EXPLORING THE ROLE OF TELEMEDICINE IN MODERN HEALTHCARE SERVICES: A REVIEW

Keywords: Telemedicine, Chronic Disease Management, COVID-19, Telehealth, Acute Care, Mental Health

Abstract

Objective: Telemedicine, defined as the distribution of health-related services and information via telecommunication technologies, has rapidly evolved from a niche solution into a central component of modern healthcare systems. As healthcare systems around the world contend with the challenges of aging populations, a rise in chronic diseases, and a growing shortage of healthcare professionals, telemedicine could be an effective solution, offering innovative ways to expand access to care, enhance patient outcomes and optimize resource use. The aim of this review is to critically explore and evaluate the role of telemedicine in modern healthcare services, with a specific focus on its applications in managing chronic diseases, acute care, and mental health services. This study seeks to analyze the benefits, challenges, and limitations associated with the widespread adoption of telemedicine.

Methods: The article is the result of review of recent scientific literature using PubMed database. Literature was reviewed using keywords.

Key findings: In recent years, telemedicine has demonstrated significant benefits in enhancing healthcare delivery, particularly in chronic disease management, acute care, and mental health services. Evidence shows improved patient outcomes, reduced hospitalizations, and greater accessibility for underserved populations. The COVID-19 pandemic accelerated telemedicine adoption, highlighting its value in ensuring continuity of care and fostering technological innovation, such as AI-driven diagnostics and remote monitoring. Despite these advantages, barriers such as the digital divide, regulatory challenges, and limitations in conducting physical examinations persist.

Conclusion: Telemedicine has rapidly become an integral component of modern healthcare, offering significant benefits in chronic disease management, acute care, and mental health services. The flexibility and accessibility it provides have proven invaluable, particularly during the COVID-19 pandemic, where it ensured continuity of care while minimizing risks. With continued innovation and thoughtful integration, telemedicine is poised to play a crucial role in the future of healthcare, enhancing patient outcomes and expanding access to essential services, despite its challenges.

References

Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. The New England journal of medicine, 377(16), 1585–1592. https://doi.org/10.1056/NEJMsr1503323

Koonin, L. M., Hoots, B., Tsang, C. A., Leroy, Z., Farris, K., Jolly, T., Antall, P., McCabe, B., Zelis, C. B. R., Tong, I., & Harris, A. M. (2020). Trends in the Use of Telehealth During the Emergence of the COVID-19 Pandemic - United States, January-March 2020. MMWR. Morbidity and mortality weekly report, 69(43), 1595–1599. https://doi.org/10.15585/mmwr.mm6943a3

Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017). Telehealth and patient satisfaction: a systematic review and narrative analysis. BMJ open, 7(8), e016242. https://doi.org/10.1136/bmjopen-2017-016242

Liu, N., Huang, R., Baldacchino, T., Sud, A., Sud, K., Khadra, M., & Kim, J. (2020). Telehealth for Noncritical Patients With Chronic Diseases During the COVID-19 Pandemic. Journal of medical Internet research, 22(8), e19493. https://doi.org/10.2196/19493

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors international, 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117

Shore, J. H., Yellowlees, P., Caudill, R., Johnston, B., Turvey, C., Mishkind, M., Krupinski, E., Myers, K., Shore, P., Kaftarian, E., & Hilty, D. (2018). Best Practices in Videoconferencing-Based Telemental Health April 2018. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 24(11), 827–832. https://doi.org/10.1089/tmj.2018.0237

Omboni, S., Ballatore, T., Rizzi, F., Tomassini, F., Panzeri, E., & Campolo, L. (2021). Telehealth at scale can improve chronic disease management in the community during a pandemic: An experience at the time of COVID-19. PloS one, 16(9), e0258015. https://doi.org/10.1371/journal.pone.0258015

Jacobs, J. C., Blonigen, D. M., Kimerling, R., Slightam, C., Gregory, A. J., Gurmessa, T., & Zulman, D. M. (2019). Increasing Mental Health Care Access, Continuity, and Efficiency for Veterans Through Telehealth With Video Tablets. Psychiatric services (Washington, D.C.), 70(11), 976–982. https://doi.org/10.1176/appi.ps.201900104

Wang, H., Yuan, X., Wang, J., Sun, C., & Wang, G. (2021). Telemedicine maybe an effective solution for management of chronic disease during the COVID-19 epidemic. Primary health care research & development, 22, e48. https://doi.org/10.1017/S1463423621000517

Escobar-Curbelo, L., & Franco-Moreno, A. I. (2019). Application of Telemedicine for the Control of Patients with Acute and Chronic Heart Diseases. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 25(11), 1033–1039. https://doi.org/10.1089/tmj.2018.0199

Sasseville, M., LeBlanc, A., Boucher, M., Dugas, M., Mbemba, G., Tchuente, J., Chouinard, M. C., Beaulieu, M., Beaudet, N., Skidmore, B., Cholette, P., Aspiros, C., Larouche, A., Chabot, G., & Gagnon, M. P. (2021). Digital health interventions for the management of mental health in people with chronic diseases: a rapid review. BMJ open, 11(4), e044437. https://doi.org/10.1136/bmjopen-2020-044437

Fairchild, R. M., Ferng-Kuo, S. F., Laws, S., Rahmouni, H., & Hardesty, D. (2019). Telehealth Decreases Rural Emergency Department Wait Times for Behavioral Health Patients in a Group of Critical Access Hospitals. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 25(12), 1154–1164. https://doi.org/10.1089/tmj.2018.0227

Thomas, J. F., Novins, D. K., Hosokawa, P. W., Olson, C. A., Hunter, D., Brent, A. S., Frunzi, G., & Libby, A. M. (2018). The Use of Telepsychiatry to Provide Cost-Efficient Care During Pediatric Mental Health Emergencies. Psychiatric services (Washington, D.C.), 69(2), 161–168. https://doi.org/10.1176/appi.ps.201700140

Omboni, S., Campolo, L., & Panzeri, E. (2020). Telehealth in chronic disease management and the role of the Internet-of-Medical-Things: the Tholomeus® experience. Expert review of medical devices, 17(7), 659–670. https://doi.org/10.1080/17434440.2020.1782734

Shigekawa, E., Fix, M., Corbett, G., Roby, D. H., & Coffman, J. (2018). The Current State Of Telehealth Evidence: A Rapid Review. Health affairs (Project Hope), 37(12), 1975–1982. https://doi.org/10.1377/hlthaff.2018.05132

Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of telemedicine and telecare, 26(5), 309–313. https://doi.org/10.1177/1357633X20916567

Bloem, B. R., Dorsey, E. R., & Okun, M. S. (2020). The Coronavirus Disease 2019 Crisis as Catalyst for Telemedicine for Chronic Neurological Disorders. JAMA neurology, 77(8), 927–928. https://doi.org/10.1001/jamaneurol.2020.1452

Smith, A. C., & Gray, L. C. (2009). Telemedicine across the ages. The Medical journal of Australia, 190(1), 15–19. https://doi.org/10.5694/j.1326-5377.2009.tb02255.x

Arora, N., Banerjee, A. K., & Narasu, M. L. (2020). The Role of Artificial Intelligence in Tackling COVID-19. Future Virology, 15(11), 717–724. https://doi.org/10.2217/fvl-2020-0130

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth Benefits and Barriers. The journal for nurse practitioners : JNP, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013

Iyengar, K., Jain, V. K., & Vaishya, R. (2020). Pitfalls in telemedicine consultations in the era of COVID 19 and how to avoid them. Diabetes & metabolic syndrome, 14(5), 797–799. https://doi.org/10.1016/j.dsx.2020.06.007

Leite, H., Hodgkinson, I. R., & Gruber, T. (2020). New development: ‘Healing at a distance’ - telemedicine and COVID-19. Public Money & Management, 40(6), 483–485. https://doi.org/10.1080/09540962.2020.1748855

Freiburger, G., Holcomb, M., & Piper, D. (2007). The STARPAHC collection: part of an archive of the history of telemedicine. Journal of telemedicine and telecare, 13(5), 221–223. https://doi.org/10.1258/135763307781458949

Kwak, M. Y., Hwang, E. J., & Lee, T. H. (2021). Effects of the Physician-Primary-Healthcare Nurse Telemedicine Model (P-NTM) on Medication Adherence and Health-Related Quality of Life (HRQoL) of Patients with Chronic Disease at Remote Rural Areas. International journal of environmental research and public health, 18(5), 2502. https://doi.org/10.3390/ijerph18052502

Sartore, G., Caprino, R., Ragazzi, E., & Lapolla, A. (2023). Telemedicine and its acceptance by patients with type 2 diabetes mellitus at a single care center during the COVID-19 emergency: A cross-sectional observational study. PloS one, 18(2), e0269350. https://doi.org/10.1371/journal.pone.0269350

Gao, W., Lv, X., Xu, X., Zhang, Z., Yan, J., Mao, G., & Xing, W. (2022). Telemedicine interventions to reduce blood pressure in a chronic disease population: A meta-analysis. Journal of telemedicine and telecare, 28(9), 621–631. https://doi.org/10.1177/1357633X20959581

Orozco-Beltran, D., Sánchez-Molla, M., Sanchez, J. J., Mira, J. J., & ValCrònic Research Group (2017). Telemedicine in Primary Care for Patients With Chronic Conditions: The ValCrònic Quasi-Experimental Study. Journal of medical Internet research, 19(12), e400. https://doi.org/10.2196/jmir.7677

Stachteas, P., Stachteas, C., Symvoulakis, E. K., & Smyrnakis, E. (2022). The Role of Telemedicine in the Management of Patients with Chronic Diseases in Primary Care During the COVID-19 Pandemic. Maedica, 17(4), 931–938. https://doi.org/10.26574/maedica.2022.17.4.931

Timpel, P., Oswald, S., Schwarz, P. E. H., & Harst, L. (2020). Mapping the Evidence on the Effectiveness of Telemedicine Interventions in Diabetes, Dyslipidemia, and Hypertension: An Umbrella Review of Systematic Reviews and Meta-Analyses. Journal of medical Internet research, 22(3), e16791. https://doi.org/10.2196/16791

Eberle, C., & Stichling, S. (2021). Clinical Improvements by Telemedicine Interventions Managing Type 1 and Type 2 Diabetes: Systematic Meta-review. Journal of medical Internet research, 23(2), e23244. https://doi.org/10.2196/23244

Bashshur, R. L., Shannon, G. W., Smith, B. R., Alverson, D. C., Antoniotti, N., Barsan, W. G., Bashshur, N., Brown, E. M., Coye, M. J., Doarn, C. R., Ferguson, S., Grigsby, J., Krupinski, E. A., Kvedar, J. C., Linkous, J., Merrell, R. C., Nesbitt, T., Poropatich, R., Rheuban, K. S., Sanders, J. H., … Yellowlees, P. (2014). The empirical foundations of telemedicine interventions for chronic disease management. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 20(9), 769–800. https://doi.org/10.1089/tmj.2014.9981

Shah, M. N., Gillespie, S. M., Wood, N., Wasserman, E. B., Nelson, D. L., Dozier, A., & McConnochie, K. M. (2013). High-intensity telemedicine-enhanced acute care for older adults: an innovative healthcare delivery model. Journal of the American Geriatrics Society, 61(11), 2000–2007. https://doi.org/10.1111/jgs.12523

Walters, J., Johnson, T., DeBlasio, D., Klein, M., Sikora, K., Reilly, K., Hutzel-Dunham, E., White, C., Xu, Y., & Burkhardt, M. C. (2021). Integration and Impact of Telemedicine in Underserved Pediatric Primary Care. Clinical pediatrics, 60(11-12), 452–458. https://doi.org/10.1177/00099228211039621

Boklage, E., Weiss, B., Hanefeld, J., Steinecke, K., Jansen, A., Anvarov, K., Valihanov, A., Alimov, A., Seybold, J., Spies, C., & Sabirov, U. (2023). Telemedicine in emergency responses: reflections from a critical care telemedicine programme between Uzbekistani and German clinicians during COVID-19. BMJ health & care informatics, 30(1), e100675. https://doi.org/10.1136/bmjhci-2022-100675

Shinoda, M., Hataji, O., Miura, M., Kinoshita, M., Mizoo, A., Tobino, K., Soutome, T., Nishi, T., Ishii, T., Miller, B. E., Tal-Singer, R., Tomlinson, R., Matsuki, T., Jones, P. W., & Shibata, Y. (2022). A Telemedicine Approach for Monitoring COPD: A Prospective Feasibility and Acceptability Cohort Study. International journal of chronic obstructive pulmonary disease, 17, 2931–2944. https://doi.org/10.2147/COPD.S375049

Rademacher, N. J., Cole, G., Psoter, K. J., Kelen, G., Fan, J. W. Z., Gordon, D., & Razzak, J. (2019). Use of Telemedicine to Screen Patients in the Emergency Department: Matched Cohort Study Evaluating Efficiency and Patient Safety of Telemedicine. JMIR medical informatics, 7(2), e11233. https://doi.org/10.2196/11233

Views:

59

Downloads:

17

Published
2025-09-19
Citations
How to Cite
Wiktor Gąska, Agnieszka Fitas, Wojciech Gąska, Julia Głowacka, Mathias Spitaleri, Filip Kieloch, Dawid Sewruk, Oskar Sienkiel, Karol Kanon, & Karolina Dębek-Kalinowska. (2025). EXPLORING THE ROLE OF TELEMEDICINE IN MODERN HEALTHCARE SERVICES: A REVIEW. International Journal of Innovative Technologies in Social Science, 3(3(47). https://doi.org/10.31435/ijitss.3(47).2025.3852

Most read articles by the same author(s)