Patient Satisfaction, Hospital Readmissions, The Number Of Physician And Emergency Department Visits

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The extensive research criteria facilitated a conscientious evaluation of the effectiveness of telemedicine across multiple attributes: patient satisfaction, hospital readmissions, the number of physician and emergency department visits, the maximum length of hospital stay, cost-effectiveness, self-management, health outcomes, morbidity, and mortality. Surprisingly, there are many positive effects of using telemedicine in managing chronic heart failure patients. A total of 23 articles were deliberately analyzed and interpreted for common themes. A final consensus was made by three reviewers after comparing the prepared notes on articles. A comprehensive summary of every article is delineated in Table 1. In order to identify the frequency…show more content…
4 of 23 articles (17%) reported a reduction in morbidity rates (4,7,14,23). Furthermore, only 4 out 23 articles (17%) reported a decline in physician and emergency department visits of patients (6,7,14,16). The literature suggests a need for indispensable research to investigate the patients’ profile who can benefit from telemedicine using randomized controlled trials (23). Notably, only 2 in 23 articles (9%) reported better rates of patient satisfaction (15, 20). This is because the literature reveals that in-depth evaluation of “patient satisfaction is nevertheless underexposed in telemedicine literature” (15). DISCUSSION The authors of this systematic review made an attempt to comprehend the effectiveness of telemedicine which has many positive effects among heart failure patients. Apart from identifying the effectiveness of telemedicine in the improvement of attributes, the authors also identified the elements that need to be further investigated. Though this systematic review evaluates the similar inclusive aspects of the effectiveness of telemedicine from other articles, our findings report the effectiveness of telemedicine on a global perspective. None of the studies revealed the frequency of occurrence of each attribute with statistical significance. Our study identifies positive effects across 23 articles globally which include United States, United Kingdom, Canada, Netherlands, Germany, and some countries of Europe and Australia. Most of the studies
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