Authors' recommendations: The overall quality of most of the original studies in asynchronous telehealth is poor. These studies, however, provide consistent evidence suggesting that this telehealth modality could lead to shorter wait times, fewer unnecessary referrals, high levels of patient and provider satisfaction, and equivalent (or better) diagnostic accuracy when compared with face-to-face consultations. The number of organizations identified in the environmental scan highlights the potential of asynchronous telehealth and underscores the need for standardized ways to document their work sothat institutions may be compared. In Canada, where the reduction in wait times for health care has become a priority, asynchronous telehealth could be an option to choose for improving access to specialized services. It is unknown, however, whether the benefits that have been shown in small local studies could be realized after wide-scale implementation.Policy makers could play a role in helping to shape the future of asynchronous telehealth in Canada. By formulating pragmatic objectives with consistent and reasonable outcomes, policy makers and researchers could promote projects, such as asynchronous telehealth triage services, that could increase the efficiency of the health care system and enrich the body of research.Canadian policy makers have an opportunity to leverage the experience and resources of the five existing asynchronous telehealth services. Efforts are underway to promote standardization,particularly through the National Telehealth Outcomes Indicators Project (NTOIP), which could foster collaboration among institutions. These programs could act as living laboratories in which to gain a better understanding, under controlled conditions, of the depth and breadth of services, their associated risks and benefits, their resource implications, and the regulatory framework that would be needed to ensure that asynchronous telehealth contributes to the sustainability of the health care system in Canada.

Project Status: Completed

URL for project: http://www.cadth.ca/media/pdf/427B_Asynchronous-Telehealth_tr_e.pdf

Year Published: 2008

URL for published report: http://www.cadth.ca/index.php/en/hta/reports-publications/search/publication/789

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Canada

Organisation Name: Canadian Agency for Drugs and Technologies in Health

Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;

Contact Name: requests@cadth.ca

Contact Email: requests@cadth.ca

Copyright: Canadian Agency for Drugs and Technologies in Health (CADTH)