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Patient outcomes related to telehealth delivery of specialty palliative care: A literature review

Impagliazzo, Carolyn (2023) Patient outcomes related to telehealth delivery of specialty palliative care: A literature review. Master Essay, University of Pittsburgh.

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Objective: We aim to determine the effectiveness of telehealth-delivered palliative care. This review seeks to understand the impact of telehealth-delivered palliative care on patient outcomes.
Methods: This review was conducted in accordance with PRISMA guidelines. Articles published between 01/01/1980 and 11/02/2022 were queried from PubMed, EMBASE, Cochrane, and CINAH. Abstracts and titles of all identified articles were reviewed for relevance to the research study. Full-text of all relevant articles were then assessed for eligibility. Two members of the study team reviewed each article to determine if the article met eligibility criteria: 1) involved palliative care and/or hospice specialists 2) used telehealth 3) measured patient outcomes. We excluded any article that was a systematic review, editorial, abstract only, case series of 3 or fewer patients, or protocol paper and was not published in English. All eligible articles were then reviewed by two members of the study team to abstract information relevant to this project.
Results: A total of 29 studies were included in this review. Of those that reported a comparison between groups (n=27), 26% (n = 7) of studies reported statistically significant improvement after intervention. 4% (n=1) reported statistically significantly worsened patient outcomes in the intervention group. In 7% (n=2) of studies, the control group statistically significantly improved. 63% (n=17) reported no change after intervention. Two did not record a comparison. Outcomes measured included quality of life, anxiety and depression, speed of
functional decline, emotional burden, healthcare utilization, symptom management, goal- concordant care and goals-of-care.
Conclusion: The lack of evidence around the effectiveness of telehealth-delivered palliative care highlights the public health significance of virtual palliative care for seriously ill individuals. This review found there is mixed evidence, when available, that telehealth-delivered palliative care is effective. Additionally, many studies included in this review were too small to be sufficiently powered to detect intervention impact. Seriously ill individuals require access to high quality palliative care, regardless of delivery mechanism. More research is needed to determine the best way to use telehealth-delivered palliative care help this vulnerable population.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Impagliazzo, Carolyncri6@pitt.educri6
ContributionContributors NameEmailPitt UsernameORCID
Thesis advisorGlynn, NancyEPIDNWG@pitt.eduEPIDNWGUNSPECIFIED
Committee MemberSchenker, Yaelyas28@pitt.eduyas28UNSPECIFIED
Committee MemberHutchinson, RebeccaREH140@pitt.eduREH140UNSPECIFIED
Date: 28 August 2023
Date Type: Completion
Submission Date: 3 July 2023
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 47
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: telehealth, palliative care, telemedicine, e-consult, e-health, telemedicine, telecoaching
Date Deposited: 28 Aug 2023 20:14
Last Modified: 28 Aug 2023 20:14


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