Zhang Yunxi, Lin Yueh-Yun, Lal Lincy S, Reneker Jennifer C, Hinton Elizabeth G, Chandra Saurabh, Swint J Michael
Department of Data Science, John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, United States.
Center for Telehealth, University of Mississippi Medical Center, Jackson, MS, United States.
Lancet Reg Health Am. 2025 Mar 4;44:101041. doi: 10.1016/j.lana.2025.101041. eCollection 2025 Apr.
Telehealth has revolutionized healthcare delivery by integrating cutting-edge technologies, yet evaluations of its services and programs often lack comprehensive frameworks, resulting in unclear standards for quality assurance. To address this gap, we conducted a scoping review of telehealth evaluation frameworks applicable to the United States healthcare system, following the Joanna Briggs Institute methodology and a published protocol. Twelve telehealth evaluation frameworks published between 2019 and 2023 were identified, focusing on four key themes: program implementation, clinical impact, economic impact, and equity. Guided through two auxiliary frameworks, we further developed a stakeholder-driven multi-stage adaptive real-world theme-oriented (SMART) conceptual framework for telehealth evaluation. We illustrated this framework through a use case on a remote patient monitoring program. This comprehensive telehealth evaluation framework not only facilitates stakeholders in developing tailored evaluation plans but also contributes to the standardization and enhancement of telehealth services, ultimately improving health outcomes and promoting greater equity across society.
远程医疗通过整合前沿技术彻底改变了医疗服务的提供方式，但对其服务和项目的评估往往缺乏全面的框架，导致质量保证标准不明确。为了填补这一空白，我们按照乔安娜·布里格斯研究所的方法和已发表的方案，对适用于美国医疗系统的远程医疗评估框架进行了范围界定审查。我们确定了2019年至2023年间发表的12个远程医疗评估框架，重点关注四个关键主题：项目实施、临床影响、经济影响和公平性。在两个辅助框架的指导下，我们进一步开发了一个由利益相关者驱动的多阶段适应性真实世界主题导向（SMART）的远程医疗评估概念框架。我们通过一个远程患者监测项目的用例来说明这个框架。这个全面的远程医疗评估框架不仅有助于利益相关者制定量身定制的评估计划，还有助于远程医疗服务的标准化和改进，最终改善健康结果并促进社会更加公平。
