: 10.1089/tmj.2019.0170.
  23. Hatef E., Alexander M., Vanderver B., Fagan P., Albert M. (2017). Assessment of annual diabetic eye examination using telemedicine technology among underserved patients in primary care setting. Middle East African Journal of Ophthalmology, 24(4): 207-212. DOI: 10.4103/meajo.MEAJO_19_16.
  24. Kidholm K., Ekeland A.G., Jensen L.K., Rasmussen J., Pedersen C.D., Bowes, A., ... Bech M. (2012). A model for assessment of telemedicine
  25. applications: Mast. International Journal of Technology Assessment in Health Care, 28(1): 44-51. DOI: 10.1017/S0266462311000638.
  26. Kim D., Choi J., Han K. (2020). Risk management-based security evaluation model for telemedicine systems. BMC Medical Informatics and Decision Making, 20(1). DOI: 10.1186/s12911-020-01145-7.
  27. Krupinski E.A., Antoniotti N., Bernard J. (2013). Utilization of the american telemedicine association’s clinical practice guidelines. Telemedicine and e-Health, 19(11): 846-851. DOI: 10.1089/tmj.2013.0027.
  28. Langkamp D.L., McManus M.D., Blakemore S.D. (2015). Telemedicine for children with developmental disabilities: A more effective clinical process than office-based care. Telemedicine and e-Health, 21(2): 110-114. DOI: 10.1089/tmj.2013.0379.
  29. Li T., Liu Y., Xiong N.N., Liu A., Cai Z., Song H. (2018). Privacy-preserving protocol for sink node location in telemedicine networks. IEEE Access, 6: 42886-42903. DOI: 10.1109/ACCESS.2018.2858274.
  30. Maia M.R., Castela E., Pires A., Lapão L.V. (2019). How to develop a sustainable telemedicine service? A pediatric telecardiology service 20 years on-an exploratory study. BMC Health Services Research, 19(1). DOI: 10.1186/s12913-019-4511-5.
  31. Mars M., Scott R. (2012). Telemedicine service use: A new metric. Journal of Medical Internet Research, 14(6). DOI: 10.2196/jmir.193.
  32. McIntosh S., Cirillo D., Wood N., Dozier A.M., Alarie C., McConnochie K.M. (2014). Patient evaluation of an acute care pediatric telemedicine service in urban neighborhoods. Telemedicine and e-Health, 20(12): 1121-1126. DOI: 10.1089/tmj.2014.0032.
  33. Miller A.C., Ward M.M., Ullrich F., Merchant K.A.S., Swanson M.B., Mohr N.M. (2020). Emergency department telemedicine consults are associated with faster time-to-electrocardiogram and time-to-fibrinolysis for myocardial infarction patients. Telemedicine and e-Health, 26(12): 1440-1448. DOI: 10.1089/tmj.2019.0273.
  34. Molfenter T., Brown R., O’Neill A., Kopetsky E., Toy A. (2018). Use of telemedicine in addiction treatment: Current practices and organizational implementation characteristics. International Journal of Telemedicine and Applications, 2018: 1-7. DOI: 10.1155/2018/3932643.
  35. Nittari G., Khuman R., Baldoni S., Pallotta G., Battineni G., Sirignano, Amenta F., Ricci G. (2020). Telemedicine practice: Review of the current ethical and legal challenges. Telemedicine and e-Health, 26(12): 1427-1437. DOI:10.1089/tmj.2019.0158.
  36. Omboni S. (2020). Telemedicine during the COVID-19 in Italy: A missed opportunity?. Telemedicine and e-Health, 26(8): 973-975. DOI: 10.1089/tmj.2020.0106.
  37. Pae C.U. (2015). Why systematic review rather than narrative review?. Psychiatry investigation, 12(3): 417.
  38. Pedrosa F., Shaikh F., Rivera G., Ribeiro R., Qaddoumi I. (2017). The impact of prospective telemedicine implementation in the management of childhood acute lymphoblastic leukemia in Recife, Brazil. Telemedicine and e-Health, 23(10): 863-869. DOI: 10.1089/tmj.2016.0273.
  39. Pereira B.M.T., Calderan T.R.A., da Silva M.T.N., da Silva A.C., Marttos Jr. A.C., Fraga G.P. (2012). Initial experience at a university teaching hospital from using telemedicine to promote education through video conferencing. [Experiência inicial de um hospital universitário utilizando a telemedicina na promoção de educação através de vídeo-conferências]. Sao Paulo Medical Journal, 130(1): 32-36. DOI: 10.1590/S1516-31802012000100006.
  40. Pooni R., Sandborg C., Lee T. (2020). Building a viable telemedicine presence in pediatric rheumatology. Pediatric Clinics of North America, 67(4): 641-645. DOI: 10.1016/j.pcl.2020.04.006.
  41. Prabhakaran K., Lombardo G., Latifi R. (2016). Telemedicine for trauma and emergency management: An overview. Current Trauma Reports, 2(3): 115-123. DOI: 10.1007/s40719-016-0050-2.
  42. Qiao L., Koutsakis P. (2011). Adaptive bandwidth reservation and scheduling for efficient wireless telemedicine traffic transmission. IEEE Transactions on Vehicular Technology, 60(2): 632-643. DOI: 10.1109/TVT.2010.2095472.
  43. Rastogi R., Martinez K.A., Gupta N., Rood M., Rothberg M.B. (2020). Management of urinary tract infections in direct-to-consumer telemedicine. Journal of General Internal Medicine, 35(3): 643-648. DOI: 10.1007/s11606-019-05415-7.
  44. Ray K.N., Ashcraft L.E., Mehrotra A., Miller E., Kahn J.M. (2017). Family perspectives on telemedicine for pediatric subspecialty care. Telemedicine and e-Health, 23(10): 852-862. DOI: 10.1089/tmj.2016.0236.
  45. Ray K.N., Mehrotra A., Yabes J.G., Kahn J.M. (2020). Telemedicine and outpatient subspecialty visits among pediatric medic aid beneficiaries. Academic Pediatrics, 20(5): 642-651. DOI: 10.1016/j.acap.2020.03.014.
  46. Ray K.N., Shi Z., Gidengil C.A., Poon S.J., Uscher-Pines L., Mehrotra A. (2019). Antibiotic prescribing during pediatric direct-to-consumer
  47. telemedicine visits. Pediatrics, 143(5): DOI: 10.1542/peds.2018-2491.
  48. Reim W., Parida V., Örtqvist D. (2015). Product–Service Systems (PSS) business models and tactics – a systematic literature review. Journal of Cleaner Production, 97: 61-75. DOI: 10.1016/j.jclepro.2014.07.003.
  49. Rezaeibagha F., Mu Y. (2018). Practical and secure telemedicine systems for user mobility. Journal of Biomedical Informatics, 78: 24-32. DOI: 10.1016/j.jbi.2017.12.011.
  50. Röglinger M., Pöppelbuß J. Becker J. (2012). Maturity models in business process management. Business Process Management Journal, 18(2): 328-346. DOI: 10.1108/14637151211225225.
  51. Rother E.T. (2007). Systematic literature review X narrative review. Acta Paulista de Enfermagem, 20: v-vi.
  52. Saigí-Rubió F., Torrent-Sellens J., Jiménez-Zarco A. (2014). Drivers of telemedicine use: Comparative evidence from samples of spanish, colombian and bolivian physicians. Implementation Science, 9(1). DOI: 10.1186/s13012-014-0128-6.
  53. Sanders R.B., Simpson K.N., Kazley A.S., Giarrizzi D.P. (2014). New hospital telemedicine services: Potential market for a nighttime telehospitalist service. Telemedicine and e-Health, 20(10): 902-908. DOI: 10.1089/tmj.2013.0344.
  54. Sasikala S., Indhira K., Chandrasekaran V.M. (2018). Performance prediction of interactive telemedicine. Informatics in Medicine Unlocked, 11: 87-94. DOI: 10.1016/j.imu.2018.03.003.
  55. Sayani S., Muzammil M., Saleh K., Muqeet A., Zaidi F., Shaikh T. (2019). Addressing cost and time barriers in chronic disease management through telemedicine: An exploratory research in select low- and middle-income countries. Therapeutic Advances in Chronic Disease, 10: DOI: 10.1177/2040622319891587.
  56. Schweiberger K., Hoberman A., Iagnemma J., Schoemer P., Squire J., Taormina J., ... Ray K.N. (2020). Practice-level variation in telemedicine use in a pediatric primary care network during the COVID-19 pandemic: Retrospective analysis and survey study. Journal of Medical Internet Research, 22(12). DOI: 10.2196/24345.
  57. Seguí F.L., Parella J.F., García X.G., Peña J.M., Cuyàs F.G., Mas C.A., Vidal-Alaball J. (2020). A cost-minimization analysis of a medical record-based, store and forward and provider-to-provider telemedicine compared to usual care in Catalonia: More agile and efficient, especially for users. International Journal of Environmental Research and Public Health, 17(6). DOI: 10.3390/ijerph17062008.
  58. Serrano C.I., Shah V., Abràmoff M.D. (2018). Use of expectation disconfirmation theory to test patient satisfaction with asynchronous telemedicine for diabetic retinopathy detection. International Journal of Telemedicine and Applications, 2018: 1-14. DOI: 10.1155/2018/7015272.
  59. Setyono A., Alam M.J., Eswaran C. (2014). Mobile telemedicine system application for telediagnosis using multimedia messaging service technology. International Journal of Wireless and Mobile Computing, 7(4): 348-361. DOI: 10.1504/IJWMC.2014.063052.
  60. Stipa G., Gabbrielli F., Rabbito C., Di Lazzaro V., Amantini A., Grippo A., Lori S. (2020). The italian technical/administrative recommendations for telemedicine in clinical neurophysiology. Neurological Sciences, 42: 1923-1931. DOI: 10.1007/s10072-020-04732-8.
  61. Tan N., Yang L.W., Tan M.Z., Chng J., Tan M.H., Tan C. (2020). Virtual care to increase military medical centre capacity in the primary health care setting: A prospective self-controlled pilot study of symptoms collection and telemedicine. Journal of Telemedicine and Telecare, 2020: 1-10. DOI: 10.1177/1357633X20959579.
  62. Thelen S., Czaplik M., Meisen P., Schilberg D., Jeschke S. (2015). Using off-the-Shelf Medical Devices for Biomedical Signal Monitoring in a
  63. Telemedicine System for Emergency Medical Services. IEEE Journal of Biomedical and Health Informatics, 19 (1): 117-123. DOI: 10.1109/JBHI.2014.2361775.
  64. Tranfield D., Denyer D., Smart P. (2003). Towards a Methodology for Developing Evidence-Informed Management Knowledge by Means of Systematic Review. British Journal of Management, 14: 207-222. DOI: 10.1111/1467-8551.00375.
  65. Treurnicht M.J., Van Dyk L. (2014). A decision support system for equipment allocation in a telemedicine referral network. South African Journal of Industrial Engineering, 25(1): 29-38. DOI: 10.7166/25-1-641.
  66. Vilendrer S., Patel B., Chadwick W., Hwa M., Asch S., Pageler N., Sharp C. (2020). Rapid deployment of inpatient telemedicine in response to COVID-19 across three health systems. Journal of the American Medical Informatics Association, 27(7): 1102-1109. DOI: 10.1093/jamia/ocaa077.
  67. Welch B.M., Harvey J., O’Connell N.S., McElligott J.T. (2017). Patient preferences for direct-to-consumer telemedicine services: A nationwide survey. BMC Health Services Research, 17(1). DOI: 10.1186/s12913-017-2744-8.
  68. World Health Organization (2010). Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth. -- http://ec.europa.eu/information_society/activities/health/policy/telemedicine/index_e n.htm.
  69. Xiong W., Bair A., Sandrock C., Wang S., Siddiqui J., Hupert N. (2012). Implementing telemedicine in medical emergency response: Concept of operation for a regional telemedicine hub. Journal of Medical Systems, 36(3): 1651-1660. DOI: 10.1007/s10916-010-9626-5.
  70. Yu J., Zhang T., Liu Z., Hatab A.A., Lan J. (2020). Tripartite data analysis for optimizing telemedicine operations: Evidence from Guizhou province in China. International Journal of Environmental Research and Public Health, 17(1): 1-23. DOI: 10.3390/ijerph17010375.
  71. Zanaboni P., Wootton R. (2012). Adoption of telemedicine: from pilot stage to routine delivery. BMC Medical Informatics and Decision Making, 12: 1.
  72. Zanaboni P., Wootton R. (2016). Adoption of routine telemedicine in norwegian hospitals: Progress over 5 years. BMC Health Services Research, 16(1): 1-13. DOI: 10.1186/s12913-016-1743-5.
  73. Zhang Q., Zhang Q., Gan Y., Wang R., Tan Y. (2018). A dynamic and cross-domain authentication asymmetric group key agreement in telemedicine application. IEEE Access, 6: 24064-24074. DOI: 10.1109/ACCESS.2018.2799007.

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