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The use of telemedicine in COVID-19 pandemic era: a systematic review

  • Dwi Martha Nur Aditya ,
  • Viskasari Pintoko Kalanjati ,
  • Dimas Bathoro Bagus Pamungkas ,
  • Maya Rahmayanti Syamhadi ,
  • Jesslyn Angelina Soegiharto Wibowo ,
  • Kevin Muliawan Soetanto ,


Introduction: Telemedicine is a form of healthcare that uses technology to provide various health services. This method has been widely used during the COVID-19 pandemic when physical distancing is called. This systematic review aimed to review various uses of telemedicine on 11 databases using the PRISMA flowchart from January 1st, 2020, to December 31st, 2021.

Methods: This review has been registered in PROSPERO ( The search terms are: "COVID-19," "Coronavirus," "SARS-CoV-2," "2019-nCoV," "Telemedicine," "Telehealth," "Teleconsultation," "Telemonitoring," "Telemanagement," "Teleconferencing," "Video conferencing," "Video consultation," "Virtual care," "Virtual service," "Virtual treatment," "Remote treatment," "Remote service," "Remote consultation," "Digital care," "Digital treatment," "Mobile health," and "E-health." The quality assessment used indexed databases for the SCOPUS, Web of Science (ESCI), and PubMed (PMC and Medline).

Results: On initial scrutiny, 2.031.242 articles were obtained; after screening with inclusion and exclusion criteria, 17 articles were included. Only 4 articles reported the use of telemedicine for respiratory-related diseases patients; 3 of these were COVID-19-related cases. Other 13 articles reported the use of telemedicine for admission, anamnesis, diagnosis, treatment, follow-up, and monitoring purposes for non-respiratory-related diseases. Methods applied include voice calls, video conferences, and specific software on computers and smartphones. There were no significant differences between telemedicine and the face-to-face method, although the lack of health providers' presence has been complained about in the prior method.

Conclusion: From this review, telemedicine is a beneficial tool for delivering health services during the COVID-19 pandemic.


  1. Hsieh RKC, Hjelm NM, Lee JCK, Aldis JW. Telemedicine in China. Int J Med Inform. 2001;61(2–3):139–46.
  2. Chittoria RK. Telemedicine for wound management. Indian J Plast Surg. 2012 May;45(02):412–7.
  3. Stipa G, Gabbrielli F, Rabbito C, Di Lazzaro V, Amantini A, Grippo A, et al. The Italian technical/administrative recommendations for telemedicine in clinical neurophysiology. Neurol Sci. 2021;42(5):1923–31.
  4. Kim JW, Lame M, Szalay L, Lefchak B, Johnsson B, Gogia K, et al. Telemedicine Surge for Pediatric Patients in Response to the COVID-19 Pandemic in New York City. Telemed e-Health. 2021;00(00):1–6.
  5. Alessi J, de Oliveira GB, Franco DW, Becker AS, Knijnik CP, Kobe GL, et al. Telehealth strategy to mitigate the negative psychological impact of the COVID-19 pandemic on type 2 diabetes: A randomized controlled trial. Acta Diabetol. 2021 Jul;58(7):899–909.
  6. Morisada M V., Hwang J, Gill AS, Wilson MD, Strong EB, Steele TO. Telemedicine, Patient Satisfaction, and Chronic Rhinosinusitis Care in the Era of COVID-19. Am J Rhinol Allergy. 2021 Jul;35(4):494–9.
  7. Phillips JC, Lord RW, Davis SW, Burton AA, Kirk JK. Comparing telehealth to traditional office visits for patient management in the COVID-19 pandemic: A cross-sectional study in a respiratory assessment clinic. J Telemed Telecare. 2021 Feb;1357633X2199019.
  8. Garcia LM, Birckhead BJ, Krishnamurthy P, Sackman J, Mackey IG, Louis RG, et al. An 8-week self-administered at-home behavioral skills-based virtual reality program for chronic low back pain: Double-blind, randomized, placebo-controlled trial conducted during COVID-19. J Med Internet Res. 2021;23(2).
  9. Adly AS, Adly MS, Adly AS. Telemanagement of home-isolated COVID-19 patients using oxygen therapy with noninvasive positive pressure ventilation and physical therapy techniques: Randomized clinical trial. J Med Internet Res. 2021;23(4):1–13.
  10. Ceccato F, Voltan G, Sabbadin C, Camozzi V, Merante Boschin I, Mian C, et al. Tele-medicine versus face-to-face consultation in Endocrine Outpatients Clinic during COVID-19 outbreak: a single-center experience during the lockdown period. J Endocrinol Invest. 2021;44(8):1689–98.
  11. Kayser MZ, Valtin C, Greer M, Karow B, Fuge J, Gottlieb J. Video Consultation during the COVID-19 Pandemic: A Single Center's Experience with Lung Transplant Recipients. Telemed e-Health. 2021;27(7):807–15.
  12. Lopez-Villegas A, Maroto-Martin S, Baena-Lopez MA, Garzon-Miralles A, Bautista-Mesa RJ, Peiro S, et al. Telemedicine in Times of the Pandemic Produced by COVID-19: Implementation of a Teleconsultation Protocol in a Hospital Emergency Department. Healthcare. 2020 Sep;8(4):357.
  13. Pasca L, Paola M, Grumi S, Totaro M, Ballante E, Varesio C, et al. Impact of COVID-19 pandemic in pediatric patients with epilepsy with neuropsychiatric comorbidities: A telemedicine evaluation. 2020;Epilepsy &(January).
  14. Policarpo S, Machado M V., Cortez-Pinto H. Telemedicine as a tool for dietary intervention in NAFLD-HIV patients during the COVID-19 lockdown: A randomized controlled trial. Clin Nutr ESPEN. 2021 Jun;43:329–34.
  15. Russo V, Cassini R, Caso V, Donno C, Laezza A, Naddei M, et al. Nursing Teleconsultation for the Outpatient Management of Patients with Cardiovascular Disease during COVID-19 Pandemic. Int J Environ Res Public Health. 2021 Feb;18(4):2087.
  16. Wu F, Rotimi O, Laza-Cagigas R, Rampal T. The Feasibility and Effects of a Telehealth-Delivered Home-Based Prehabilitation Program for Cancer Patients during the Pandemic. Curr Oncol. 2021 Jun;28(3):2248–59.
  17. Zubarioglu T, Hopurcuoglu D, Uygur E, Ahmadzada S, Oge-Enver E, Isat E, et al. The Impact of Telemedicine for Monitoring and Treatment of Phenylketonuria Patients on Metabolic Outcome During Coronavirus Disease-19 Outbreak. Telemed e-Health. 2021;00(00):1–8.
  18. Mansoor H, Khan SA, Afghani T, Assir MZ, Ali M, Khan WA. Utility of teleconsultation in accessing eye care in a developing country during COVID-19 pandemic. PLoS One. 2021;16(January 1st):1–15.
  19. Rastogi A, Hiteshi P, Anil Bhansali A, Jude EB. Virtual triage and outcomes of diabetic foot complications during Covid-19 pandemic: A retro-prospective, observational cohort study. PLoS One. 2021;16(May 5th):1–11.
  20. M Tourkmani A, J ALHarbi T, Rsheed AMB, Alrasheedy AA, ALMadani W, ALJuraisi F, et al. The impact of telemedicine on patients with uncontrolled type 2 diabetes mellitus during the COVID-19 pandemic in Saudi Arabia: Findings and implications. J Telemed Telecare. 2021;
  21. Ashry AH, Alsawy MF. Doctor-patient distancing: an early experience of telemedicine for postoperative neurosurgical care in the time of COVID-19. Egypt J Neurol Psychiatry Neurosurg. 2020 Dec;56(1):80.

How to Cite

Martha Nur Aditya, D., Pintoko Kalanjati, V., Bathoro Bagus Pamungkas, D., Rahmayanti Syamhadi, M., Angelina Soegiharto Wibowo, J., & Muliawan Soetanto, K. (2022). The use of telemedicine in COVID-19 pandemic era: a systematic review. Bali Medical Journal, 11(3), 1987–1995.




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Dwi Martha Nur Aditya
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Viskasari Pintoko Kalanjati
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Dimas Bathoro Bagus Pamungkas
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Maya Rahmayanti Syamhadi
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Jesslyn Angelina Soegiharto Wibowo
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Kevin Muliawan Soetanto
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