eHealth, telehealth, and telemedicine in the management of the COVID-19 pandemic and beyond: Lessons learned and future perspectives

Abstract

In this article, we discuss evidence supporting the effective implementation of eHealth, telehealth, and telemedicine during the coronavirus disease 2019 pandemic, with a view towards its permanent future integration in healthcare. We performed a literature search for articles describing the use of telehealth/ telemedicine in the pandemic context using five databases. The articles selected describe the use of telemedicine as its advantages in terms of practicality and cost-effectiveness. This synthesis of articles is applicable to high-, middle- and low-income countries. Some of the notable benefits include breaking down geographical and time barriers, reducing waiting lists and crowding in healthcare facilities, and saving on national healthcare expenditure. However, there are a number of difficulties with the widespread implementation of telemedicine services that mainly relate to bureaucratic and regulatory concerns. Moreover, it is also important to make healthcare professionals and providers aware of the limits of this tool to avoid potential cases of negligence. Patients in turn will have to be made aware of and be educated on the use of this new healthcare modality before it is accepted by them. In the current socio-economic climate, it is therefore essential to implement a telehealth model aimed at efficiency and continuity of healthcare, as well as leading to an improvement in the quality of life of patients, whilst optimising existing resources and reducing costs. In that regard, the adoption of eHealth, telehealth, and telemedicine services should be considered highly timely, despite current existing limitations.

Telemedicine in Low- and Middle-Income Countries During the COVID-19 Pandemic: A Scoping Review

“…Moreover, it found that telemedicine permits the examination of a patient's health, while also digitally educating individuals about physical examination changes and symptoms that should provoke a dialogue with their doctors. In another literature search, Giacalone et al ( 10 ) examined papers addressing the use of telehealth/telemedicine in the COVID-19 environment. They have discovered that the broad adoption of telemedicine services faces a number of obstacles that are mostly bureaucratic and regulatory in nature.…”

Oral healthcare-seeking behavior during the COVID-19 lockdown period: A cross-sectional study from Eastern Saudi Arabia

“…Similar trends were observed in the present study, in which a significant percentage of participants used self-medication. Teledentistry is set to continue to expand, especially to remote or rural areas where access to specialist oral healthcare services is difficult [ 24 ] and there is also a urgent need to integrate dental software with teledentistry to make patient data management less troublesome [ 25 , 26 ].…”

Cardiovascular disease and COVID-19, a deadly combination: A review about direct and indirect impact of a pandemic

“…What this change represents for the future of HF management and the provision of HF services in outpatient scenarios worldwide remains warmly debated[ 108 ].…”