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Purpose <p>Emergency department (ED) overcrowding is a global challenge exacerbated by rising patient demand and inefficient care pathways. Telehealth has emerged as a promising strategy to mitigate ED demand, but its effectiveness and implementation factors remain understudied. To explore the range of telehealth initiatives that have impacted ED demand, and to identify common facilitators and barriers to their deployment.</p> Methods <p>All sources were located from Embase, MEDLINE, the Web of Science Core Collection, Cochrane Library, and SCOPUS in September 2024. Studies retrieved were limited to those published in English and after 2019. Studies were categorised by their various characteristics and implementation factors were identified and grouped thematically.</p> Results <p>Of 1,502 screened records, 45 studies met the inclusion criteria. Most (n = 33) reported reduced ED demand, while four studies noted increased demand, and eight drew no conclusions. Synchronous telehealth was the most common modality (n = 37), primarily used for triage and follow-up. The key groups of enablers identified were provider-related (n = 15) and policy-related (n = 9). The main group of barriers identified was patient-related (n = 14).</p> Conclusions <p>Telehealth strategies generally contributed to reducing ED demand. Key facilitators were provider engagement and regulatory support, while the most common barrier was patient acceptance.</p>

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Telehealth strategies and emergency department demand: a scoping review

  • 期刊论文

  • 发表日期：

    2025年6月20日

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  • Loo Guan Hin,
  • Ang Chin-Siang,
  • Ng Yih Yng

摘要

Purpose

Emergency department (ED) overcrowding is a global challenge exacerbated by rising patient demand and inefficient care pathways. Telehealth has emerged as a promising strategy to mitigate ED demand, but its effectiveness and implementation factors remain understudied. To explore the range of telehealth initiatives that have impacted ED demand, and to identify common facilitators and barriers to their deployment.

Methods

All sources were located from Embase, MEDLINE, the Web of Science Core Collection, Cochrane Library, and SCOPUS in September 2024. Studies retrieved were limited to those published in English and after 2019. Studies were categorised by their various characteristics and implementation factors were identified and grouped thematically.

Results

Of 1,502 screened records, 45 studies met the inclusion criteria. Most (n = 33) reported reduced ED demand, while four studies noted increased demand, and eight drew no conclusions. Synchronous telehealth was the most common modality (n = 37), primarily used for triage and follow-up. The key groups of enablers identified were provider-related (n = 15) and policy-related (n = 9). The main group of barriers identified was patient-related (n = 14).

Conclusions

Telehealth strategies generally contributed to reducing ED demand. Key facilitators were provider engagement and regulatory support, while the most common barrier was patient acceptance.