Telemedicine Efficiency in Hospital-Based Settings: A Literature Review with Implications for Albania

Authors

  • Edlira Bode Mediterranean University of Albania / University Trauma Hospital, Tirane, Albania

Keywords:

Telemedicine, Hospital-based care, Efficiency, Cost-effectiveness, Albania

Abstract

Hospital-based telemedicine expanded rapidly during the COVID-19 pandemic, demonstrating notable benefits—particularly in small and rural hospitals. However, evidence on its efficiency and cost-effectiveness remains limited. A literature review was conducted through a structured PubMed search strategy to identify relevant studies. The findings indicate that hospital-based telemedicine can be efficient but such outcomes depend on its careful adaptation to the disease area, medical specialty, and type of hospital setting. In Albania, hospital-based telemedicine should be further adapted and expanded, with decision-makers focusing on sustainable models aligned with institutional capacities and clinical priorities.

References

Gutierrez J, Rewerts K, CarlLee S, Kuperman E, Anderson ML, Kaboli PJ. A systematic review of telehealth applications in hospital medicine. J Hosp Med. 2022 Apr;17(4):291–302.

Schneider NM, Steinberg DM, Garcia AM, Guler J, Mudd E, Agoston AM, et al. Pediatric Consultation-Liaison Psychology: Insights and Lessons Learned During the COVID-19 Pandemic. J Clin Psychol Med Settings. 2023 Mar;30(1):51–60.

Pilosof NP, Barrett M, Oborn E, Barkai G, Pessach IM, Zimlichman E. Telemedicine Implementation in COVID-19 ICU: Balancing Physical and Virtual Forms of Visibility. HERD. 2021 July;14(3):34–48.

Monaghesh E, Hajizadeh A. The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health. 2020 Aug 1;20:1193.

Shaver J. The State of Telehealth Before and After the COVID-19 Pandemic. Prim Care. 2022 Dec;49(4):517–30.

Betancourt JA, Rosenberg MA, Zevallos A, Brown JR, Mileski M. The Impact of COVID-19 on Telemedicine Utilization Across Multiple Service Lines in the United States. Healthcare. 2020 Oct 1;8(4):380.

Myrick KL, Ph.D., Mahar M, M.P.H., DeFrances CJ, Ph.D. Products - Data Briefs - Number 493 - February 2024 [Internet]. 2024 [cited 2025 July 31]. Available from: https://www.cdc.gov/nchs/products/databriefs/db493.htm

Latifi R, Gunn JKL, Bakiu E, Boci A, Dasho E, Olldashi F, et al. Access to Specialized Care Through Telemedicine in Limited-Resource Country: Initial 1,065 Teleconsultations in Albania. Telemed J E-Health Off J Am Telemed Assoc. 2016 Dec;22(12):1024–31.

Latifi R, Parsikia A, Boci A, Doarn CR, Merrell RC. Increased Access to Care through Telemedicine in Albania: An Analysis of 2,724 Patients. Telemed J E-Health Off J Am Telemed Assoc. 2020 Feb;26(2):164–75.

Latifi R, Olldashi F, Dogjani A, Dasho E, Boci A, El-Menyar A. Telemedicine for Neurotrauma in Albania: Initial Results from Case Series of 146 Patients. World Neurosurg. 2018 Apr;112:e747–53.

Olldashi F, Latifi R, Parsikia A, Boci A, Qesteri O, Dasho E, et al. Telemedicine for Neurotrauma Prevents Unnecessary Transfers: An Update from a Nationwide Program in Albania and Analysis of 590 Patients. World Neurosurg. 2019 Aug;128:e340–6.

Latifi R. “Initiate-build-operate-transfer” - a strategy for establishing sustainable telemedicine programs not only in the developing countries. Stud Health Technol Inform. 2011;165:3–10.

Pilosof NP, Barrett M, Oborn E, Barkai G, Pessach IM, Zimlichman E. Telemedicine Implementation in COVID-19 ICU: Balancing Physical and Virtual Forms of Visibility. HERD. 2021 July;14(3):34–48.

Isetta V, Negrín MA, Monasterio C, Masa JF, Feu N, Álvarez A, et al. A Bayesian cost-effectiveness analysis of a telemedicine-based strategy for the management of sleep apnoea: a multicentre randomised controlled trial. Thorax. 2015 Nov;70(11):1054–61.

Watzke B, Heddaeus D, Steinmann M, König HH, Wegscheider K, Schulz H, et al. Effectiveness and cost-effectiveness of a guideline-based stepped care model for patients with depression: study protocol of a cluster-randomized controlled trial in routine care. BMC Psychiatry. 2014 Aug 20;14:230.

Wu CJJ, Atherton JJ, MacIsaac RJ, Courtney M, Chang AM, Thompson DR, et al. Effectiveness of the cardiac-diabetes transcare program: protocol for a randomised controlled trial. BMC Health Serv Res. 2017 Feb 2;17(1):109.

Clarke M, Fursse J, Brown-Connolly NE, Sharma U, Jones R. Evaluation of the National Health Service (NHS) Direct Pilot Telehealth Program: Cost-Effectiveness Analysis. Telemed J E-Health Off J Am Telemed Assoc. 2018 Jan;24(1):67–76.

Hofmann R, Völler H, Nagels K, Bindl D, Vettorazzi E, Dittmar R, et al. First outline and baseline data of a randomized, controlled multicenter trial to evaluate the health economic impact of home telemonitoring in chronic heart failure - CardioBBEAT. Trials. 2015 Aug 11;16:343.

Crafoord MT, Ekstrand J, Sundberg K, Nilsson MI, Fjell M, Langius-Eklöf A. Mobile Electronic Patient-Reported Outcomes and Interactive Support During Breast and Prostate Cancer Treatment: Health Economic Evaluation From Two Randomized Controlled Trials. JMIR Cancer. 2025 Mar 11;11:e53539.

Shively NR, Moffa MA, Paul KT, Wodusky EJ, Schipani BA, Cuccaro SL, et al. Impact of a Telehealth-Based Antimicrobial Stewardship Program in a Community Hospital Health System. Clin Infect Dis Off Publ Infect Dis Soc Am. 2020 July 27;71(3):539–45.

Gannotta RJ. Changes in the Healthcare Environment Prompt Leaders to Think Digitally. Front Health Serv Manage. 2022 Apr 1;38(3):24–30.

Aledia AS, Dangodara AA, Amin AA, Amin AN. Implementation of Inpatient Electronic Consultations During the COVID-19 Crisis and Its Sustainability Beyond the Pandemic: Quality Improvement Study. J Med Internet Res. 2024 May 16;26:e55623.

Toll K, Robinson S, Andrew S, Williams A, Yeung J, Varhol R, et al. Implementation of rural provider-to-provider telehealth in country Western Australia: a retrospective observational analysis via the RE-AIM framework. BMC Health Serv Res. 2025 Jan 31;25(1):189.

Implementing Measurement-Based Care in a Youth Partial Hospital Setting: Leveraging Feedback for Sustainability - PubMed [Internet]. [cited 2025 July 31]. Available from: https://pubmed.ncbi.nlm.nih.gov/38575735/

Bowen SC, Gheewala R, Paez W, Lucke-Wold B, Mitin T, Ciporen JN. Telemedicine visits in an established multidisciplinary central nervous system clinic for radiation oncology and neurosurgery (RADIANS) in a community hospital setting. Bratisl Lek Listy. 2021;122(9):680–3.

Albania – International Virtual e-Hospital [Internet]. [cited 2025 July 31]. Available from: https://iveh.org/albania/

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Published

2025-08-20