Videomöte istället för fysiskt besök i primärvården
Fråga och sammanfattning
Den ökade tillgången till smarta mobiler, surfplattor och datorer som möjliggör kommunikation via videosamtal i realtid har ändrat hur patient och vårdpersonal kan mötas inom primärvården. Både i sjukvårdsregionernas egen regi och på den privata marknaden har utvecklingen av olika digitala vårdtjänster gått snabbt de senaste åren, och i spåren av covid-19-pandemin har både efterfrågan och utbudet av digitala vårdmöten ökat ytterligare.
Fråga
Vilken vetenskapligt sammanställd forskning och vetenskapliga studier finns kring diagnostik och behandling via videomöte inom primärvården, jämfört med ett fysiskt besök?
Frågeställare: Allmänläkare, medlem i arbetsgruppen för PrimärvårdsKvalitet.
Sammanfattning
SBU:s upplysningstjänst har efter litteratursökning och bedömning av risk för bias inte inkluderat någon systematisk översikt i svaret. Vi har dock identifierat 25 relevanta systematiska översikter som undersökt videomöte inom motsvarande primärvård i Sverige. Samtliga översikter bedömdes ha hög risk för bias och därför presenteras inte författarnas slutsatser här. SBU:s upplysningstjänst har även identifierat 87 kontrollerade primärstudier relevanta för vår frågeställning. Primärstudierna har inte bedömts för risk för bias och studieförfattarnas slutsatser presenteras därför inte här, men referenser till studierna finns listade och uppdelade per ämnesområde i Bilaga 3 för den som önskar läsa mer.
På SBU:s upplysningstjänst identifierar och redovisar vi sammanställd forskning (systematiska översikter) eller identifierar vetenskapliga studier som svar på en avgränsad fråga. Vi bedömer risken för bias (överskattning eller underskattning av resultat) i systematiska översikter och presenterar författarnas slutsatser från systematiska översikter med låg eller måttlig risk för bias. I vetenskapliga primärstudier bedömer vi inte risken för bias och därför presenteras de bara som referenser. Vid behov bedömer vi kvalitet avseende ekonomiska aspekter och överförbarhet av resultat i hälsoekonomiska studier och presenterar författarnas slutsatser från de studier som bedöms ha minst medelhög kvalitet och överförbarhet. I svaren väger vi inte samman resultaten eller bedömer graden av vetenskaplig tillförlitlighet.
Bakgrund
Hälso- och sjukvården genomgår, liksom många andra branscher, en snabb utveckling vad gäller digitalisering och videomöten har kommit att bli en viktig del i kontakten mellan vårdpersonal och patienter. Covid-19-pandemin har även den lett till en både omfattande och snabb digital omställning. Andelen vårdkontakter med privata digitala vårdgivare ökade kraftigt under våren år 2020, men i ännu högre takt ökade efterfrågan på och användningen av regionernas egna digitala lösningar. Under de första månaderna år 2020 nästan tiodubblades användningen av regionernas egna digitala tjänster [1].
Avgränsningar
Vi har gjort sökningar (se avsnittet Litteratursökning) i databaserna Medline (OVID), Embase, Cochrane Library och Scopus. Vi har även gjort sökningar i det internationella HTA-nätverket INAHTA:s databas, bland regionala HTA-organisationer i Sverige samt på Socialstyrelsens hemsida.
Vi har formulerat frågan enligt följande PICO1:
- Population: Patienter i primärvård
- Intervention: Digitalt videomöte mellan patient och vårdpersonal
- Control: Sedvanligt fysiskt möte (face-to-face) mellan patient och vårdpersonal
- Outcome: Sjukdomsspecifika mått, patientnöjdhet, diagnostisk träffsäkerhet
Svaret inkluderar inte digitala vårdkontakter i form av chatt, textmeddelande, bildmeddelande och telefoni och omfattar inte hälsoekonomi eller påverkan på sjukvårdens organisation. Gruppinterventioner med videomöten är inte heller inkluderade.
För att vi skulle inkludera en artikel i svaret krävde vi att den var publicerad på engelska eller ett av de skandinaviska språken.
Litteratursökningen för kontrollerade primärstudier har begränsats till artiklar publicerade från år 2010 och framåt.
1. PICO är en förkortning för patient/population/problem, intervention/index test, comparison/control (jämförelseintervention) och outcome (utfallsmått).
Bedömning av risk för bias
Under genomförandet av en systematisk översikt finns det risk för att resultatet blir snedvridet på grund av brister i avgränsning, litteraturgenomgång och hantering av resultaten. Det är därför viktigt att granska metoden i en systematisk översikt. Två utredare på SBU bedömde oberoende av varandra risken för bias i översikterna med stöd av de frågor som finns beskrivna i AMSTAR granskningsmall [2] utifrån sex delsteg (detaljerad beskrivning återges i Bilaga 4: Granskningsmall för att översiktligt bedöma risken för snedvridning/systematiska fel hos systematiska översikter). Om översikten inte uppfyllde kraven i ett steg bedömdes den inte vidare för efterföljande steg. En systematisk översikt har bedömts ha medelhög till låg risk för bias om den uppfyller alla kraven till och med steg 4 i SBU:s mall.
Systematiska översikter med låg eller måttlig risk för bias beskrivs i text och tabell. De översikter som bedöms ha hög risk för bias presenteras inte i text och tabell eftersom risken för att resultaten är missvisande bedöms vara för hög.
Primärstudier bedöms inte för risk för bias av SBU:s upplysningstjänst. Det är därför möjligt att flera av studierna kan ha haft högre risk för bias än vad SBU inkluderar i sina andra rapporttyper.
Resultat från sökningen
Upplysningstjänstens litteratursökning efter systematiska översikter genererade totalt 1 352 artikelsammanfattningar (abstrakt) efter dubblettkontroll. Två utredare på SBU läste alla artikelsammanfattningar och bedömde att 84 artiklar kunde vara relevanta. Dessa lästes i fulltext av båda utredarna oberoende av varandra. De artiklar som inte var relevanta för frågan exkluderades (59 stycken se Bilaga 2). I Upplysningstjänstens svar bedömdes risken för bias i 25 artiklar som var relevanta för frågan, men inga av dessa klarade kraven för låg eller måttlig risk för bias (Bilaga 2). Vi kommer därför inte att presentera några resultat eller slutsatser i detta svar. Se även Bilaga 1 för flödesschema över litteratursökningens resultat.
Avseende kontrollerade primärstudier publicerade år 2010 eller senare genererade litteratursökningen 4 479 artikelsammanfattningar (efter dubblettkontroll). Dessa artikelsammanfattningar delades upp och lästes av två utredare på SBU. De artikelsammanfattningar som ansågs relevanta för frågan finns sammanställda i en tabell per ämnesområde i Bilaga 3.
Primärstudier
SBU:s upplysningstjänst identifierade 87 kontrollerade primärstudier [3–89]. För dessa har inte risken för bias bedömts och av det skälet finns inte resultat eller slutsatser beskrivna i text eller tabell. Se Bilaga 3 för en sammanfattande lista med gruppering av de identifierade primärstudierna.
Lästips
En rapport som kan vara av intresse är HTA-enheten CAMTÖ:s systematiska översikt från år 2018, i vilken man har utvärderat medicinsk bedömning och diagnostik via digitala vårdbesök men med avgränsning för nytillkomna symtom [90].
I arbetet med detta svar identifierade Upplysningstjänsten en systematisk översikt med måttlig risk för bias [91]som undersökte videomöten inom öppenvård, inklusive specialistvård, vilket faller utanför vår frågeställning, men som ändå kan vara av intresse [91].
Projektgrupp
Detta svar är sammanställt av Idha Kurtsdotter (utredare), Laura Lintamo (utredare), Sara Fundell (projektadministratör), Irene Edebert (produktsamordnare), Per Lytsy (medicinskt sakkunnig) samt Pernilla Östlund (avdelningschef) vid SBU.
Detta svar har granskats av Patrik Midlöv, Professor, distriktsläkare, Lunds universitet, Centrum för Primärvårdsforskning (CPF), Institutionen för kliniska vetenskaper, Malmö.
Litteratursökning – systematiska översikter
Medline via OVID March 25 2021
Video visits – Systematic Reviews
| The search result, usually found at the end of the documentation, forms the list of abstracts [MeSH] = Term from the Medline controlled vocabulary, including terms found below this term in the MeSH hierarchy; [MeSH:NoExp] = Does not include terms found below this term in the MeSH hierarchy; [MAJR] = MeSH Major Topic; [TIAB] = Title or abstract; [TI] = Title; [AU] = Author; [TW] = Text Word; Systematic[SB] = Filter for retrieving systematic reviews; * = Truncation |
||
| Search terms | Items found | |
| Video platform: | ||
| 1. | exp Videoconferencing/ | 2203 |
| 2. | (video$ or skype or facetime).tw | 134494 |
| 3. | real time telemedicine.tw | 39 |
| 4. | 1 OR 2 OR 3 | 135284 |
| Health care contact: | ||
| 5. | exp Remote consultation/ | 5159 |
| 6. | (e-consult$ or eConsult$ or e-doctor$ or eDoctor$ or e-clinic$ or eClinic$ or e-Therap$ or eTherap$ or e-appointment).tw | 1156 |
| 7. | (virtual adj2 (appointment$ or communicat$ or consult$ or visit$ or clinic$)).tw | 1366 |
| 8. | (electronic consult$ or econsult$ or e-consult$).tw | 459 |
| 9. | WebGP.tw | 1 |
| 10. | (non-face-to-face or face-to-face).tw | 31158 |
| 11. | remote adj (health care OR healthcare).tw | 243 |
| 12. | Telemedicine/ or Telerehabilitation/ | 27480 |
| 13. | (telemedicine OR telehealth OR telehealthcare OR telerehabilitation OR telecare).tw | 18487 |
| 14. | office visits/ | 7100 |
| 15. | (visit$ OR office).tw | 301855 |
| 16. | exp appointments and schedules/ | 9237 |
| 17. | (appointment$ OR patient schedule).tw | 25612 |
| 18. | *"Referral and Consultation"/ | 26841 |
| 19. | (consultation$ OR counsel$).tw | 192426 |
| 20. | exp practice patterns, physicians/ | 62286 |
| 21. | (clinical OR physicians) adj (practice pattern$).tw | 452 |
| 22. | exp physician patient relations/ | 73694 |
| 23. | ((physician OR doctor) adj (patient relation$)).tw | 6109 |
| 24. | exp Primary Health Care/ | 166414 |
| 25. | (primary adj (health care OR healthcare OR care)).tw | 124186 |
| 26. | exp General Practitioners/ OR exp Physicians, Family/ | 24761 |
| 27. | (general practitioner* OR family physician*).tw | 65859 |
| 28. | exp Family Practice/ OR General Practice/ | 75653 |
| 29. | (general practice OR family practice).tw | 43296 |
| 30 | 5 OR 6 OR 7 OR 8 OR 9 OR 10 OR 11 OR 12 OR 13 OR 14 OR 15 OR 16 OR 17 OR 18 OR 19 OR 20 OR 21 OR 22 OR 23 OR 24 OR 25 OR 26 OR 27 OR 28 OR 29 | 955101 |
| Combined sets: | ||
| 31. | 4 AND 30 | 13614 |
| Study types: | ||
| 32. | exp systematic review/ or Cochrane library.mp or exp meta analysis/ | 229438 |
| 33. | ((systematic$ adj3 review$) or meta analy$ or metaanaly$).ab,ti,kw | 321178 |
| 34. | 32 OR 33 | 349792 |
| Final | 31 AND 34 | 398 |
Cochrane Library via Wiley March 25 2021
Video visits – Systematic Reviews
| The search result, usually found at the end of the documentation, forms the list of abstracts au = Author; MeSH = Term from the Medline controlled vocabulary, including terms found below this term in the MeSH hierarchy; this term only = Does not include terms found below this term in the MeSH hierarchy; :ti = Title; :ab = Abstract; :kw = Keyword; * = Truncation; “ “ = Citation Marks; searches for an exact phrase CDSR = Cochrane Database of Systematic Review; CENTRAL = Cochrane Central Register of Controlled Trials, “trials”; CRM = Method Studies; DARE = Database Abstracts of Reviews of Effects, “other reviews”; EED = Economic Evaluations; HTA = Health Technology Assessments |
||
| Search terms | Items found | |
| Video platform: | ||
| 1. | MeSH descriptor: [Videoconferencing] explode all trees | 212 |
| 2. | (video* OR skype OR facetime):ti,ab,kw | 22,782 |
| 3. | (real time telemedicine):ti,ab,kw | 194 |
| 4. | #1 OR #2 OR #3 | 22,921 |
| Health care contact: | ||
| 5. | MeSH descriptor: [Office Visits] explode all trees | 462 |
| 6. | (visit* OR office):ti,ab,kw | 88,581 |
| 7. | MeSH descriptor: [Appointments and Schedules] explode all trees | 1,068 |
| 8. | (appointment* OR patient schedule):ti,ab,kw | 19,280 |
| 9. | MeSH descriptor: [Referral and Consultation] explode all trees | 2,329 |
| 10. | (consultation* OR (consultation* AND referral*)):ti,ab,kw | 12,841 |
| 11. | MeSH descriptor: [Practice Patterns, Physicians'] explode all trees | 1,242 |
| 12. | (clinical practice pattern* OR physicians practice pattern*):ti,ab,kw | 3,649 |
| 13. | MeSH descriptor: [Physician-Patient Relations] explode all trees | 1,403 |
| 14. | (physician patient relation* OR doctor patient relation*):ti,ab,kw | 6,605 |
| 15. | MeSH descriptor: [Telemedicine] explode all trees | 2,708 |
| 16. | (telemedicine or e-health or ehealth or m-health or mhealth OR telehealth* or “tele health*” OR telecare OR “tele care”):ti,ab,kw | 7,054 |
| 17. | ((mobile or electronic or digital or virtual*) NEXT (health or healthcare)):ti,ab,kw | 3,459 |
| 18. | (e-consult* or eConsult* or e-doctor* or eDoctor* or e-clinic* or eClinic*):ti,ab,kw | 268 |
| 19. | (virtual NEXT (appointment* or communicat* or consult*)):ti,ab,kw | 33 |
| 20. | (((remote or tele*) and consult*) or teleconsult*):ti,ab,kw | 3,301 |
| 21. | MeSH descriptor: [Primary Health Care] explode all trees | 7,429 |
| 22. | ((primary NEXT (health care OR healthcare OR care))):ti,ab,kw | 21,469 |
| 23. | MeSH descriptor: [General Practitioners] explode all trees | 280 |
| 24. | MeSH descriptor: [Physicians, Family] explode all trees | 455 |
| 25. | (general practitioner* OR family physician*):ti,ab,kw | 11,458 |
| 26. | MeSH descriptor: [Family Practice] explode all trees | 1,971 |
| 27. | MeSH descriptor: [General Practice] explode all trees | 2,453 |
| 28. | (general practice OR family practice):ti,ab,kw | 18,521 |
| 29. | #5 OR #6 OR #7 OR #8 OR #9 OR #10 OR #11 OR #12 OR #13 OR #14 OR #15 OR #16 OR #17 OR #18 OR #19 OR #20 OR #21 OR #22 OR #23 OR #24 OR #25 OR #26 OR #27 OR #28 | 156,770 |
| Combined sets: | ||
| 30. | #4 AND #29 | 5,079 |
| Limits: | ||
| 31. | Cochrane reviews | 51 |
| Final | 31 | 51 |
Embase via embase.com March 25 2021
Video visits – Systematic Reviews
| /de = Term from the EMTREE controlled vocabulary; /exp = Includes terms found below this term in the EMTREE hierarchy; /mj = Major Topic; :ab = Abstract; :au = Author; :ti = Article Title; :ti,ab = Title or abstract; * = Truncation; ’ ’ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
| Video platform: | ||
| 1. | ‘Videoconferencing’/exp | 5,053 |
| 2. | (‘video*’ OR ‘skype’ OR ‘facetime’ OR ‘videophone’ OR ‘real time telemedicine’):ti,ab,kw | 196,409 |
| 3. | 1 OR 2 | 197,882 |
| Health care contact: | ||
| 4. | telemedicine/exp | 47,075 |
| 5. | (‘telemedicine’ or ‘tele medicine’ OR ‘telehealth’ OR ‘telehealthcare’ OR ‘telerehabilitation’ OR ‘telecare’ OR ‘telediagnosis’):ti,ab,kw | 28,538 |
| 6. | (‘e-health’ OR ‘ehealth’ OR ‘m-health’ OR ‘mhealth’):ti,ab,kw | 14,169 |
| 7. | consultation/exp | 126,830 |
| 8. | (‘e-consult*’ OR ‘eConsult*’ OR ‘e-doctor*’ OR ‘eDoctor*’ OR ‘e-clinic*’ OR ‘eClinic*’ OR ‘e-Therap*’ OR ‘eTherap*’ OR ‘e-appointment*’):ti,ab,kw | 3,123 |
| 9. | (‘appointment*’ OR ‘patient schedule’ OR ‘consult*’ OR ‘counsel*’ OR ‘referral*’):ti,ab,kw | 587,601 |
| 10. | (‘visit*’ OR ‘office’):ti,ab,kw | 475,010 |
| 11. | ((‘clinical’ OR ‘physician’) NEXT/1 ‘practice pattern*’):ti,ab,kw | 1,299 |
| 12. | ((‘physician’ OR ‘doctor’) NEXT/1 ‘patient relation*’):ti,ab,kw | 9,794 |
| 13. | ‘health care’/de OR ‘rural health care’/exp OR ‘medical care’/exp | 1,238,962 |
| 14. | ‘health care delivery’/de OR aftercare/exp OR ‘ambulatory care’/exp OR ‘community care’/exp OR ‘long term care’/exp OR ‘primary health care’/exp | 2,356,589 |
| 15. | (‘primary’ NEXT/1 (‘health care’ OR ‘healthcare’ OR ‘care’)):ti,ab,kw | 194,296 |
| 16. | ((‘mobile’ OR ‘electronic’ OR ‘digital’ OR ‘virtualized’ OR ‘remote’) NEXT/1 (‘health’ OR ‘healthcare’)):ti,ab,kw | 38,782 |
| 17. | (‘virtual’ NEXT/2 (‘appointment*’ OR ‘communicat*’ OR ‘consult*’ or ‘care’ OR ‘contact*’ OR ‘clinic*’)):ti,ab,kw | 2,084 |
| 18. | (((remote OR tele*) NEXT/2 consult*) OR teleconsult*):ti,ab,kw | 5,625 |
| 19. | ‘WebGP’:ti,ab,kw | 1 |
| 20. | (‘non-face-to-face’ OR ‘face-to-face’):ti,ab,kw | 41,054 |
| 21. | ‘general practitioner’/exp | 103,435 |
| 22. | (general practitioner* OR family physician*):ti,ab,kw | 63,207 |
| 23. | General Practice/exp | 61,691 |
| 24. | ((general OR family) adj2 practice):ti,ab,kw | 86,083 |
| 25. | 4 OR 5 OR 6 OR 7 OR 8 OR 9 OR 10 OR 11 OR 12 OR 13 OR 14 OR 15 OR 16 OR 17 OR 18 OR 19 OR 20 OR 21 OR 22 OR 23 OR 24 | 4,150,206 |
| Combined sets: | ||
| 26. | 3 AND 25 | 43,984 |
| Study types: | ||
| 27. | ‘systematic review’/exp OR ‘Cochrane library’/exp OR ‘meta analysis’/exp | 392,622 |
| 28. | ((systematic* NEAR/3 review) OR meta analy* OR metaanaly*):ab,ti,kw | 306,809 |
| 29. | 27 OR 28 | 473,788 |
| Final | 26 AND 29 | 910 |
Scopus via scopus.com March 25 2021
Video visits – Systematic Reviews
| TITLE-ABS-KEY = Title or abstract or keywords; ALL = All fields; W/n = "Within". The terms in the search must be within a specified number of terms (n) in any order.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
| Video platform: | ||
| 1. | ( TITLE-ABS-KEY ( video* OR skype OR facetime ) ) OR ( TITLE-ABS-KEY ( "real time telemedicine" ) ) | 559,298 |
| Health care contact: | ||
| 2. | ( TITLE-ABS-KEY ( remote PRE/2 consultation ) ) OR ( TITLE-ABS-KEY ( e-consult* OR econsult$ OR e-doctor* OR edoctor* OR e-clinic* OR eclinic* OR "electronic consult*" OR e-appointment ) ) OR ( TITLE-ABS-KEY ( virtual W/2 ( appointment* OR communicat* OR consult* OR visit* OR clinic* ) ) ) OR ( TITLE-ABS-KEY ( webgp ) ) OR ( TITLE-ABS-KEY ( non-face-to-face OR face-to-face ) ) OR ( TITLE-ABS-KEY ( ( remote OR tele OR virtual* ) PRE/2 ( "health care" OR healthcare ) ) ) OR ( TITLE-ABS-KEY ( telemedicine OR telehealth OR telehealthcare OR telerehabilitation OR telecare ) ) OR ( TITLE-ABS-KEY ( visit* OR office ) ) OR ( TITLE-ABS-KEY ( "appointments and schedules" OR "Referral and Consultation" ) ) OR ( TITLE-ABS-KEY ( appointment* OR "patient schedule" ) ) OR ( TITLE-ABS-KEY ( consultation* OR counsel* ) ) OR ( TITLE-ABS-KEY ( "practice patterns, physicians" ) ) OR ( TITLE-ABS-KEY ( ( clinical OR physicians ) PRE/1 ( "practice pattern*" ) ) ) OR ( TITLE-ABS-KEY ( primary PRE/1 ( "health care" OR healthcare OR care ) ) ) | 1,516,106 |
| Combined sets: | ||
| 3. | #1 AND #2 | 26,766 |
| Study types: | ||
| 4. | ( TITLE-ABS-KEY ( "systematic review" OR "Cochrane library" OR "meta analysis" ) ) OR ( TITLE-ABS-KEY ( ( systematic* W/3 review* ) OR "meta analy*" OR metaanaly* ) ) | 513,199 |
| Final | #3 AND #4 | 615 |
Litteratursökning – kontrollerade studier
Medline via OVID March 25 2021
Video visits – Controlled studies
| The search result, usually found at the end of the documentation, forms the list of abstracts [MeSH] = Term from the Medline controlled vocabulary, including terms found below this term in the MeSH hierarchy; [MeSH:NoExp] = Does not include terms found below this term in the MeSH hierarchy; [MAJR] = MeSH Major Topic; [TIAB] = Title or abstract; [TI] = Title; [AU] = Author; [TW] = Text Word; Systematic; [SB] = Filter for retrieving systematic reviews; * = Truncation |
||
| Search terms | Items found | |
| Video platform: | ||
| 1. | exp Videoconferencing/ | 2203 |
| 2. | (skype or facetime).tw | 484 |
| 3. | real time telemedicine.tw | 39 |
| 4. | videolink.tw | 38 |
| 5. | interactive video*.tw | 704 |
| 6. | videoconferenc*.tw | 2486 |
| 7. | videovisit*.tw | 2 |
| 8. | ((video or virtual) adj2 (visit* or conferenc* or appointment* or meeting* or link or consult* or communicat* or teleconsult* or teleconferenc* or telehealth)).tw | 3846 |
| 9. | (real time adj2 (video or telemedicine or encounter)).tw | 763 |
| 10. | video-to-home.tw | 64 |
| 11. | (alternative* adj3 face-to-face).tw | 228 |
| 12. | telehealth visit*.tw | 182 |
| 13. | 1 OR 2 OR 3 OR 4 OR 5 OR 6 OR 7 OR 8 OR 9 OR 10 OR 11 OR 12 | 9011 |
| Health care contact: | ||
| 14. | exp Remote consultation/ | 5159 |
| 15. | (e-consult$ or eConsult$ or e-doctor$ or eDoctor$ or e-clinic$ or eClinic$ or e-Therap$ or eTherap$ or e-appointment).tw | 1156 |
| 16. | (virtual adj2 (appointment$ or communicat$ or consult$ or visit$ or clinic$)).tw | 1366 |
| 17. | (electronic consult$ or econsult$ or e-consult$).tw | 459 |
| 18. | WebGP.tw | 1 |
| 19. | (non-face-to-face or face-to-face).tw | 31158 |
| 20. | remote adj (health care OR healthcare).tw | 243 |
| 21. | Telemedicine/ or Telerehabilitation/ | 27480 |
| 22. | (telemedicine OR telehealth OR telehealthcare OR telerehabilitation OR telecare).tw | 18487 |
| 23. | office visits/ | 7100 |
| 24. | (visit$ OR office).tw | 301855 |
| 25. | exp appointments and schedules/ | 9237 |
| 26. | (appointment$ OR patient schedule).tw | 25612 |
| 27. | *"Referral and Consultation"/ | 26841 |
| 28. | (consultation$ OR counsel$).tw | 192426 |
| 29. | exp practice patterns, physicians/ | 62286 |
| 30. | (clinical OR physicians) adj (practice pattern$).tw | 452 |
| 31. | exp physician patient relations/ | 73694 |
| 32. | ((physician OR doctor) adj (patient relation$)).tw | 6109 |
| 33. | exp Primary Health Care/ | 166414 |
| 34. | (primary adj (health care OR healthcare OR care)).tw | 124186 |
| 35. | exp General Practitioners/ OR exp Physicians, Family/ | 24761 |
| 36. | (general practitioner* OR family physician*).tw | 65859 |
| 37. | exp Family Practice/ OR General Practice/ | 75653 |
| 38. | (general practice OR family practice).tw | 43296 |
| 39. | 14 OR 15 OR 16 OR 17 OR 18 OR 19 OR 20 OR 21 OR 22 OR 23 OR 24 OR 25 OR 26 OR 27 OR 28 OR 29 OR 30 OR 31 OR 32 OR 33 OR 34 OR 35 OR 36 OR 37 OR 38 | 955101 |
| Study types: | ||
| 40. | ((clinical and trial) or random*).ti,ab | 1337662 |
| 41. | exp clinical trial/ or exp random allocation/ or exp therapeutic uses/ | 5979431 |
| 42. | control*.ti,ab | 4011979 |
| 43. | 40 OR 41 OR 42 | 9321535 |
| Combined sets: | ||
| 44. | 13 OR 39 | 5579 |
| 45. | 44 AND 43 | 1452 |
| Limits: | ||
| 46. | limit 44 to (clinical study or clinical trial, all or clinical trial) | 543 |
| 47. | 45 OR 46 | 1454 |
| 48. | limit 47 to yr="2010 -Current" | 1094 |
| Final | 1094 | |
Cochrane Library via Wiley March 25 2021
Video visits – Controlled studies
| The search result, usually found at the end of the documentation, forms the list of abstracts au = Author; MeSH = Term from the Medline controlled vocabulary, including terms found below this term in the MeSH hierarchy; this term only = Does not include terms found below this term in the MeSH hierarchy; :ti = Title; :ab = Abstract; :kw = Keyword; * = Truncation; “ “ = Citation Marks; searches for an exact phrase; CDSR = Cochrane Database of Systematic Review; CENTRAL = Cochrane Central Register of Controlled Trials, “trials“; CRM = Method Studies; DARE = Database Abstracts of Reviews of Effects, “other reviews”; EED = Economic Evaluations; HTA = Health Technology Assessments |
||
| Search terms | Items found | |
| Video platform: | ||
| 1. | MeSH descriptor: [Videoconferencing] explode all trees | 212 |
| 2. | (skype or facetime):ti,ab,kw | 235 |
| 3. | (videolink OR “interactive video*” OR videoconferenc* OR videovisit*):ti,ab,kw | 1,109 |
| 4. | ((video OR virtual) NEXT/3 (visit* OR conferenc* OR appointment* OR meeting* OR link OR consult* OR communicat* OR teleconsult* OR teleconferenc* OR telehealth)):ti,ab,kw | 941 |
| 5. | (real time NEXT/2 (video OR telemedicine OR encounter)):ti,ab,kw | |
| 6. | (video-to-home):ti,ab,kw | 5 |
| 7. | 7(alternative* NEXT/3 (face-to-face)):ti,ab,kw | 68 |
| 8. | (telehealth visit*):ti,ab,kw | 356 |
| 9. | #1 OR #2 OR #3 OR #4 OR #5 OR #6 OR #7 OR #8 | 2,361 |
| Health care contact: | ||
| 10. | MeSH descriptor: [Office Visits] explode all trees | 462 |
| 11. | (visit* OR office):ti,ab,kw | 88,581 |
| 12. | MeSH descriptor: [Appointments and Schedules] explode all trees | 1,068 |
| 13. | (appointment* OR patient schedule):ti,ab,kw | 19,280 |
| 14. | MeSH descriptor: [Referral and Consultation] explode all trees | 2,329 |
| 15. | (consultation* OR (consultation* AND referral*)):ti,ab,kw | 12,841 |
| 16. | MeSH descriptor: [Practice Patterns, Physicians'] explode all trees | 1,242 |
| 17. | (clinical practice pattern* OR physicians practice pattern*):ti,ab,kw | 3,649 |
| 18. | MeSH descriptor: [Physician-Patient Relations] explode all trees | 1,403 |
| 19. | (physician patient relation* OR doctor patient relation*):ti,ab,kw | 6,605 |
| 20. | MeSH descriptor: [Telemedicine] explode all trees | 2,708 |
| 21. | (telemedicine or e-health or ehealth or m-health or mhealth OR telehealth* or “tele health*” OR telecare OR “tele care”):ti,ab,kw | 7,054 |
| 22. | ((mobile or electronic or digital or virtual*) NEXT (health or healthcare)):ti,ab,kw | 3,459 |
| 23. | (e-consult* or eConsult* or e-doctor* or eDoctor* or e-clinic* or eClinic*):ti,ab,kw | 268 |
| 24. | (virtual NEXT (appointment* or communicat* or consult*)):ti,ab,kw | 33 |
| 25. | (((remote or tele*) and consult*) or teleconsult*):ti,ab,kw | 3,301 |
| 26. | 2MeSH descriptor: [Primary Health Care] explode all trees | 7,429 |
| 27. | ((primary NEXT (health care OR healthcare OR care))):ti,ab,kw | 21,469 |
| 28. | MeSH descriptor: [General Practitioners] explode all trees | 280 |
| 29. | MeSH descriptor: [Physicians, Family] explode all trees | 455 |
| 30. | (general practitioner* OR family physician*):ti,ab,kw | 11,458 |
| 31. | MeSH descriptor: [Family Practice] explode all trees | 1,971 |
| 32. | MeSH descriptor: [General Practice] explode all trees | 2,453 |
| 33. | (general practice OR family practice):ti,ab,kw | 18,521 |
| 34. | #10 OR #11 OR #12 OR #13 OR #14 OR #15 OR #16 OR #17 OR #18 OR #19 OR #20 OR #21 OR #22 OR #23 OR #24 OR #25 OR #26 OR #27 OR #28 OR #29 OR #30 OR #31 OR #32 OR #33 | 156,770 |
| Study types: | ||
| 35. | MeSH descriptor: [Clinical Trial] explode all trees | 141 |
| 36. | MeSH descriptor: [Random Allocation] explode all trees | 20,618 |
| 37. | MeSH descriptor: [Therapeutic Uses] explode all trees | 170,299 |
| 38. | ((randomized OR randomised) AND controlled AND trial):ti,ab,kw | 584,835 |
| 39. | (control*):ti,ab,kw | 1,013,518 |
| 40. | #35 OR #36 OR #37 OR #38 OR #39 | 1,088,143 |
| Combined sets: | ||
| 41. | #9 AND #34 | 1532 |
| 42. | #41 AND #40 | 1,207 |
| Limits: | ||
| 43. | with Publication Year from 2010 to 2021, in Trials | 1,080 |
| Final | 1,080 | |
Embase via embase.com March 25 2021
Video visits – Controlled studies
| /de = Term from the EMTREE controlled vocabulary; /exp = Includes terms found below this term in the EMTREE hierarchy; /mj = Major Topic; :ab = Abstract; :au = Author; :ti = Article Title; :ti,ab = Title or abstract; * = Truncation; ’ ’ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
| Video platform: | ||
| 1. | ‘Videoconferencing’/exp | 5,053 |
| 2. | (skype or facetime):ti,ab,kw | 949 |
| 3. | videolink:ti,ab,kw | 21 |
| 4. | ‘interactive video*’:ti,ab,kw | 909 |
| 5. | videoconferenc*:ti,ab,kw | 3,423 |
| 6. | videovisit*:ti,ab,kw | 4 |
| 7. | ((video OR virtual) NEXT/2 (visit* OR conferenc* OR appointment* OR meeting* OR link OR consult* OR communicat* OR teleconsult* OR teleconferenc* OR telehealth)):ti,ab,kw | 4,905 |
| 8. | (real time NEXT/2 (video OR telemedicine OR encounter)):ti,ab,kw | 1,012 |
| 9. | video-to-home:ti,ab,kw | 13 |
| 10. | (alternative* NEXT/3 (face-to-face)):ti,ab,kw | 276 |
| 11. | ‘telehealth visit*’:ti,ab,kw | 296 |
| 12. | 1 OR 2 OR 3 OR 4 OR 5 OR 6 OR 7 OR 8 OR 9 OR 10 OR 11 | 12,253 |
| Health care contact: | ||
| 13. | telemedicine/exp | 47,075 |
| 14. | (‘telemedicine’ or ‘tele medicine’ OR ‘telehealth’ OR ‘telehealthcare’ OR ‘telerehabilitation’ OR ‘telecare’ OR ‘telediagnosis’):ti,ab,kw | 28,538 |
| 15. | (‘e-health’ OR ‘ehealth’ OR ‘m-health’ OR ‘mhealth’):ti,ab,kw | 14,169 |
| 16. | consultation/exp | 126,830 |
| 17. | (‘e-consult*’ OR ‘eConsult*’ OR ‘e-doctor*’ OR ‘eDoctor*’ OR ‘e-clinic*’ OR ‘eClinic*’ OR ‘e-Therap*’ OR ‘eTherap*’ OR ‘e-appointment*’):ti,ab,kw | 3,123 |
| 18. | (‘appointment*’ OR ‘patient schedule’ OR ‘consult*’ OR ‘counsel*’ OR ‘referral*’):ti,ab,kw | 587,601 |
| 19. | (‘visit*’ OR ‘office’):ti,ab,kw | 475,010 |
| 20. | ((‘clinical’ OR ‘physician’) NEXT/1 ‘practice pattern*’):ti,ab,kw | 1,299 |
| 21. | ((‘physician’ OR ‘doctor’) NEXT/1 ‘patient relation*’):ti,ab,kw | 9,794 |
| 22. | ‘health care’/de OR ‘rural health care’/exp OR ‘medical care’/exp | 1,238,962 |
| 23. | ‘health care delivery’/de OR aftercare/exp OR ‘ambulatory care’/exp OR ‘community care’/exp OR ‘long term care’/exp OR ‘primary health care’/exp | 2,356,589 |
| 24. | (‘primary’ NEXT/1 (‘health care’ OR ‘healthcare’ OR ‘care’)):ti,ab,kw | 194,296 |
| 25. | ((‘mobile’ OR ‘electronic’ OR ‘digital’ OR ‘virtualized’ OR ‘remote’) NEXT/1 (‘health’ OR ‘healthcare’)):ti,ab,kw | 38,782 |
| 26. | (‘virtual’ NEXT/2 (‘appointment*’ OR ‘communicat*’ OR ‘consult*’ or ‘care’ OR ‘contact*’ OR ‘clinic*’)):ti,ab,kw | 2,084 |
| 27. | (((remote OR tele*) NEXT/2 consult*) OR teleconsult*):ti,ab,kw | 5,625 |
| 28. | ‘WebGP’:ti,ab,kw | 1 |
| 29. | (‘non-face-to-face’ OR ‘face-to-face’):ti,ab,kw | 41,054 |
| 30. | ‘general practitioner’/exp | 103,435 |
| 31. | (general practitioner* OR family physician*):ti,ab,kw | 63,207 |
| 32. | General Practice/exp | 61,691 |
| 33. | ((general OR family) adj2 practice):ti,ab,kw | 86,083 |
| 34. | 13 OR 14 OR 15 OR 16 OR 17 OR 18 OR 19 OR 20 OR 21 OR 22 OR 23 OR 24 OR 25 OR 26 OR 27 OR 28 OR 29 OR 30 OR 31 OR 32 OR 33 | 4,150,206 |
| Study types: | ||
| 35. | clinical:ti,ab AND trial:ti,ab OR random*:ti,ab | 1,860,313 |
| 36. | (clinical AND 'trial'/exp OR 'randomization'/exp OR controlled) AND 'study'/exp OR 'therapy'/exp | 9,242,594 |
| 37. | control*:ti,ab | 5,274,801 |
| 38. | 35 OR 36 OR 37 | 13,440,637 |
| Combined sets: | ||
| 39. | 12 AND 34 | 8,821 |
| 40. | 38 AND 39 | 4,754 |
| 41. | 40 AND ('conference abstract'/it OR 'editorial'/it OR 'erratum'/it OR 'note'/it) | 1,762 |
| 42. | 40 NOT 41 | 2,992 |
| Limits: | ||
| 43. | 42 AND (2010:py OR 2011:py OR 2012:py OR 2013:py OR 2014:py OR 2015:py OR 2016:py OR 2017:py OR 2018:py OR 2019:py OR 2020:py OR 2021:py) | 2,292 |
| Final | 2,292 | |
Scopus via scopus.com March 26 2021
Video visits – Systematic Reviews
| TITLE-ABS-KEY = Title or abstract or keywords; ALL = All fields; W/n = "Within". The terms in the search must be within a specified number of terms (n) in any order.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
| Video platform: | ||
| 1. | TITLE-ABS-KEY(“real time telemedicine”) | 72 |
| 2. | TITLE-ABS-KEY(skype or facetime) | 2,281 |
| 3. | TITLE-ABS-KEY(videolink OR “interactive video*” OR videoconferenc* OR videovisit* OR “video-to-home”) | 12,419 |
| 4. | TITLE-ABS-KEY((video OR virtual) W/2 (visit* OR conferenc* OR appointment* OR meeting* OR link OR consult* OR communicat* OR teleconsult* OR teleconferenc* OR telehealth)) | 26,625 |
| 5. | TITLE-ABS-KEY(“real time” W/2 (video OR telemedicine OR encounter)) | 12,558 |
| 6. | TITLE-ABS-KEY(alternative* W/3 (“face-to-face”)) | 465 |
| 7. | TITLE-ABS-KEY(“telehealth visit*”) | 163 |
| 8. | #1 OR #2 OR #3 OR #4 OR #5 OR #6 OR #7 | 49,480 |
| Health care contact: | ||
| 9. | ( TITLE-ABS-KEY ( remote PRE/2 consultation ) ) OR ( TITLE-ABS-KEY ( e-consult* OR econsult$ OR e-doctor* OR edoctor* OR e-clinic* OR eclinic* OR "electronic consult*" OR e-appointment ) ) OR ( TITLE-ABS-KEY ( virtual W/2 ( appointment* OR communicat* OR consult* OR visit* OR clinic* ) ) ) OR ( TITLE-ABS-KEY ( webgp ) ) OR ( TITLE-ABS-KEY ( non-face-to-face OR face-to-face ) ) OR ( TITLE-ABS-KEY ( ( remote OR tele OR virtual* ) PRE/2 ( "health care" OR healthcare ) ) ) OR ( TITLE-ABS-KEY ( telemedicine OR telehealth OR telehealthcare OR telerehabilitation OR telecare ) ) OR ( TITLE-ABS-KEY ( visit* OR office ) ) OR ( TITLE-ABS-KEY ( "appointments and schedules" OR "Referral and Consultation" ) ) OR ( TITLE-ABS-KEY ( appointment* OR "patient schedule" ) ) OR ( TITLE-ABS-KEY ( consultation* OR counsel* ) ) OR ( TITLE-ABS-KEY ( "practice patterns, physicians" ) ) OR ( TITLE-ABS-KEY ( ( clinical OR physicians ) PRE/1 ( "practice pattern*" ) ) ) OR ( TITLE-ABS-KEY ( primary PRE/1 ( "health care" OR healthcare OR care ) ) ) | 1,516,178 |
| Study types: | ||
| 10. | ( TITLE-ABS-KEY ( control* ) | 14,893,798 |
| Combined sets: | ||
| 11. | #1 AND #9 | 13,153 |
| 12. | #11 AND #10 | 3,053 |
| Limits: | ||
| 13. | #12 AND ( LIMIT-TO ( PUBYEAR , 2021 ) OR LIMIT-TO ( PUBYEAR , 2020 ) OR LIMIT-TO ( PUBYEAR , 2019 ) OR LIMIT-TO ( PUBYEAR , 2018 ) OR LIMIT-TO ( PUBYEAR , 2017 ) OR LIMIT-TO ( PUBYEAR , 2016 ) OR LIMIT-TO ( PUBYEAR , 2015 ) OR LIMIT-TO ( PUBYEAR , 2014 ) OR LIMIT-TO ( PUBYEAR , 2013 ) OR LIMIT-TO ( PUBYEAR , 2012 ) OR LIMIT-TO ( PUBYEAR , 2011 ) OR LIMIT-TO ( PUBYEAR , 2010 ) ) | 2,214 |
| 14. | #13 AND ( EXCLUDE ( DOCTYPE , "le" ) OR EXCLUDE ( DOCTYPE , "no" ) OR EXCLUDE ( DOCTYPE , "ed" ) OR EXCLUDE ( DOCTYPE , "ch" ) OR EXCLUDE ( DOCTYPE , "bk" ) OR EXCLUDE ( DOCTYPE , "er" ) ) | 2,086 |
| Final | 2,086 | |
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- 151. Batastini AB, Paprzycki P, Jones ACT, MacLean N. Are videoconferenced mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. Clin Psychol Rev. 2021;83. Available from: https://doi.org/10.1016/j.cpr.2020.101944.
- 152. Berryhill MB, Culmer N, Williams N, Halli-Tierney A, Betancourt A, Roberts H, et al. Videoconferencing Psychotherapy and Depression: A Systematic Review. Telemed J E Health. 2019;25(6):435-46. Available from: https://doi.org/10.1089/tmj.2018.0058.
- 153. Berryhill MB, Halli-Tierney A, Culmer N, Williams N, Betancourt A, King M, et al. Videoconferencing psychological therapy and anxiety: a systematic review. Fam Pract. 2019;36(1):53-63. Available from: https://doi.org/10.1093/fampra/cmy072.
- 154. Binng D, Splonskowski M, Jacova C. Distance Assessment for Detecting Cognitive Impairment in Older Adults: A Systematic Review of Psychometric Evidence. Dement Geriatr Cogn Disord. 2020;49(5):456-70. Available from: https://doi.org/10.1159/000511945.
- 155. Boydell KM, Hodgins M, Pignatiello A, Teshima J, Edwards H, Willis D. Using technology to deliver mental health services to children and youth: A scoping review. J Can Acad Child Adolesc Psychiatry. 2014;23(2):87-99.
- 156. Christensen LF, Moller AM, Hansen JP, Nielsen CT, Gildberg FA. Patients' and providers' experiences with video consultations used in the treatment of older patients with unipolar depression: A systematic review. J Psychiatr Ment Health Nurs. 2020;27(3):258-71. Available from: https://doi.org/10.1111/jpm.12574.
- 157. Chuchu N, Dinnes J, Takwoingi Y, Matin RN, Bayliss SE, Davenport C, et al. Teledermatology for diagnosing skin cancer in adults. Cochrane Database Syst Rev. 2018;12(12):CD013193. Available from: https://doi.org/10.1002/14651858.CD013193.
- 158. Edirippulige S, Martin-Khan M, Beattie E, Smith AC, Gray LC. A systematic review of telemedicine services for residents in long term care facilities. J Telemed Telecare. 2013;19(3):127-32. Available from: https://doi.org/10.1177/1357633X13483256.
- 159. Hailey D, Roine R, Ohinmaa A. The effectiveness of telemental health applications: a review. Can J Psychiatry. 2008;53(11):769-78. Available from: https://doi.org/10.1177/070674370805301109.
- 160. Hazenberg C, Aan de Stegge WB, Van Baal SG, Moll FL, Bus SA. Telehealth and telemedicine applications for the diabetic foot: A systematic review. Diabetes Metab Res Rev. 2020;36(3):e3247. Available from: https://doi.org/10.1002/dmrr.3247.
- 161. Jess M, Timm H, Dieperink KB. Video consultations in palliative care: A systematic integrative review. Palliat Med. 2019;33(8):942-58. Available from: https://doi.org/10.1177/0269216319854938.
- 162. Newbould L, Mountain G, Hawley MS, Ariss S. Videoconferencing for Health Care Provision for Older Adults in Care Homes: A Review of the Research Evidence. Int J Telemed Appl. 2017;2017:5785613. Available from: https://doi.org/10.1155/2017/5785613.
- 163. O'Cathail M, Ananth S, an M, Diver C, Patel P, Christian J. The use of patient-facing teleconsultations in the national health service: Scoping review. JMIR Med Inform. 2020;8(3). Available from: https://doi.org/10.2196/15380.
- 164. Orlando JF, Beard M, Kumar S. Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health. PLoS One. 2019;14(8). Available from: https://doi.org/10.1371/journal.pone.0221848.
- 165. Petersen W, Karpinski K, Backhaus L, Bierke S, Haner M. A systematic review about telemedicine in orthopedics. Arch Orthop Trauma Surg. 2021. Available from: https://doi.org/10.1007/s00402-021-03788-1.
- 166. Rees CS, Maclaine E. A Systematic Review of Videoconference-Delivered Psychological Treatment for Anxiety Disorders. Aust Psychol. 2015;50(4):259-64. Available from: https://doi.org/10.1111/ap.12122.
- 167. Shukla H, Nair SR, Thakker D. Role of telerehabilitation in patients following total knee arthroplasty: Evidence from a systematic literature review and meta-analysis. J Telemed Telecare. 2017;23(2):339-46. Available from: https://doi.org/10.1177/1357633X16628996.
- 168. Speyer R, Denman D, Wilkes-Gillan S, Chen YW, Bogaardt H, Kim JH, et al. Effects of telehealth by allied health professionals and nurses in rural and remote areas: A systematic review and meta-analysis. J Rehabil Med. 2018;50(3):225-35. Available from: https://doi.org/10.2340/16501977-2297.
- 169. Sutherland AE, Stickland J, Wee B. Can video consultations replace face-to-face interviews? Palliative medicine and the Covid-19 pandemic: rapid review. BMJ Support Palliat Care. 2020;10(3):271-5. Available from: https://doi.org/10.1136/bmjspcare-2020-002326.
- 170. Tran V, Lam MK, Amon KL, Brunner M, Hines M, Penman M, et al. Interdisciplinary eHealth for the care of people living with traumatic brain injury: A systematic review. Brain Inj. 2017;31(13-14):1701-10. Available from: https://doi.org/10.1080/02699052.2017.1387932.
- 171. Verhoeven F, van Gemert-Pijnen L, Dijkstra K, Nijland N, Seydel E, Steehouder M. The contribution of teleconsultation and videoconferencing to diabetes care: a systematic literature review. J Med Internet Res. 2007;9(5):e37. Available from: https://doi.org/10.2196/jmir.9.5.e37.
- 172. Wagg AJ, Callanan MM, Hassett A. The use of computer mediated communication in providing patient support: A review of the research literature. Int J Nurs Stud. 2018;82:68-78. Available from: https://doi.org/10.1016/j.ijnurstu.2018.03.010.
- 173. Walumbe J, Belton J, Denneny D. Pain management programmes via video conferencing: a rapid review. Scand J Pain. 2021;21(1):32-40. Available from: https://doi.org/10.1515/sjpain-2020-0112.
- Wong B, Ward D, Gemmell K, Bright R, Blackman R, Sole G, et al. How is telehealth being utilized in the context of rehabilitation for lower limb musculoskeletal disorders: a scoping review. Phys Ther Rev. 2020;25(5):350-60. Available from: https://doi.org/10.1080/10833196.2020.1832712.
Bilaga 1 Flödesschema för systematiska översikter
Bilaga 2 Systematiska översikter exkluderade på grund av bristande relevans, samt lista över systematiska översikter med hög risk för bias
Systematiska översikter exkluderade på grund av bristande relevans
| Författare. Titel (År) Referens |
Exklusionsorsak |
| Ajibade et al. Telemedicine in cardiovascular surgery during COVID-19 pandemic: A systematic review and our experience. (2020) [92] |
Inte systematisk översikt |
| Allida et al mHealth education interventions in heart failure. (2020) [93] |
Saknar videomöte |
| Ames et al. Clients’ perceptions and experiences of targeted digital communication accessible via mobile devices for reproductive, maternal, newborn, child, and adolescent health: a qualitative evidence synthesis. (2019) [94] |
Saknar videomöte |
| Armfield et al. The clinical use of Skype-For which patients, with which problems and in which settings? A snapshot review of the literature. (2015) [95] |
Specialistvård |
| Armoiry et al. Digital Clinical Communication for Families and Caregivers of Children or Young People With Short- or Long-Term Conditions: Rapid Review. (2018) [96] |
Ingen särredovisning av videomöten |
| Asiri et al. Practice and Education: A Systematic Literature Review. (2016) [97] |
Ingen sammanställning av data |
| Bashi et al. Remote Monitoring of Patients With Heart Failure: An Overview of Systematic Reviews. (2017) [98] |
Inga utfall |
| Batsis et al. Effectiveness of Ambulatory Telemedicine Care in Older Adults: A Systematic Review. (2019) [91] |
Inte primärvård |
| Blackburn et al. A systematic review of digital interactive television systems and their applications in the health and social care fields. (2011) [99] |
Inga utfall |
| Burnham et al. Telemedicine infectious diseases consultations and clinical outcomes: A systematic review. (2019) [100] |
Ingen särredovisning av videomöten |
| Chandak et al. Self-management of hypertension using technology enabled interventions in primary care settings. (2015) [101] |
Ingen särredovisning av videomöten |
| Chen et al. Telemedicine in Chronic Wound Management: Systematic Review And Meta-Analysis. (2020) [102] |
Ingen särredovisning av videomöten |
| Cox et al. Telerehabilitation for Chronic Respiratory Disease: A Cochrane Systematic Review. (2020) [103] |
Ingen särredovisning av videomöten |
| De Groot et al. Efficacy of telemedicine on glycaemic control in patients with type 2 diabetes: A meta-analysis. (2021) [104] |
Större intervention |
| De Guzman et al. A systematic review of pediatric telediabetes service models. (2020) [105] |
Specialistvård |
| Dorstyn et al. A systematic review of telecounselling and its effectiveness in managing depression amongst minority ethnic communities. (2013) [106] |
Fel population |
| Downes et al. Telephone consultations for general practice: A systematic review. (2017) [107] |
Saknar videomöte |
| Eberle et al. Effect of telemetric interventions on glycated hemoglobin A1c and management of type 2 diabetes mellitus: Systematic meta-review (2021) [108] |
Större intervention |
| Eberle et al. Clinical Improvements by Telemedicine Interventions Managing Type 1 and Type 2 Diabetes: Systematic Meta-review. (2021) [109] |
Inte videomöte |
| Ekeland Granstrom et al. Clinical Videoconferencing as eHealth: A Critical-Realist Review and Qualitative Meta-Synthesis. (2018) [110] |
Inga utfall |
| Flodgren et al. Interactive telemedicine: effects on professional practice and health care outcomes. (2015) [111] |
Saknar videomöte |
| Garcia-Lizana et al. Telemedicine for Depression: A Systematic Review (2009) [112] |
Ingen särredovisning av videomöten |
| Harerimana et al. The use of technology for mental healthcare delivery among older adults with depressive symptoms: A systematic literature review. (2019) [113] |
Ingen särredovisning av videomöten |
| Harrison et al. Patients' perceptions of joint teleconsultations: a qualitative evaluation. (2006) [114] |
Inte systematisk översikt |
| Hersh et al. Diagnosis, access and outcomes: Update of a systematic review of telemedicine services. (2006) [115] |
Ej relevant intervention pga teknisk utveckling |
| Jalil et al. A Meta-Synthesis of Behavioral Outcomes from Telemedicine Clinical Trials for Type 2 Diabetes and the Clinical User-Experience Evaluation (CUE). (2015) [116] |
Ingen särredovisning av videomöten |
| James et al. Spread, Scale-up, and Sustainability of Video Consulting in Health Care: Systematic Review and Synthesis Guided by the NASSS Framework. (2021) [117] |
Inga utfall |
| Jhaveri et al. Telestroke, tele-oncology and teledialysis: a systematic review to analyse the outcomes of active therapies delivered with telemedicine support. (2015) [118] |
Specialistvård |
| Kampmeijer et al. The use of e-health and m-health tools in health promotion and primary prevention among older adults: a systematic literature review. (2016) [119] |
Ospecifik prevention |
| Kitsiou et al. Effects of home telemonitoring interventions on patients with chronic heart failure: an overview of systematic reviews. (2015) [120] |
Saknar videomöte |
| Kloek et al. Blended Interventions to Change Behavior in Patients With Chronic Somatic Disorders: Systematic Review. (2017) [121] |
Större intervention |
| Kruse et al. Utilization Barriers and Medical Outcomes Commensurate With the Use of Telehealth Among Older Adults: Systematic Review. (2020) [122] |
Ingen särredovisning av videomöte |
| Liu et al. Inclusion of telemedicine in behavioral health quality measures. (2020) [123] |
Inga relevanta utfall |
| Mair et al. Systematic review of studies of patient satisfaction with telemedicine.
(2000) [124] |
Ingen särredovisning av videomöte |
| Maisto et al. Digital interventions for psychological comorbidities in chronic diseases—a systematic review. (2021) [125[125] |
Behandlingsintervention |
| Marcolino et al. Telemedicine application in the care of diabetes patients: Systematic review and meta-analysis. (2015) [126] |
Ingen särredovisning av videomöte |
| McLean et al. Telehealthcare for asthma. (2010) [127] |
Ingen särredovisning av videomöte |
| McLean et al. Telehealthcare for chronic obstructive pulmonary disease. (2011) [128] |
Ingen särredovisning av videomöte |
| Mold et al. Electronic Consultation in Primary Care Between Providers and Patients: Systematic Review. (2019) [129] |
Ingen särredovisning av videomöte |
| Neubeck et al. Telehealth interventions for the secondary prevention of coronary heart disease: A systematic review. (2009) [130] |
Inte videomöte |
| Nordheim et al. Effect of telemedicine follow-up care of leg and foot ulcers: a systematic review (2014) [131] |
Inkluderar endast en primärstudie vilken är från 2004 |
| Rasekaba et al. Telemedicine interventions for gestational diabetes mellitus: A systematic review and meta-analysis. (2015) [132] |
Inte primärvård |
| Rubin et al. Systematic review of telestroke for post-stroke care and rehabilitation. (2013) [133] |
Inga relevanta utfall |
| Samarri et al. Continuation of telemedicine in otolaryngology post-COVID-19: Applications by subspecialty (2021) [134] |
Inte systematisk översikt |
| Shah et al. Telemedicine in Pediatrics: Systematic Review of Randomized Controlled Trials. (2021) [135] |
Ingen särredovisning av videomöte |
| Shek et al. Technology-based interventions for mental health support after stroke: A systematic review of their acceptability and feasibility. (2019) [136] |
Behandlingsintervention |
| Singh et al. A Review of Telemedicine Applications in Otorhinolaryngology: Considerations During the Coronavirus Disease of 2019 Pandemic. (2021) [137] |
Inga relevanta utfall |
| Steel et al. Therapeutic videoconferencing interventions for the treatment of long-term conditions. (2011) [138] |
Behandlingsintervention |
| Stevenson et al. eHealth interventions for people with chronic kidney disease. (2019) [139] |
Ingen särredovisning av videomöte |
| Taub et al. Patient safety systems in the primary health care of diabetes-a story of missed opportunities? (2010) [140] |
Inte videomöte |
| Thiyagarajan et al. Exploring patients' and clinicians' experiences of video consultations in primary care: A systematic scoping review. (2020) [141] |
Fel publikationstyp, explorative kartläggning |
| Van Den Berg et al. Telemedicine and telecare for older patients - A systematic review. (2012) [142] |
Inte videomöte inte primärvård? |
| Verhoeven et al. Asynchronous and synchronous teleconsultation for diabetes care: a systematic literature review. (2010) [143] |
Ingen särredovisning av videomöte |
| Williams et al. Limitations of patient satisfaction studies in telehealthcare: a systematic review of the literature. (2001) [144] |
Inga relevanta utfall |
| Yang et al. Intervention and Evaluation of Mobile Health Technologies in Management of Patients Undergoing Chronic Dialysis: Scoping Review. (2020) [145] |
Behandlingsintervention |
| Zhai et al. Clinical- and Cost-effectiveness of Telemedicine in Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis (2014) [146] |
Ingen särredovisning av videomöte |
| Zhou et al. Reaching People With Disabilities in Underserved Areas Through Digital Interventions: Systematic Review. (2019) [147] |
Inga relevanta utfall |
| Zhu et al Tele-Health Intervention for Carers of Dementia Patients—A Systematic Review and Meta-Analysis of Randomized Controlled Trials. (2021) [148] |
Ingen särredovisning av videomöte |
| Zonneveld et al. The use of information and communication technology in healthcare to improve participation in everyday life: a scoping review. (2020) [149] |
Ingen särredovisning av videomöte |
Systematiska översikter med hög risk för bias
| Författare. Titel (År) Referens |
Orsak till bias |
| Barth et al. Diagnosis of cognitive decline and dementia in rural areas - A scoping review. (2018) [150] |
Hög risk för bias. Brister i sökstrategin. Relevansgranskningen är inte dubbel i första steget. |
| Batastini et al. Are videoconference mental and behavioral health services just as good as in-person? A meta-analysis of a fast-growing practice. (2021) [151] |
Hög risk för bias. Ingen redovisad sökstrategi. |
| Berryhill et al. Videoconferencing Psychotherapy and depression: A Systematic Review. (2019) [152] |
Hög risk för bias. Brister i sökstrategin. Saknar information om hur relevansgranskningen är utförd. |
| Berryhill et al. Videoconferencing psychological therapy and anxiety: a systematic review. (2019) [153] |
Hög risk för bias. Saknar information om hur relevansgranskningen är utförd. |
| Binng et al. Distance Assessment for Detecting Cognitive Impairment in Older Adults: A Systematic Review of Psychometric Evidence. (2020) [154] |
Hög risk för bias. Brister i sökstrategin. |
| Boydell et al. Using technology to deliver mental health services to children and youth: A scoping review. (2014) [155] |
Hög risk för bias. Brister i sökstrategin. |
| Christensen et al. Patients' and providers' experiences with video consultations used in the treatment of older patients with unipolar depression: A systematic review. (2020) [156] |
Hög risk för bias. Brister i redovisningen av risk för bias-granskningen. |
| Chuchu et al. Teledermatology for diagnosing skin cancer in adults. (2018) [157] |
Hög risk för bias. Brister i sökstrategin. Relevansgranskningen är inte dubbel. |
| Edirippulige et al. A systematic review of telemedicine services for residents in long term care facilities. (2013) [158] |
Hög risk för bias. Har inte tagit hänsyn till risk för bias vid sammanvägningen av resultat. |
| Hailey et al. The effectiveness of telemental health applications: A review. (2008) [159] |
Hög risk för bias. Brister i sökstrategin. |
| Hazenberg et al. Telehealth and telemedicine applications for the diabetic foot: A systematic review. (2020) [160] |
Hög risk för bias. Brister i sökstrategin – har endast gjort litteratursökning i en databas. |
| Jess et al. Video consultations in palliative care: A systematic integrative review. (2019) [161] |
Hög risk för bias. Brister i sökstrategin. Relevansgranskningen är inte dubbel. |
| Newbould et al. Videoconferencing for Health Care Provision for Older Adults in Care Homes: A Review of the Research Evidence. (2017) [162] |
Hög risk för bias. Brister i sökstrategin. Relevansgranskningen är inte dubbel. |
| O'Cathail et al. The use of patient-facing teleconsultations in the national health service: Scoping review. (2020) [163] |
Hög risk för bias. Brister i sökstrategin. |
| Orlando et al. Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health. (2019) [164] |
Hög risk för bias. Brister i sökstrategin. |
| Petersen et al. A systematic review about telemedicine in orthopedics. (2021) [165] |
Hög risk för bias. Brister i sökstrategin. |
| Rees et al. Videoconference-Delivered Psychological Treatment for Anxiety Disorders. (2015) [166] |
Hög risk för bias. Brister i sökstrategin. Oklart ifall relevansgranskningen är dubbel. |
| Shukla et al. Role of telerehabilitation in patients following total knee arthroplasty: Evidence from a systematic literature review and meta-analysis. (2016) [167] |
Hög risk för bias. Brister i sökstrategin. |
| Speyer et al. Effects of telehealth by allied health professionals and nurses in rural and remote areas: A systematic review and meta-Analysis. (2018) [168] |
Hög risk för bias. Brister i redovisningen av ingående studier. |
| Sutherland et al. Can video consultations replace face-to-face interviews? Palliative medicine and the Covid-19 pandemic: rapid review. (2020) [169] |
Hög risk för bias. Brister i sökstrategin. |
| Tran et al. Interdisciplinary eHealth for the care of people living with traumatic brain injury: A systematic review. (2017) [170] |
Hög risk för bias. Relevansgranskningen är inte utförd av två granskare. |
| Verhoeven et al. The contribution of teleconsultation and videoconferencing to diabetes care: A systematic literature review. (2007) [171] |
Hög risk för bias. Brister i sökstrategin. |
| Wagg et al. The use of computer mediated communication in providing patient support: A review of the research literature. (2018) [172] |
Hög risk för bias. Brister i sökstrategin. |
| Walumbe et al. Pain management programmes via video conferencing: A rapid review. (2021) [173] |
Hög risk för bias. Brister i sökstrategin. Bedömning av risk för bias saknas. |
| Wong et al. How is telehealth being utilized in the context of rehabilitation for lower limb musculoskeletal disorders: a scoping review. (2020) [174] |
Hög risk för bias. Sökstrategin går inte att hitta. Bedömning av risk för bias saknas. |
Bilaga 3 Identifierade primärstudier
SBU:s upplysningstjänst identifierade 87 kontrollerade primärstudier [31–117]. För dessa har inte risken för bias bedömts och av det skälet finns inte resultat eller slutsatser beskrivna.
| Population | Referenser |
| Astma | [19, 80] |
| Diabetes | [3, 7, 27, 30, 31, 34, 43, 68, 73, 82] |
| Fysioterapi | [70, 75] |
| Hjärt-kärlsjukdom (t.ex. stroke, hypertoni, rehabilitering) | [13, 14, 22, 23, 38, 49, 50, 63, 72, 87, 88] |
| Hudsjukdom, sårvård | [28, 29, 51, 84, 85] |
| Infektion (t.ex. övre luftvägsinfektioner, urinvägsinfektioner, Covid-19) | [24, 46, 47, 53, 64, 67] |
| Muskel- och skelettsjukdomar (t.ex. reumatism, rehabilitering, ortopedi) | [10, 25, 26, 54, 65, 78, 79] |
| Neurologi (t.ex. Parkinsons, Intellektuell funktionsnedsättning) | [5, 69, 71, 76, 77] |
| Njursjukdom | [66] |
| Palliativ vård | [44] |
| Psykologi | [9, 12, 15, 21, 35, 37, 55, 59, 83] |
| Smärta | [16, 36, 57, 58, 61] |
| Sömnapné | [40-42] |
| Urologi | [4] |
| Äldre (t.ex. demens, äldrevård) | [6, 8, 11, 17, 18, 32, 39, 48, 56, 81, 86, 89] |
| Övervikt/fetma | [20, 45] |
| Om videomöte/virtuellt möte | Referenser |
| Innehåll och kvalitet | [33] |
| Användbarhet, patientnöjdhet | [52, 60, 62, 74] |
Statens beredning för medicinsk och social utvärdering
