https://doi.org/10.4081/monaldi.2022.2132
Potential downside issues with telemedicine for individuals with chronic respiratory diseases
Published: February 4, 2022
Abstract Views: 1814
PDF: 944
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Telemedicine refers to the use of communications technologies to provide or enhance medical care through mitigating the negative effects of patient-caregiver distance on medical evaluation and treatment. The general concept, telemedicine, can refer to a number of interventions, such as telemonitoring, tele-consultations, tele-education, tele-communication, and tele-rehabilitation. While telemedicine has seen steady growth its trajectory has increased during the COVID-19 pandemic. As a tool in health care delivery, telemedicine is often met with patient satisfaction often resulting from ease of use and accessibility. Additionally, outcomes may improve, although the medical literature is not consistent in this regard. However, enthusiasm over its beneficial effects should be tempered by negative aspects, including the decrease in direct patient-clinician interaction (such as loss of information from the physical examination) and potentially serious privacy risks. Finding a happy median between positive and negative features of telemedicine remains a work in progress.
Hale TM, Kvedar JC. Privacy and security concerns in telehealth. Virtual Mentor 2014;16:981-5.
DOI: https://doi.org/10.1001/virtualmentor.2014.16.12.jdsc1-1412
Kuziemsky CE, Gogia SB, Househ M, et al. Balancing health information exchange and privacy governance from a patient-centred connected health and telehealth perspective. Yearb Med Inform 2018;27:48-54.
DOI: https://doi.org/10.1055/s-0038-1641195
Donner CF, Raskin J, ZuWallack R, et al. Incorporating telemedicine into the integrated care of the copd patient a summary of an interdisciplinary workshop held in stresa, Italy, 7-8 september 2017. Respir Med 2018;143:91-102.
DOI: https://doi.org/10.1016/j.rmed.2018.09.003
World Health Organization. Telemedicine: Opportunities and developments in member states. 2010. [cited 2021]. Available from: https://www.who.int/goe/publications/goe_telemedicine_2010.pdf
Watzlaf VJM, Zhou L, Dealmeida DR, Hartman LM. A systematic review of research studies examining telehealth privacy and security practices used by healthcare providers. Int J Telerehabil 2017;9:39-59.
DOI: https://doi.org/10.5195/ijt.2017.6231
Healthcare & Public Health Sector Coordinating Councils. Health industry cybersecurity - securing telehealth and telemedicine. 2021. Available from: https://www.aha.org/system/files/media/file/2021/04/health-industry-cybersecurity-securing-telehealth-and-telemedicin-april-2021.pdf
Hall JL, McGraw D. For telehealth to succeed, privacy and security risks must be identified and addressed. Health Aff (Millwood) 2014;33:216-21.
DOI: https://doi.org/10.1377/hlthaff.2013.0997
Kruse C, Pesek B, Anderson MR, et al. Telemonitoring to manage chronic obstructive pulmonary disease: Systematic literature review. JMIR Med Inform 2019;7:e11496.
DOI: https://doi.org/10.2196/11496
McCabe C, McCann M, Brady AM. Computer and mobile technology interventions for self-management in chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2017;5:CD011425.
DOI: https://doi.org/10.1002/14651858.CD011425.pub2
Sul AR, Lyu DH, Park DA. Effectiveness of telemonitoring versus usual care for chronic obstructive pulmonary disease: A systematic review and meta-analysis. J Telemed Telecare 2020;26:189-99.
DOI: https://doi.org/10.1177/1357633X18811757
Soriano JB, Garcia-Rio F, Vazquez-Espinosa E, et al. A multicentre, randomized controlled trial of telehealth for the management of copd. Respir Med 2018;144:74-81.
DOI: https://doi.org/10.1016/j.rmed.2018.10.008
Lundell S, Holmner A, Rehn B, et al. Telehealthcare in copd: A systematic review and meta-analysis on physical outcomes and dyspnea. Respir Med 2015;109:11-26.
DOI: https://doi.org/10.1016/j.rmed.2014.10.008
Cox NS, Dal Corso S, Hansen H, et al. Telerehabilitation for chronic respiratory disease. Cochrane Database Syst Rev 2021;1:CD013040.
DOI: https://doi.org/10.1002/14651858.CD013040.pub2
Vasilopoulou M, Papaioannou AI, Kaltsakas G, et al. Home-based maintenance tele-rehabilitation reduces the risk for acute exacerbations of COPD, hospitalisations and emergency department visits. Eur Respir J 2017;49:1602129.
DOI: https://doi.org/10.1183/13993003.02129-2016
Duiverman ML, Vonk JM, Bladder G, et al. Home initiation of chronic non-invasive ventilation in COPD patients with chronic hypercapnic respiratory failure: A randomised controlled trial. Thorax 2020;75:244-52.
DOI: https://doi.org/10.1136/thoraxjnl-2019-213303
Vitacca M, Montini A, Comini L. How will telemedicine change clinical practice in chronic obstructive pulmonary disease? Ther Adv Respir Dis 2018;12:1753465818754778.
DOI: https://doi.org/10.1177/1753465818754778
Barbosa MT, Sousa CS, Morais-Almeida M, et al. Telemedicine in COPD: An overview by topics. COPD 2020;17:601-17.
DOI: https://doi.org/10.1080/15412555.2020.1815182
Li W, Liu W, Liu S, et al. Perceptions of patients with chronic obstructive pulmonary disease towards telemedicine: A qualitative systematic review. Heart Lung 2021;50:675-84.
DOI: https://doi.org/10.1016/j.hrtlng.2021.03.081
Seidman Z, McNamara R, Wootton S, et al. People attending pulmonary rehabilitation demonstrate a substantial engagement with technology and willingness to use telerehabilitation: A survey. J Physiother 2017;63:175-81.
DOI: https://doi.org/10.1016/j.jphys.2017.05.010
Hincapie MA, Gallego JC, Gempeler A, et al. Implementation and usefulness of telemedicine during the covid-19 pandemic: A scoping review. J Prim Care Community Health 2020;11:2150132720980612.
DOI: https://doi.org/10.1177/2150132720980612
Kaplan B. Revisiting health information technology ethical, legal, and social issues and evaluation: Telehealth/telemedicine and Covid-19. Int J Med Inform 2020;143:104239.
DOI: https://doi.org/10.1016/j.ijmedinf.2020.104239
Bhaskar S, Bradley S, Chattu VK, et al. Telemedicine across the globe-position paper from the covid-19 pandemic health system resilience program (reprogram) international consortium (part 1). Front Public Health 2020;8:556720.
DOI: https://doi.org/10.3389/fpubh.2020.556720
Zulman DM, Verghese A. Virtual care, telemedicine visits, and real connection in the era of covid-19: Unforeseen opportunity in the face of adversity. JAMA 2021;325:437-8.
DOI: https://doi.org/10.1001/jama.2020.27304
Boyce DM, Thomashow BM, Sullivan J, Tal-Singer R. New adopters of telemedicine during the Coronavirus-19 pandemic in respondents to an online community survey: The case for access to remote management tools for individuals with chronic obstructive pulmonary disease. Chronic Obstr Pulm Dis 2021;8:213-8.
DOI: https://doi.org/10.15326/jcopdf.2020.0181
Patel SY, Mehrotra A, Huskamp HA, et al. Trends in outpatient care delivery and telemedicine during the covid-19 pandemic in the US. JAMA Inter Med 2021;181:388-91.
DOI: https://doi.org/10.1001/jamainternmed.2020.5928
Shachar C, Engel J, Elwyn G. Implications for telehealth in a postpandemic future: Regulatory and privacy issues. JAMA 2020;323:2375-6.
DOI: https://doi.org/10.1001/jama.2020.7943
Alexander GC, Tajanlangit M, Heyward J, et al. Use and content of primary care office-based vs telemedicine care visits during the covid-19 pandemic in the us. JAMA Netw Open 2020;3:e2021476.
DOI: https://doi.org/10.1001/jamanetworkopen.2020.21476
Darrat I, Tam S, Boulis M, Williams AM. Socioeconomic disparities in patient use of telehealth during the coronavirus disease 2019 surge. J JAMA Otolaryngol Head Neck Surg 2021;147:287-95.
DOI: https://doi.org/10.1001/jamaoto.2020.5161
Ambrosino N, Vagheggini G, Mazzoleni S, Vitacca M. Telemedicine in chronic obstructive pulmonary disease. Breathe 2016;12:350-6.
DOI: https://doi.org/10.1183/20734735.014616
Academy of Communication in Healthcare [Internet]. Telehealth communication: Quick tips. 6 July 2021. Available from: http://www.achonline.org/telehealth
Cote CG, Dordelly LJ, Celli BR. Impact of copd exacerbations on patient-centered outcomes. Chest 2007;131:696-704.
DOI: https://doi.org/10.1378/chest.06-1610
Esteban C, Castro-Acosta A, Alvarez-Martinez CJ, et al. Predictors of one-year mortality after hospitalization for an exacerbation of copd. BMC Pulm Med 2018;18:18.
DOI: https://doi.org/10.1186/s12890-018-0574-z
Slenter RH, Sprooten RT, Kotz D, et al. Predictors of 1-year mortality at hospital admission for acute exacerbations of chronic obstructive pulmonary disease. Respiration 2013;85:15-26.
DOI: https://doi.org/10.1159/000342036
Techopedia [Internet]. What is the difference between privacy, confidentiality and security? 2021. Available from: https://www.techopedia.com/7/29803/security/what-is-the-difference-between-privacy-confidentiality-and-security
Brumen B, Hericko M, Sevcnikar A, et al. Outsourcing medical data analyses: Can technology overcome legal, privacy, and confidentiality issues? J Med Internet Res 2013;15:e283.
DOI: https://doi.org/10.2196/jmir.2471
Gerdes Martin FR. End-to-end security and privacy protection for co-operative access to heath and care data in a telehealth trial system for remote supervision of COPD-patients. Proceedings 13th Scandinavian Conference on Health Informatics, Tromsø, Norway.
Bassan S. Data privacy considerations for telehealth consumers amid Covid-19. J Law Biosci 2020;7:lsaa075.
DOI: https://doi.org/10.1093/jlb/lsaa075
Vega-Barbas M, Seoane F, Pau I. Characterization of user-centered security in telehealth services. Int J Environ Res Public Health 2019;16:693.
DOI: https://doi.org/10.3390/ijerph16050693
McLuhan M, Gordon WT. Understanding media: The extensions of man. Corte Madera: Gingko Press; 2003.
Fried TR. Shared decision making--finding the sweet spot. N Engl J Med 2016;374:104-6.
DOI: https://doi.org/10.1056/NEJMp1510020
Persaud YK, Portnoy JM. Ten rules for implementation of a telemedicine program to care for patients with asthma. J Allergy Clin Immunol Pract 2021;9:13-21.
DOI: https://doi.org/10.1016/j.jaip.2020.10.005
Chaplin E, Hewitt S, Apps L, et al. The evaluation of an interactive web-based pulmonary rehabilitation programme: Protocol for the web space for copd feasibility study. BMJ Open 2015;5:e008055.
DOI: https://doi.org/10.1136/bmjopen-2015-008055
Stewart JI, Moyle S, Criner GJ, et al. Automated telecommunication to obtain longitudinal follow-up in a multicenter cross-sectional copd study. COPD 2012;9:466-72.
DOI: https://doi.org/10.3109/15412555.2012.690010
Selzler AM, Wald J, Sedeno M, et al. Telehealth pulmonary rehabilitation: A review of the literature and an example of a nationwide initiative to improve the accessibility of pulmonary rehabilitation. Chron Respir Dis 2018;15:41-7.
DOI: https://doi.org/10.1177/1479972317724570
Cox NS, McDonald CF, Alison JA, et al. Telerehabilitation versus traditional centre-based pulmonary rehabilitation for people with chronic respiratory disease: Protocol for a randomised controlled trial. BMC Pulm Med 2018;18:71.
DOI: https://doi.org/10.1186/s12890-018-0646-0
Masefield S, Vitacca M, Dreher M, et al. Attitudes and preferences of home mechanical ventilation users from four european countries: An ERS/ELF survey. ERJ Open Res 2017;3:00015-2017.
DOI: https://doi.org/10.1183/23120541.00015-2017
Crimi C, Noto A, Princi P, et al. Domiciliary non-invasive ventilation in copd: An international survey of indications and practices. COPD 2016;13:483-90.
DOI: https://doi.org/10.3109/15412555.2015.1108960
Soo CI, Chan Y, Loh EC, Pang YK. Telehealth: "Virtual" lifeline for home-ventilated patients during the covid-19 pandemic. ERJ Open Res 2020;6:00399-2020.
DOI: https://doi.org/10.1183/23120541.00399-2020
Mantoani LC, Rubio N, McKinstry B, et al. Interventions to modify physical activity in patients with COPD: A systematic review. Eur Respir J 2016;48:69-81.
DOI: https://doi.org/10.1183/13993003.01744-2015
Banbury A, Nancarrow S, Dart J, et al.Telehealth interventions delivering home-based support group videoconferencing: Systematic review. J Med Internet Res 2018;20:e25.
DOI: https://doi.org/10.2196/jmir.8090
Ethics Approval
The authors dedicate this paper to the memory of Dr. Claudio F Donner, a friend, colleague and a source of inspiration to respirologists around the worldHow to Cite
Paelet, Lawrence, Jonathan Raskin, and Richard ZuWallack. 2022. “Potential Downside Issues With Telemedicine for Individuals With Chronic Respiratory Diseases”. Monaldi Archives for Chest Disease 92 (4). https://doi.org/10.4081/monaldi.2022.2132.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- S. Scalvini, M. Vitacca, L. Paletta, A. Giordano, B. Balbi, Telemedicine: a new frontier for effective healthcare services , Monaldi Archives for Chest Disease: Vol. 61 No. 4 (2004): Pulmonary series
- Abdula Elawady, Ahmed Khalil, Omar Assaf, Samirah Toure, Christopher Cassidy, Telemedicine during COVID-19: a survey of Health Care Professionals’ perceptions , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
- S. Bertini, M. Picariello, M. Gorini, T. Renda, A. Augustynen, G. Villella, G. Misuri, N.M. Maluccio, R. Ginanni, D. Tozzi, A. Corrado, Telemonitoring in chronic ventilatory failure: a new model of survellaince, a pilot study , Monaldi Archives for Chest Disease: Vol. 77 No. 2 (2012): Pulmonary series
- Marinella Sommaruga, Elisabetta Angelino, Paola Della Porta, Mara Abatello, Giacomo Baiardo, Gianluigi Balestroni, Ornella Bettinardi, Edward Callus, Chiara Ciracì, Ombretta Omodeo, Claudia Rizza, Paolo Michielin, Marco Ambrosetti, Raffaele Griffo, Roberto F.E. Pedretti, Antonia Pierobon, Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
- Sara Albertini, Antonella Ciocca, Cristina Opasich, Gian Domenico Pinna, Franco Cobelli, Third phase of cardiac rehabilitation: a nurse-based “home-control†model , Monaldi Archives for Chest Disease: Vol. 76 No. 4 (2011): Cardiac series
- Laura Bertacchini, Mara Paneroni, Laura Comini, Simonetta Scalvini, Michele Vitacca, Recovering of oxygenation, physical function and disability in patients with Covid-19 , Monaldi Archives for Chest Disease: Vol. 91 No. 4 (2021)
- Shiv Kumar Mudgal, Ashis Ranjan, Vipin Patidar, Rakhi Gaur, Rajat Agarwal, Quality of life, compliance with treatment, and challenges among patients undergoing cardiac intervention , Monaldi Archives for Chest Disease: Early Access
You may also start an advanced similarity search for this article.
