Tertiary care virtual online consultation between doctor and patient

Tengku Khalid TNF, Izzuna MMG
Record ID 32018005407
Authors' objectives: To assess the effectiveness, safety and economic implication of tertiary care virtual online consultation between doctor and patient to be used in Ministry of Health (MOH) facilities.
Authors' results and conclusions: The available evidence of virtual online consultation between doctors and patients in tertiary care settings is inconclusive on the effectiveness of the intervention in terms of patient outcomes. The population and the settings reviewed were varied and heterogeneous. However, it may improve patient satisfaction and adherence to treatment, and reduce patient’s time attending appointments or follow-up with clinicians. It may also help to reduce the cost, but this depends on several factors such as the cost of equipment used, purchasing of the software, internet data charges, connectivity and coverage and patient’s residency. Many aspects, especially the barriers and challenges to virtual online consultation need to be taken into consideration to ensure its usability and acceptance as a new method of providing medical care to patients.
Authors' recommendations: Virtual online consultation may be used in selective group of patients. Several factors need to be taken into consideration before introducing the service in the hospital e.g. cost of setting up, type of software, technical issues, internet connectivity and coverage, training of personnel involved/patient and reimbursement. Proper guidelines including governance in managing patients virtually in a tertiary care setting should be developed. Findings from Online Healthcare Services Regulatory Lab Technical Committee may need to be considered.
Authors' methods: The following electronic databases were searched through the Ovid interface: MEDLINE (R) ALL 1946 to November 1, 2022, EBM Reviews-Cochrane Database of Systematic Reviews (2005 to November 2022), EBM Reviews-Cochrane Central Register of Controlled Trials (November 2022), EBM Reviews-Health Technology Assessment (4th Quarter 2016), NHS Economic Evaluation Database (1st Quarter 2016) and PubMed. Additional articles were retrieved from reviewing the bibliographies of retrieved articles. The search was limited to articles on human. There was no language limitation in the search. The last search was conducted on 30 November 2022.
Authors' identified further research: -
Project Status: Completed
Year Published: 2022
Requestor: Decision-making committee
English language abstract: An English language summary is available
Publication Type: Mini HTA
Country: Malaysia
MeSH Terms
  • Remote Consultation
  • Telemedicine
  • Physician-Patient Relations
  • Tertiary Healthcare
  • Virtual consultation
  • Tertiary care
  • Telemedicine
  • Telehealth
  • e-Health
Organisation Name: Malaysian Health Technology Assessment
Contact Address: Malaysian Health Technology Assessment Section, Ministry of Health Malaysia, Federal Government Administrative Centre, Level 4, Block E1, Parcel E, 62590 Putrajaya Malaysia Tel: +603 8883 1229
Contact Name: htamalaysia@moh.gov.my
Contact Email: htamalaysia@moh.gov.my
Copyright: Malaysian Health Technology Assessment Section (MaHTAS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.