Table_1_Telehealth-Based Services During the COVID-19 Pandemic: A Systematic Review of Features and Challenges.docx

Background: As an ever-growing popular service, telehealth catered for better access to high-quality healthcare services. It is more valuable and cost-effective, particularly in the middle of the current COVID-19 pandemic. Accordingly, this study aimed to systematically review the features and challenges of telehealth-based services developed to support COVID-19 patients and healthcare providers.Methods: A comprehensive search was done for the English language and peer-reviewed articles published until November 2020 using PubMed and Scopus electronic databases. In this review paper, only studies focusing on the telehealth-based service to support COVID-19 patients and healthcare providers were included. The first author's name, publication year, country of the research, study objectives, outcomes, function type including screening, triage, prevention, diagnosis, treatment or follow-up, target population, media, communication type, guideline-based design, main findings, and challenges were extracted, classified, and tabulated.Results: Of the 5,005 studies identified initially, 64 met the eligibility criteria. The studies came from 18 countries. Most of them were conducted in the United States and China. Phone calls, mobile applications, videoconferencing or video calls, emails, websites, text messages, mixed-reality, and teleradiology software were used as the media for communication. The majority of studies used a synchronous communication. The articles addressed the prevention, screening, triage, diagnosis, treatment, and follow-up aspects of COVID-19 which the most common purpose was the patients' follow-up (34/64, 53%). Thirteen group barriers were identified in the literature, which technology acceptance and user adoption, concerns about the adequacy and accuracy of subjective patient assessment, and technical issues were the most frequent ones.Conclusion: This review revealed the usefulness of telehealth-based services during the COVID-19 outbreak and beyond. The features and challenges identified through the literature can be helpful for a better understanding of current telehealth approaches and pointed out the need for clear guidelines, scientific evidence, and innovative policies to implement successful telehealth projects.

背景：作为一项日益流行的服务，远程医疗旨在提供更便捷的高质量医疗服务。尤其在当前新冠病毒大流行期间，其价值与成本效益更为凸显。因此，本研究旨在对旨在支持新冠病毒患者及医疗提供者的远程医疗服务特征与挑战进行系统综述。方法：通过 PubMed 和 Scopus 电子数据库，对截至 2020 年 11 月的英文及同行评审文章进行了全面检索。在本综述论文中，仅纳入了聚焦于支持新冠病毒患者及医疗提供者的远程医疗服务的研究。提取、分类和列表化的内容包括第一作者姓名、发表年份、研究国家、研究目标、成果、功能类型（包括筛查、分诊、预防、诊断、治疗或随访）、目标人群、媒体、沟通类型、基于指南的设计、主要发现和挑战。结果：在最初确定的 5,005 项研究中，有 64 项符合纳入标准。这些研究来自 18 个国家，其中大部分在美国和中国进行。通信媒体包括电话、移动应用程序、视频会议或视频通话、电子邮件、网站、短信、混合现实和远程放射学软件。大多数研究采用同步沟通方式。文章涵盖了新冠病毒的预防、筛查、分诊、诊断、治疗和随访等方面，其中最常见的目的是患者的随访（34/64，53%）。文献中确定了 13 项群体障碍，其中技术接受度和用户采用、对主观患者评估充分性和准确性的担忧，以及技术问题最为常见。结论：本次综述揭示了远程医疗服务在新冠病毒疫情爆发及之后的有用性。通过文献识别的特征和挑战有助于更好地理解当前的远程医疗方法，并指出了制定明确指南、科学证据和创新的实施成功远程医疗项目的政策的需求。