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Exploring Quantitative Methodologies for Assessing the Environmental, Social, and Economic Impacts of Telemedicine: A Literature Review

Author

Listed:
  • Anna Savoldelli

    (Department of Management, Information and Production Engineering, University of Bergamo, Viale Marconi 5, 24044 Dalmine, Italy)

  • Daniele Landi

    (Department of Management, Information and Production Engineering, University of Bergamo, Viale Marconi 5, 24044 Dalmine, Italy)

  • Caterina Rizzi

    (Department of Management, Information and Production Engineering, University of Bergamo, Viale Marconi 5, 24044 Dalmine, Italy)

Abstract

The significant consumption of resources within the healthcare sector underscores the need to address both efficiency and sustainability concerns. Telemedicine has been identified as one of the most promising pathways for reducing the environmental impacts of the healthcare sector. However, a comprehensive sustainability assessment is still required. The main aim of the present study is to conduct a systematic literature review to explore approaches and methodologies employed for quantifying the environmental, social, and economic impacts of telemedicine. Moreover, the research seeks to determine whether the approaches focus on a single aspect or whether they allow for a comprehensive assessment including all three sustainability pillars. The searching phase was conducted in the Scopus and PubMed databases, considering last 10 years (i.e., 2013–2023). Keywords were related to remote care and sustainability impact fields. Following the PRISMA framework, out of 477 articles, 91 studies were included in the analysis. Primary findings highlighted that studies on telemedicine impacts predominantly focus on transport-related aspects, emphasizing direct emissions and associated costs that are avoided and time savings. Televisit emerged as the most investigated remote care activity. Database and conversion factors were mainly employed for analysis, while other methodologies were sporadically mentioned in the literature. Despite numerous papers addressing these issues, a standardized and comprehensive methodology still appears to be lacking. Future works should consider the entire life cycle process, including more stakeholders. A defined approach will be fundamental to move beyond theoretical discussions and provide actionable insights for healthcare practitioners, policymakers, and researchers.

Suggested Citation

  • Anna Savoldelli & Daniele Landi & Caterina Rizzi, 2024. "Exploring Quantitative Methodologies for Assessing the Environmental, Social, and Economic Impacts of Telemedicine: A Literature Review," Sustainability, MDPI, vol. 16(6), pages 1-25, March.
  • Handle: RePEc:gam:jsusta:v:16:y:2024:i:6:p:2438-:d:1357441
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    References listed on IDEAS

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    1. MoonKi Choi, 2020. "Association of eHealth Use, Literacy, Informational Social Support, and Health-Promoting Behaviors: Mediation of Health Self-Efficacy," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
    2. Josep Vidal-Alaball & Jordi Franch-Parella & Francesc Lopez Seguí & Francesc Garcia Cuyàs & Jacobo Mendioroz Peña, 2019. "Impact of a Telemedicine Program on the Reduction in the Emission of Atmospheric Pollutants and Journeys by Road," IJERPH, MDPI, vol. 16(22), pages 1-7, November.
    3. Marieke Sijm-Eeken & Monique Jaspers & Linda Peute, 2023. "Identifying Environmental Impact Factors for Sustainable Healthcare: A Scoping Review," IJERPH, MDPI, vol. 20(18), pages 1-16, September.
    4. Mi Young Kwak & Eun Jeong Hwang & Tae Ho Lee, 2021. "Effects of the Physician–Primary-Healthcare Nurse Telemedicine Model (P-NTM) on Medication Adherence and Health-Related Quality of Life (HRQoL) of Patients with Chronic Disease at Remote Rural Areas," IJERPH, MDPI, vol. 18(5), pages 1-12, March.
    5. Roberto Moro Visconti & Donato Morea, 2020. "Healthcare Digitalization and Pay-For-Performance Incentives in Smart Hospital Project Financing," IJERPH, MDPI, vol. 17(7), pages 1-25, March.
    6. Flaviu Moldovan & Liviu Moldovan & Tiberiu Bataga, 2023. "The Environmental Sustainability Assessment of an Orthopedics Emergency Hospital Supported by a New Innovative Framework," Sustainability, MDPI, vol. 15(18), pages 1-31, September.
    7. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    8. Custodio, Henry M. & Hadjikakou, Michalis & Bryan, Brett A., 2023. "A review of socioeconomic indicators of sustainability and wellbeing building on the social foundations framework," Ecological Economics, Elsevier, vol. 203(C).
    9. Liao, Liping & Du, Minzhe & Chen, Zhongfei, 2021. "Air pollution, health care use and medical costs: Evidence from China," Energy Economics, Elsevier, vol. 95(C).
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    1. Martina Pisarra & Marta Marsilio & Letizia Magnani & Gian Vincenzo Zuccotti, 2024. "Sostenibilit? in sanit?: una valutazione degli impatti della telemedicina," MECOSAN, FrancoAngeli Editore, vol. 2024(130), pages 109-136.

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