Evaluating the Effectiveness of Telemedicine in Managing Common Conditions in Family Medicine

Telemedicine Outcomes in Family Medicine

Authors

  • Nimra Siddiqui Department of Family Medicine, Ziauddin Hospital, Karachi, Pakistan
  • Noor Ul Huda Zaki Department of Family Medicine, The Aga Khan University Hospital, Karachi, Pakistan
  • Komal Samir Department of Family Medicine, Indus Hospital and Health Network, Karachi, Pakistan
  • Unaiza Khalid Department of Family Medicine, Indus Hospital and Health Network, Karachi, Pakistan
  • Naveen Khawaja Department of Family Medicine, Dow University of Health Sciences, Karachi, Pakistan
  • Shaharyar Ahsan Department of Research and Development, Scientia Nova, Islamabad, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i8.3385

Keywords:

Telemedicine, Telehealth: Remote Treatment, Virtual Care, Healthcare

Abstract

Telemedicine has been progressively implemented worldwide for managing common presentations in family medicine, a cornerstone of primary care. Its implementation has accelerated since the COVID-19 pandemic, offering improved healthcare access, cost-effectiveness, reduced hospital visits, and better clinical outcomes. Objectives: To evaluate the effectiveness of telemedicine in managing common conditions in family medicine. Methods: This systematic review was performed in accordance with PRISMA guidelines. An electronic search of PubMed, Google Scholar, and Science Direct databases was performed for papers published from January 2014 until December 2023. We included studies in English that measured telemedicine efficacy among common acute or chronic conditions in the family medicine setting. Results: In the 14 trials included, telemedicine successfully managed a variety of common conditions. Aggregate outcomes revealed that readmission to hospitals among patients with heart failure was significantly decreased, better clinical status in diabetes and obesity, including diet habits, BMI enzymion and blood pressure. Conclusions: Telemedicine is an effective tool for managing common conditions encountered in family medicine, boosting care access, cost-efficiency, and clinical outcomes. Targeting the development of evidence-based guidelines for hybrid care models and evaluations of long-term effects on chronic disease outcomes, research is needed.

References

Jobé C, Carron PN, Métrailler P, Bellagamba JM, Briguet A, Zurcher L, et al. Introduction of Telemedicine in a Prehospital Emergency Care Setting: A Pilot Study. International Journal of Telemedicine and Applications. 2023; 2023(1): 1171401. doi: 10.1155/2023/1171401.

Loane M, Wootton R. A Review of Guidelines and Standards for Telemedicine. Journal of Telemedicine and Telecare. 2002 Apr; 8(2): 63-71. doi: 10.1258/1357633021937479.

Stoltzfus M, Kaur A, Chawla A, Gupta V, Anamika FN, Jain R, et al. The Role of Telemedicine in Healthcare: An Overview and Update. The Egyptian Journal of Internal Medicine. 2023 Dec; 35(1): 1-5. doi: 10.1186/s43162-023-00234-z.

Liverpool S, Mota CP, Sales CM, Čuš A, Carletto S, Hancheva C, et al. Engaging Children and Young People in Digital Mental Health Interventions: Systematic Review of Modes of Delivery, Facilitators, and Barriers. Journal of Medical Internet Research. 2020 Jun; 22(6): e16317. doi: 10.2196/16317.

Gross IT, Whitfill T, Redmond B, Couturier K, Bhatnagar A, Joseph M, et al. Comparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial. Neonatology. 2020 Jan; 117(2): 159-66. doi: 10.1159/000504853.

Kane CK, Gillis K. The Use of Telemedicine by Physicians: Still the Exception rather than the Rule. Health Affairs. 2018 Dec; 37(12): 1923-30. doi: 10.1377/hlthaff.2018.05077.

Lin O, Rudomina D, Feratovic R, Sirintrapun SJ. Rapid On-site Evaluation Using Telecytology: A Major Cancer Center Experience. Diagnostic Cytopathology. 2019 Jan; 47(1): 15-9. doi: 10.1002/dc.23925.

Williams AM, Bhatti UF, Alam HB, Nikolian VC. The Role of Telemedicine in Postoperative Care. Mhealth. 2018 May; 4: 11. doi: 10.21037/mhealth.2018.04.03.

Kuhn S, Jungmann F. Medicine in the Digital Age. The Radiologist. 2018 Mar; 58(3): 236-40. doi: 10.1007/s00117-017-0351-7.

Ndwabe H, Basu A, Mohammed J. Post Pandemic Analysis on Comprehensive Utilization of Telehealth and Telemedicine. Clinical eHealth. 2024 Feb; 7: 5-14. doi: 10.1016/j.ceh.2023.12.002.

Garg S, Engtipi K, Kumar R, Garg A. Role of Family Physicians in Providing Primary Healthcare during COVID-19 Pandemic. Journal of Family Medicine and Primary Care. 2022 Nov; 11(11): 6687-9. doi: 10.4103/jfmpc.jfmpc_2209_20.

Shams L, Mobinizadeh M, Nasiri T, Mohammadi F. Prioritizing Implementation Solutions for the Urban Family Physician Policy in Iran: A Multi-Criteria Decision-Making Study. BMC Health Services Research. 2025 Jan; 25(1): 143. doi: 10.1186/s12913-025-12291-x.

Hedden L, Spencer S, Mathews M, Gard Marshall E, Lukewich J, Asghari S, et al. Technology Has Allowed Us to Do a Lot More but It’s Not Necessarily the Panacea for Everybody: Family Physician Perspectives on Virtual Care during the COVID-19 Pandemic and Beyond. PLoS One. 2024 Feb; 19(2): e0296768. doi: 10.1371/journal.pone.0296768.

Barbosa W, Zhou K, Waddell E, Myers T, Dorsey ER. Improving Access to Care: Telemedicine Across Medical Domains. Annual Review of Public Health. 2021 Apr; 42(1): 463-81. doi: 10.1146/annurev-publhealth-090519-093711.

Klee D, Pyne D, Kroll J, James W, Hirko KA. Rural Patient and Provider Perceptions of Telehealth Implemented during the COVID-19 Pandemic. BMC Health Services Research. 2023 Sep; 23(1): 981. doi: 10.1186/s12913-023-09994-4.

Benjamin I, Idoko JE, Alakwe JA, Ugwu OJ, Ochanya F, et al. The Role of Telemedicine in Rural America: Overcoming Electrical and Technological Barriers to Improve Health Outcomes. International Journal of Scientific Research Archive. 2024; 12(2): 188-205. doi: 10.30574/ijsra.2024.12.2.1176.

AlAhmad YM, Mahmoud Haggeer D, Alsayed AY, Haik MY, AbuAfifeh LM, Hussain Aljaber M, et al. The Effect of Telemedicine on Patients’ Compliance in Family Medicine Follow-ups in Qatar. Avicenna. 2021 Nov; 2022(1): 3. doi: 10.5339/avi.2022.3.

Comín-Colet J, Enjuanes C, Verdú-Rotellar JM, Linas A, Ruiz-Rodriguez P, González-Robledo G, et al. Impact on Clinical Events and Healthcare Costs of Adding Telemedicine to Multidisciplinary Disease Management Programmes for Heart Failure: Results of a Randomized Controlled Trial. Journal of Telemedicine and Telecare. 2016 Jul; 22(5): 282-95. doi: 10.1177/1357633X15600583.

Do Alfuqhar IM, Khalafalla AE, Ali SH, Adam EI, Osman HM, Alrabie RS, et al. Effectiveness of Telemedicine in Managing Health-Related Issues in the Pediatric Population: A Systematic Review. Cureus. 2024 Oct; 16(10).

Hansel B, Giral P, Gambotti L, Lafourcade A, Peres G, Filipecki C, et al. A Fully Automated Web-Based Program Improves Lifestyle Habits and HbA1c in Patients with Type 2 Diabetes and Abdominal Obesity: Randomized Trial of Patient E-Coaching Nutritional Support (The ANODE Study). Journal of Medical Internet Research. 2017 Nov; 19(11): e360. doi: 10.2196/jmir.7947.

Fleischman A, Hourigan SE, Lyon HN, Landry MG, Reynolds J, Steltz SK, et al. Creating an Integrated Care Model for Childhood Obesity: A Randomized Pilot Study Utilizing Telehealth in a Community Primary Care Setting. Clinical Obesity. 2016 Dec; 6(6): 380-8. doi: 10.1111/cob.12166.

Fitzsimon J, Patel K, Peixoto C, Belanger C. Family Physicians’ Experiences with an Innovative, Community-Based, Hybrid Model of In-person and Virtual Care: A Mixed-Methods Study. BMC Health Services Research. 2023 Jun; 23(1): 573. doi: 10.1186/s12913-023-09599-x.

Farford BA, Bulbarelli EM, Ricketts I, Nath S, Ahuja AS, Keith J, et al. Accuracy of Telehealth Visits for Acute Care Needs in Family Medicine. Cureus. 2024 May; 16(5). doi: 10.7759/cureus.59569.

Chang F, Paramsothy T, Roche M, Gupta NS. Patient, Staff, and Clinician Perspectives on Implementing Electronic Communications in an Interdisciplinary Rural Family Health Practice. Primary Health Care Research and Development. 2017 Mar; 18(2): 149-60. doi: 10.1017/S1463423616000414.

Davis AM, Sampilo M, Gallagher KS, Dean K, Saroja MB, Yu Q, et al. Treating Rural Paediatric Obesity through Telemedicine vs. Telephone: Outcomes from a Cluster Randomized Controlled Trial. Journal of Telemedicine and Telecare. 2016 Mar; 22(2): 86-95. doi: 10.1177/1357633X15586642.

Vander Stoep A, McCarty CA, Zhou C, Rockhill CM, Schoenfelder EN, Myers K. The Children’s Attention-Deficit Hyperactivity Disorder Telemental Health Treatment Study: Caregiver Outcomes. Journal of Abnormal Child Psychology. 2017 Jan; 45(1): 27-43. doi: 10.1007/s10802-016-0155-7.

Bernocchi P, Vitacca M, La Rovere MT, Volterrani M, Galli T, Baratti D, et al. Home-based Telerehabilitation in Older Patients with Chronic Obstructive Pulmonary Disease and Heart Failure: A Randomised Controlled Trial. Age and Ageing. 2018 Jan; 47(1): 82-8. doi: 10.1093/ageing/afx146.

Ilali M, Le Berre M, Vedel I, Khanassov V. Telemedicine in the Primary Care of Older Adults: A Systematic Mixed Studies Review. BMC Primary Care. 2023 Jul; 24(1): 152. doi: 10.1186/s12875-023-02085-7.

Dantas R, Campos N, Castro AC, Santos E, de Sá Laranjeira SM, Silva CR. Teleconsultation, a Tool for the Future? The Portuguese Family Doctors’ Perspective. Atencion Primaria Practica. 2023 Jan; 5(1): 100169. doi: 10.1016/j.appr.2023.100169.

Verhaeghe H, Chellum N, Tressières B, Ouissa R, Roger PM. Teleconsultation in Family Medicine amid the COVID-19 Pandemic: An Adequate Tool? Infectious Diseases Now. 2022 Jun; 52(4): 230-2. doi: 10.1016/j.idnow.2022.05.004.

Barsky J, Hunter R, McAllister C, Yeates K, Campbell N, Liu P, et al. Analysis of the Implementation, User Perspectives, and Feedback from a Mobile Health Intervention for Individuals Living with Hypertension (DREAM-GLOBAL): Mixed Methods Study. JMIR mHealth and uHealth. 2019 Dec; 7(12): e12639. doi: 10.2196/12639.

Ma Y, Zhao C, Zhao Y, Lu J, Jiang H, Cao Y, et al. Telemedicine Application in Patients with Chronic Disease: A Systematic Review and Meta-analysis. BMC Medical Informatics and Decision Making. 2022 Apr; 22(1): 105. doi: 10.1186/s12911-022-01845-2.

Mahdavi S, Fekri M, Mohammadi-Sarab S, Mehmandoost M, Zarei E. The Use of Telemedicine in Family Medicine: A Scoping Review. BMC Health Services Research. 2025 Dec; 25(1): 1-3. doi: 10.1186/s12913-025-12449-7.

Butzner M, Cuffee Y. Telehealth Interventions and Outcomes across Rural Communities in the United States: Narrative Review. Journal of Medical Internet Research. 2021 Aug; 23(8): e29575. doi: 10.2196/29575.

Haleem A, Javaid M, Singh RP, Suman R. Telemedicine for Healthcare: Capabilities, Features, Barriers, and Applications. Sensors International. 2021 Jan; 2: 100117. doi: 10.1016/j.sintl.2021.100117.

Downloads

Published

2025-08-31
CITATION
DOI: 10.54393/pjhs.v6i8.3385
Published: 2025-08-31

How to Cite

Siddiqui, N., Zaki, N. U. H., Samir, K., Khalid, U., Khawaja, N., & Ahsan, S. (2025). Evaluating the Effectiveness of Telemedicine in Managing Common Conditions in Family Medicine: Telemedicine Outcomes in Family Medicine. Pakistan Journal of Health Sciences, 6(8). https://doi.org/10.54393/pjhs.v6i8.3385

Issue

Section

Systematic Review

Plaudit

Most read articles by the same author(s)