Telehealth as a Care Solution for Homebound People: Systematic Review and Meta‐Analysis of Healthcare Utilization, Quality of Life, and Well‐Being Outcomes Article Swipe
Maria Alejandra Pinero de Plaza
,
Aarti Gulyani
,
Lemma N Bulto
,
Regina Allande‐Cussó
,
Vincent Pearson
,
Belinda Lange
,
Tania Marin
,
Lemlem G. Gebremichael
,
Shannon Brown
,
Hila Ariela Dafny
,
Shelda Sajeev
,
Norma B. Bulamu
,
Alline Beleigoli
,
Katie Nesbitt
,
Penelope McMillan
,
Robyn Clark
,
Matthew Tieu
,
Alison Kitson
,
Stephanie Champion
,
Sonia Hines
,
Jeroen Hendriks
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1155/hsc/7224151
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1155/hsc/7224151
Homebound individuals residing in community settings with severe health conditions and disabilities could arguably benefit from telehealth interventions. However, the effectiveness of telehealth compared to in‐person care remains underexplored, considering the diversity of these groups. This systematic review and meta‐analysis aimed to evaluate the effectiveness of telehealth in reducing healthcare utilization and improving health‐related quality of life (HRQOL) and well‐being in homebound populations. Adhering and expanding on a published protocol, we conducted comprehensive search across multiple databases: MEDLINE, Embase, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, LILACS, and the Web of Science, with no restrictions on language or publication date, and experimental and quasiexperimental studies considered. Eleven independent reviewers were responsible for study selection, and three for data extraction. The methodological quality of the included studies was assessed using JBI checklists. A meta‐analysis was then performed using Stata software, which reported standardized mean differences (SMDs) as the effect measure, with the quality of evidence evaluated using the GRADE approach. From an initial screening of 3289 articles, ten studies met our inclusion criteria, with eight suitable for meta‐analysis. These studies encompassed data from 2245 participants. Our findings revealed that telehealth interventions significantly reduced healthcare utilization (SMD: −0.49; 95% CI: −0.76 to −0.22; p < 0.01, GRADE: low certainty), significantly enhanced HRQOL (SMD: 0.18; 95% CI: 0.01 to 0.35; p = 0.04, GRADE: moderate certainty), and significantly improved well‐being (SMD: −0.31; 95% CI: −0.47 to −0.15; p < 0.01, GRADE: moderate certainty) compared to in‐person care. Thus, telehealth emerges as a viable alternative to conventional care, significantly reducing healthcare utilization and enhancing both HRQOL and well‐being for homebound people. These findings underscore the potential of telehealth to mitigate healthcare disparities and emphasize the need for accessible, equitable telehealth services codeveloped with end users and relevant stakeholders to save resources and maximize health outcomes for vulnerable populations in community settings.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1155/hsc/7224151
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/hsc/7224151
- OA Status
- hybrid
- Cited By
- 1
- References
- 121
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4412415121
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4412415121Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1155/hsc/7224151Digital Object Identifier
- Title
-
Telehealth as a Care Solution for Homebound People: Systematic Review and Meta‐Analysis of Healthcare Utilization, Quality of Life, and Well‐Being OutcomesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-01-01Full publication date if available
- Authors
-
Maria Alejandra Pinero de Plaza, Aarti Gulyani, Lemma N Bulto, Regina Allande‐Cussó, Vincent Pearson, Belinda Lange, Tania Marin, Lemlem G. Gebremichael, Shannon Brown, Hila Ariela Dafny, Shelda Sajeev, Norma B. Bulamu, Alline Beleigoli, Katie Nesbitt, Penelope McMillan, Robyn Clark, Matthew Tieu, Alison Kitson, Stephanie Champion, Sonia Hines, Jeroen HendriksList of authors in order
- Landing page
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https://doi.org/10.1155/hsc/7224151Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/hsc/7224151Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/hsc/7224151Direct OA link when available
- Concepts
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Telehealth, Meta-analysis, Health care, Quality of life (healthcare), Medicine, Quality (philosophy), Nursing, Gerontology, Telemedicine, Internal medicine, Economic growth, Economics, Epistemology, PhilosophyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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121Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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