Bernuzzi Chiara, Piccardo Maria Adele, Guglielmetti Chiara
Department of Economics, Management and Quantitative Methods (DEMM), University of Milan, Via Conservatorio, 7, 20122 Milan, Italy.
Healthcare (Basel). 2025 May 15;13(10):1149. doi: 10.3390/healthcare13101149.
The digital transformation in healthcare is reshaping care delivery by enhancing patient care and flexibility. However, it also poses potential challenges to healthcare professionals' wellbeing and work practices. To date, research on the implications of telemedicine for healthcare professionals remains limited and inconclusive. This study aims to provide a comprehensive overview of this research field using a quantitative, bibliometric approach. Articles were systematically selected from Web of Science and Scopus databases, focusing on empirical, peer-reviewed articles written in English, involving healthcare professionals and focusing on telemedicine. The dataset consists of 160 papers. The analysis reveals a significant increase in publications starting from 2012, with a notable surge in 2020, reflecting the impact of the COVID-19 pandemic. The University of New Mexico and the Cleveland Clinic Foundation, both in the United States, were identified as the institutions with the highest number of published articles. Most studies were published in clinical-focused journals (e.g., Journal of Medical Internet Research and BMC Health Services Research), emphasizing the field's dominant orientation. The intellectual structure reveals that wellbeing, work practices, and communications between patients and professionals are central themes. This bibliometric analysis provides scholars with a clearer understanding of the intellectual structure of research on the implications of telemedicine for healthcare professionals, addressing key gaps left by previous reviews. While telemedicine offers numerous advantages, such as enhanced access to care and greater flexibility, it also raises challenges related to healthcare professionals' wellbeing, work practices, and communication with patients. Both contextual factors (e.g., digital skills training) and individual characteristics (e.g., attitudes toward telemedicine) play a significant role in shaping healthcare professionals' experiences with telemedicine. By identifying influential contributors and thematic patterns, this study offers a foundation for future research and informs the development of targeted interventions to sustain healthcare professionals in digitally mediated care environments.
医疗保健领域的数字化转型正在通过提升患者护理水平和灵活性来重塑医疗服务的提供方式。然而,它也给医疗保健专业人员的福祉和工作实践带来了潜在挑战。迄今为止,关于远程医疗对医疗保健专业人员影响的研究仍然有限且尚无定论。本研究旨在采用定量文献计量学方法全面概述这一研究领域。文章是从科学引文索引(Web of Science)和Scopus数据库中系统选取的,重点关注以英文撰写的、经过同行评审的实证性文章,涉及医疗保健专业人员且聚焦于远程医疗。数据集由160篇论文组成。分析显示,自2012年起出版物数量显著增加,2020年出现显著激增,这反映了新冠疫情的影响。美国的新墨西哥大学和克利夫兰诊所基金会被确定为发表文章数量最多的机构。大多数研究发表在以临床为重点的期刊上(如《医学互联网研究杂志》和《BMC卫生服务研究》),这突出了该领域的主导方向。知识结构表明,福祉、工作实践以及患者与专业人员之间的沟通是核心主题。这项文献计量分析为学者们更清晰地理解远程医疗对医疗保健专业人员影响的研究的知识结构提供了帮助,填补了以往综述留下的关键空白。虽然远程医疗具有诸多优势,如增加了获得医疗服务的机会和更大的灵活性,但它也带来了与医疗保健专业人员的福祉、工作实践以及与患者沟通相关的挑战。背景因素(如数字技能培训)和个人特征(如对远程医疗的态度)在塑造医疗保健专业人员的远程医疗体验方面都起着重要作用。通过确定有影响力的贡献者和主题模式,本研究为未来的研究奠定了基础,并为制定有针对性的干预措施提供了参考,以在数字介导的护理环境中维持医疗保健专业人员的工作。