Table 1.
Basic Characteristics and Main Features of the Telehealth Services Provided or Used for Primary Health Care
| First Author | Type of Disease | Country | Purpose of telehealth | Telehealth Delivery | Telehealth Staff | Population Type | Telehealth Services Receiver | Type of study | Age of participant | follow up (month) | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Chan27 | Type 2 DM | China | Education, monitoring and controlling disease | Two-way synchronous | Primary care group, Specialist | NM | Patient | NM | Elderly(Average age: 73.3) | 2 | |
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| Cottrell28 | Hypertension | UK | Managing hypertension | Synchronous | GP | NM | Patient | Observational | Adults | 6 | |
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| Calvoa29 | COPD | Spain | Telemonitoring and follow-up | Asynchronous | GP, Pulmonologist, Nurse | Urban | Patient, Primary care physician | Controlled trial | Elderly | 7 | |
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| Schuttner30 | Population based primary health care | Zambia | Referral, follow up, and outreach service | Synchronous | Community health workers, GP | Rural | Care Provider | Observational | NM | 8 | |
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| Klein-Wiele31 | Palpitation | Germany | Detecting arrhythmia | One-way asynchronous | GP, Specialist | NM | Patient | Observational | 17-82 | 1 | |
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| Huis in ‘t Veld32 | Neck–Shoulder Pain | Netherlands | reduce pain, reduce disability | Synchronous | Myo-feedback therapist, Technician | NM | Patient | Qualitative study | NM | 1 | |
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| Tabak33 | COPD | Netherlands | Support treatment of COPD through self-management | Two-way | Specialist, Nurse | NM | Patient | RCT | NM | 9 | |
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| Uscher-Pines34 | Minor illnesses | USA | Examining impact of telemedicine services on care | Two-way synchronous | Physician | NM | Patient | Observational | NM | 11 | |
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| Harrison35 | Diseases related to 10 different specialties | UK | Teleconferencing outpatient consultations | Two-way synchronous | GP, Specialist | Urban | Patient | Observational exploratory feasibility study | NM | 5 | |
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| Izquierdo36 | Diabetes | USA | Following the recommendation of remote diabetes team by GPs | NM | GP, Specialist | Rural | Patient | RCT | 55 years of age or older | 7 years | |
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| de Lusignana37 | Chronic Heart Failure | UK | Home telemonitoring | Synchronous/asynchronous | Nurse, Cardiologist, GP, Clinical physiologist | NM | Patient | RCT | Between 65 and 80 | 6 | |
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| Anogianakis38 | Primary care in prison | Greece | To assist primary care team for delivery of health care in prison | NM | GP, Paramedics, Specialist, Nurse | Urban | Patient | Observational (cross-sectional) | NM | 9 | |
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| Trief39 | Diabetes | USA | Improving diabetes control | Synchronous and asynchronous | Dietitian, Nurse, Specialist | Rural | Patient | Observational | Elderly patients | 12 | |
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| Glynn40 | Physical activity | Ireland | Promoting physical activity in primary care | Synchronous and asynchronous | Primary care team | Rural | Young population | RCT | >16 age | 8 | |
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| Mussulman41 | Smoking Cessation | USA | Examining teledelivery of effective tobacco treatment | Synchronous | Counselor, Receptionist, Nurse | Rural | Patient | RCT | >18 | 12 | |
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| Pratt42 | Mental illnesses | USA | Improving self-management | Synchronous and | Nurse | Urban | Patient | Observational | aged 18 and older | 6 | |
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| and chronic illness | asynchronous | ||||||||||
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| Levy43 | Spina Bifida | UK | To support continence self-care deficits | Two-way | Nurse | NM | Patients’ family | Observational | 12-18 years | NM | |
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| Bove44 | Hypertension | USA | Self-monitoring | Two-way | GP, Nurse | Urban, Underserved | Patient | RCT | >18 | 6 | |
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| Al Alawi45 | Diabetic retinopathy | Bahrain | Screening | NM | Ophthalmologist, Ophthalmologic technician | NM | Primary care physician | Observational | 24-84 years | NM | |
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| Hatef46 | Diabetic retinopathy | USA | Increasing the completion of the annual eye examination | NA | GP, Specialist | Urban, Underserved | Patient | Observational | 18-75 years | NM | |
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| Odnoletkova47 | Type 2 DM | Belgium | Coaching | NA | Certified diabetes nurse educator | NM | Patient | RCT | 18-75 years | 18 | |
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| Quinn48 | Type 2 diabetes | USA | Evaluate self-efficacy for diabetes self-management | Two-way | Certified diabetes educator, Patient coaching system | NM | Patient | Observational | seven older adults (mean age: 70.3 years) | 2 | |
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| Wakefield49 | Diabetes and hypertension | USA | Evaluating the efficacy of remote monitoring | NA | Nurse | Urban | Patient | RCT | 40-89 years | 6 and 12 | |
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| Deen50 | Depression | USA | Evaluating acceptability, | Two-way | Nurse, Psychologist | NM | Patient | RCT | Mean: 47 | 12 | |
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| initiation and engagement in telepsychotherapy | Psychiatrist, Pharmacist | ||||||||||
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| Tudiver51 | Diabetes | USA | Evaluating acceptability | NA | GP, Dietitian | Mostly rural, urban | Patient | Observational (longitudinal survey) | Mean: 48 | 12 | |
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| Nagrebetsky52 | Type 2 diabetes | UK | Feasibility self-monitoring | Synchronous | GP, Nurse | NM | Patient | RCT | Mean: 58 | 6 | |
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| Bujnowska-Fedak53 | Primary care | Poland | Support real time consultations | Two-way synchronous | GP, Academic | Urban, Rural | GP, Patient | Descriptive | NM | 3 years | |
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| family medicine specialist | |||||||||||
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| Huber54 | Obesity | USA | Improving lifestyle | NM | Wellness coach | NM | Patient | RCT | 18-55 | 6 | |
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| Etherington55 | Cervical Cancer | UK | Screening cervical cancer | Asynchronous | Nurse, Specialist | Urban | Women with minor smear abnormality but normal cervices | Observational | 19-50 | 2 weeks | |
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| Ruas56 | Primary Care | Brazil | Increasing the ability of primary care providers and educating them | Asynchronous | Specialist | NM | Primary Care Physician | Observational (descriptive) | 24-61 | NM | |
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| Salisbury57 | Cardiovascular Disease | UK | Reducing risk of cardiovascular disease | Asynchronous/synchronous | GP, Nurse | Urban/Rural | Patients | RCT | 40-74 | 12 | |
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| Salisbury58 | Chronic Health Conditions | UK | Developing conceptual model for telehealth | NM | GP | NM | Patients, Healthcare professionals | Mixed methods | NM | NM | |
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| Iannitto59 | Diabetes Type II | USA | Managing insulin | NM | GP, Nurse | NM | Patients | Observational (cross-sectional) | >18 | 12 | |
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| Langkamp60 | Children with Developmental Disabilities | USA | Evaluate benefits of school based telemedicine for treating minor illnesses | Asynchronous | GP, Nurse, Certified telehealth assistant in school | Rural | Patient (school-age children with a disability) | Observational (cross-sectional) | 3-21 years Mean: 9.2 years | 12 months | |
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| Larsen61 | Type 2 diabetes | UK | Adjusting the insulin dose to improve glycemic control | Asynchronous/Synchronous | Nurse/GP | NM | Patient | Observational | Mean: 57 | 6 | |
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| Dario62 | Type 2 diabetes | Italy | Telemonitoring for improving health-related quality of life | Synchronous/Asynchronous | Specialist | NM | Patient | RCT | Mean: 73 | 12 | |
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| Blomdahl63 | Disorders in the anterior part of the eye | Sweden | Evaluate technical quality of teleophthalmology | Two-way synchronous | GP, Specialist | Urban | Patient | Observational | NM | 24 | |
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| Thijssing64 | COPD | Netherlands | Improving quality and efficiency of care | Two-way | GP, Specialist | NM | GP | Observational | Mean: 52 | 28 | |
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| Hussain65 | Urinary tract symptoms | UK | Training and supervising | Synchronous | GP, Specialist | NM | GP | Observational | NM | NM | |
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| Backman66 | Cardiac disease | UK | Management | Two-way, synchronous/Asynchronous | Specialist, Nurse | Rural | NM | Review | NM | NM | |
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| Pecina67 | Dermatologic conditions | USA | Evaluation of telehealth app | Asynchronous | GP, Specialist | NM | NM | Retrospective | Mean: 44 | 1 | |
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| Cottrell68 | Chronic kidney diseases or blood pressure | UK | Evaluate, Management | Asynchronous two-way | GP, Nurse | Underserved, Urban | Patient | Prospective | >50 years | 3-6 | |
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| Bujnowska-Fedak69 | Type 2 diabetes | Poland | Improve quality of life and health status | Two-way | Care provider (mostly GP) | NM | Care provider (mostly GP) | RCT | 18-75 years | NM | |
• NM: Not Mentioned