Telemedicine for Older Adults During COVID-19: A Literature Reviews

Main Article Content

Mishleen Hallak


COVID-19, Coronavirus, Telemedicine, Telehealth, Older Population, Older Adults, Geriatric


When intended for the older population, Telehealth has the potential to be beneficial, especially during a crisis like COVID-19 pandemic, when older people were the most vulnerable group.

This paper gives an overview of the growing use of Telehealth among people 65 years and older during COVID-19 pandemic by reviewing relevant studies published from the beginning of the pandemic until the time of starting the data extraction process, our review found that telemedicine use, in general, has been beneficial for healthcare providers, caregivers, and patients as it is in the management of the epidemic.

Most telemedicine interventions or services were available for the management and control of chronic diseases, telemedicine has provided the possibility of immediate assessment and counseling of patients infected with COVID-19, multimedia treatment remotely, patient education and training, facilitating real-time data exchange, leading the collection, processing, and storage of medical information for patients, advising on strategic planning and drug use for patients with COVID-19, dealing with the worries of patients, digital assessment tools, helped in implementing social distancing, reduced reliance on public transportation, minimized the virus infection risk that may happen because of in-person contacts. It has promising use in the management of mental health crises associated and non-associated with COVID19.

The paper also reviews the possible limitation that can hinder better use of telemedicine by older adults such as the limited ability to perform a physical examination, concern about the quality, not getting personally connected to the medical provider, hearing or visual problems and privacy concerns.

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[1] S. Doraiswamy, A. Jithesh, R. Mamtani, A. Abraham, and S. Cheema, “Telehealth use in geriatrics care during the covid-19 pandemic—a scoping review and evidence synthesis,” International Journal of Environmental Research and Public Health, vol. 18, no. 4. 2021. doi: 10.3390/ijerph18041755.
[2] “What Share of People Who Have Died of COVID-19 Are 65 and Older – and How Does It Vary By State? | KFF.” (accessed Feb. 16, 2023).
[3] “Impact of COVID-19 on Older Adults: 2021 International Survey | Commonwealth Fund.” (accessed Feb. 16, 2023).
[4] “The Impact of COVID-19 on older persons M AY 2 0 2 0”, Accessed: Feb. 16, 2023. [Online]. Available:
[5] J. J. Reeves et al., “Rapid response to COVID-19: health informatics support for outbreak management in an academic health system,” J Am Med Inform Assoc, vol. 27, no. 6, pp. 853–859, Jun. 2020, doi: 10.1093/JAMIA/OCAA037.
[6] A. W. Roberts, S. U. Ogunwole, L. Blakeslee, and M. A. Rabe, “The Population 65 Years and Older in the United States: 2016 American Community Survey Reports,” 2018, Accessed: Feb. 16, 2023. [Online]. Available:
[7] C. Wang et al., “Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China,” Int J Environ Res Public Health, vol. 17, no. 5, p. 1729, Mar. 2020, doi: 10.3390/IJERPH17051729.
[8] “Loneliness and Social Isolation Linked to Serious Health Conditions.” (accessed Feb. 16, 2023).
[9] J. Qiu, B. Shen, M. Zhao, Z. Wang, B. Xie, and Y. Xu, “A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations,” Gen Psychiatr, vol. 33, no. 2, Mar. 2020, doi: 10.1136/GPSYCH-2020-100213.
[10] R. Weiskittle, M. E. Mlinac, and N. Downing, “Addressing COVID-19 Worry and Social Isolation in Home-Based Primary Care”, doi: 10.31234/OSF.IO/483ZV.
[11] S. Y. Patel, A. Mehrotra, H. A. Huskamp, L. Uscher-Pines, I. Ganguli, and M. L. Barnett, “Variation In Telemedicine Use And Outpatient Care During The COVID-19 Pandemic In The United States,” Health Aff (Millwood), vol. 40, no. 2, pp. 349–358, Feb. 2021, doi: 10.1377/HLTHAFF.2020.01786.
[12] G. DiGiovanni et al., “Development of a telehealth geriatric assessment model in response to the COVID-19 pandemic,” J Geriatr Oncol, vol. 11, no. 5, p. 761, Jun. 2020, doi: 10.1016/J.JGO.2020.04.007.
[13] G. C. Alexander, M. Tajanlangit, J. Heyward, O. Mansour, D. M. Qato, and R. S. Stafford, “Use and Content of Primary Care Office-Based vs Telemedicine Care Visits During the COVID-19 Pandemic in the US,” JAMA Netw Open, vol. 3, no. 10, Oct. 2020, doi: 10.1001/JAMANETWORKOPEN.2020.21476.
[14] L. F. Tan, V. Ho Wen Teng, S. K. Seetharaman, and A. W. Yip, “Facilitating telehealth for older adults during the COVID-19 pandemic and beyond: Strategies from a Singapore geriatric center,” Geriatr Gerontol Int, vol. 20, no. 10, pp. 993–995, Oct. 2020, doi: 10.1111/GGI.14017.
[15] E. Sano, E. Benton, J. Kenny, E. Olsen, A. Heravian, and J. Truong, “Telemedicine Use by Older Adults in a COVID-19 Epicenter,” J Emerg Med, vol. 63, no. 3, pp. 325–331, Sep. 2022, doi: 10.1016/J.JEMERMED.2022.01.024.
[16] “What is telehealth? |” (accessed Feb. 16, 2023).
[17] K. Lam, A. D. Lu, Y. Shi, and K. E. Covinsky, “Assessing Telemedicine Unreadiness Among Older Adults in the United States During the COVID-19 Pandemic,” JAMA Intern Med, vol. 180, no. 10, pp. 1389–1391, Oct. 2020, doi: 10.1001/JAMAINTERNMED.2020.2671.
[18] J. L. Frydman, W. Li, L. P. Gelfman, and B. Liu, “Telemedicine Uptake Among Older Adults During the COVID-19 Pandemic,” Ann Intern Med, vol. 175, no. 1, pp. 145–148, Jan. 2022, doi: 10.7326/M21-2972.
[19] C. M. Pichan, C. E. Anderson, L. C. Min, and M. C. Blazek, “Geriatric Education on Telehealth (GET) Access: A medical student volunteer program to increase access to geriatric telehealth services at the onset of COVID-19,” J Telemed Telecare, 2021, doi: 10.1177/1357633X211023924.
[20] B. P. Ng and C. Park, “Accessibility of Telehealth Services During the COVID-19 Pandemic: A Cross-Sectional Survey of Medicare Beneficiaries,” Prev Chronic Dis, vol. 18, pp. 1–11, 2021, doi: 10.5888/PCD18.210056.
[21] G. M. Aliberti, R. Bhatia, L. B. Desrochers, E. A. Gilliam, and M. A. Schonberg, “Perspectives of primary care clinicians in Massachusetts on use of telemedicine with adults aged 65 and older during the COVID-19 pandemic,” Prev Med Rep, vol. 26, Apr. 2022, doi: 10.1016/J.PMEDR.2022.101729.
[22] M. Canevelli, G. Bruno, and M. Cesari, “Providing Simultaneous COVID-19-sensitive and Dementia-Sensitive Care as We Transition from Crisis Care to Ongoing Care,” J Am Med Dir Assoc, vol. 21, no. 7, pp. 968–969, Jul. 2020, doi: 10.1016/J.JAMDA.2020.05.025.
[23] B. J. Malatches, S. J. Demos, A. Keegan, A. A. Mavanur, M. R. Katlic, and J. H. Wolf, “Development of a Telemedicine-based Preoperative Geriatric Assessment During Covid-19: An Institutional Pilot Study,” J Am Coll Surg, vol. 233, no. 5, p. e73, Nov. 2021, doi: 10.1016/J.JAMCOLLSURG.2021.08.196.
[24] Q. Li et al., “Early Transmission Dynamics in Wuhan, China, of Novel Coronavirus-Infected Pneumonia,” N Engl J Med, vol. 382, no. 13, pp. 1199–1207, Mar. 2020, doi: 10.1056/NEJMOA2001316.
[25] E. Monaghesh and A. Hajizadeh, “The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence,” BMC Public Health, vol. 20, no. 1, Aug. 2020, doi: 10.1186/S12889-020-09301-4.
[26] L. Liu et al., “Application and Preliminary Outcomes of Remote Diagnosis and Treatment During the COVID-19 Outbreak: Retrospective Cohort Study,” JMIR Mhealth Uhealth 2020;8(7):e19417, vol. 8, no. 7, p. e19417, Jul. 2020, doi: 10.2196/19417.
[27] N. C. Hantke and C. Gould, “Examining Older Adult Cognitive Status in the Time of COVID-19,” J Am Geriatr Soc, vol. 68, no. 7, pp. 1387–1389, Jul. 2020, doi: 10.1111/JGS.16514.
[28] S. Elbaz et al., “A Systematic Review of Telemedicine for Older Adults With Dementia During COVID-19: An Alternative to In-person Health Services?,” Front Neurol, vol. 12, Dec. 2021, doi: 10.3389/FNEUR.2021.761965.
[29] M. Haimi and A. Gesser-Edelsburg, “Application and implementation of telehealth services designed for the elderly population during the COVID-19 pandemic: A systematic review,” Health Informatics J, vol. 28, no. 1, pp. 1–34, Feb. 2022, doi: 10.1177/14604582221075561.
[30] J. M. Bingham et al., “Impact of Telehealth Interventions on Medication Adherence for Patients With Type 2 Diabetes, Hypertension, and/or Dyslipidemia: A Systematic Review,” Ann Pharmacother, vol. 55, no. 5, pp. 637–649, May 2021, doi: 10.1177/1060028020950726.
[31] J. Bäuml, T. Froböse, S. Kraemer, M. Rentrop, and G. Pitschel-Walz, “Psychoeducation: a basic psychotherapeutic intervention for patients with schizophrenia and their families,” Schizophr Bull, vol. 32 Suppl 1, no. Suppl 1, Oct. 2006, doi: 10.1093/SCHBUL/SBL017.
[32] C. Cormi, J. Chrusciel, D. Laplanche, M. Dramé, and S. Sanchez, “Telemedicine in nursing homes during the COVID-19 outbreak: A star is born (again),” Geriatr Gerontol Int, vol. 20, no. 6, pp. 646–647, Jun. 2020, doi: 10.1111/GGI.13934.
[33] T. Gomez, Y. B. Anaya, K. J. Shih, and D. M. Tarn, “A Qualitative Study of Primary Care Physicians’ Experiences With Telemedicine During COVID-19,” J Am Board Fam Med, vol. 34, no. Suppl, pp. S61–S70, Feb. 2021, doi: 10.3122/JABFM.2021.S1.200517.
[34] A. S. Tenforde et al., “Outpatient Physical, Occupational, and Speech Therapy Synchronous Telemedicine: A Survey Study of Patient Satisfaction with Virtual Visits During the COVID-19 Pandemic,” Am J Phys Med Rehabil, vol. 99, no. 11, pp. 977–981, Nov. 2020, doi: 10.1097/PHM.0000000000001571.
[35] C. Pimentel Bertasso et al., “Telemedicine in long-term elderly care facilities as ‘social accountability’ in the context of Covid-19,” Rev Bras Educ Med, vol. 45, no. 1, Feb. 2021, doi: 10.1590/1981-5271V45.1-20200312.ING.
[36] S. Jen, A. Bui, and S. D. Leonard, “Using telemedicine during covid-19 to deliver geriatric medicine and nursing home care educational curriculum,” J Am Geriatr Soc, vol. 69, no. S1, pp. S201–S201, Apr. 2021, doi: 10.1111/JGS.17115.
[37] M. T. Gentry, M. I. Lapid, M. M. Clark, and T. A. Rummans, “Evidence for telehealth group-based treatment: A systematic review,” J Telemed Telecare, vol. 25, no. 6, pp. 327–342, Jul. 2019, doi: 10.1177/1357633X18775855.
[38] M. T. Gentry, M. I. Lapid, and T. A. Rummans, “Geriatric Telepsychiatry: Systematic Review and Policy Considerations,” Am J Geriatr Psychiatry, vol. 27, no. 2, pp. 109–127, Feb. 2019, doi: 10.1016/J.JAGP.2018.10.009.
[39] O. A. Sorinmade, L. Kossoff, and C. Peisah, “COVID-19 and Telehealth in older adult psychiatry-opportunities for now and the future,” Int J Geriatr Psychiatry, vol. 35, no. 12, pp. 1427–1430, Dec. 2020, doi: 10.1002/GPS.5383.
[40] C. Munro Cullum, L. S. Hynan, M. Grosch, M. Parikh, and M. F. Weiner, “Teleneuropsychology: Evidence for Video Teleconference-Based Neuropsychological Assessment,” J Int Neuropsychol Soc, vol. 20, no. 10, p. 1028, Nov. 2014, doi: 10.1017/S1355617714000873.
[41] M. G. Austrom et al., “Use of a multiparty web based videoconference support group for family caregivers: Innovative practice,” Dementia (London), vol. 14, no. 5, pp. 682–690, Sep. 2015, doi: 10.1177/1471301214544338.
[42] M. L. Callisaya, A. H. C. Lee, and A. Khushu, “Rapid implementation of telehealth in geriatric outpatient clinics due to COVID-19,” Intern Med J, vol. 51, no. 7, pp. 1151–1155, Jul. 2021, doi: 10.1111/IMJ.15306.
[43] M. Fisk, A. Livingstone, and S. W. Pit, “Telehealth in the Context of COVID-19: Changing Perspectives in Australia, the United Kingdom, and the United States,” J Med Internet Res 2020;22(6):e19264, vol. 22, no. 6, p. e19264, Jun. 2020, doi: 10.2196/19264.
[44] S. Bhaskar et al., “Telemedicine Across the Globe-Position Paper From the COVID-19 Pandemic Health System Resilience PROGRAM (REPROGRAM) International Consortium (Part 1),” Front Public Health, vol. 8, p. 644, Oct. 2020, doi: 10.3389/FPUBH.2020.556720/BIBTEX.
[45] “Telehealth Use Among Older Adults Before and During COVID-19 | National Poll on Healthy Aging.” (accessed Feb. 16, 2023).
[46] M. E. Gately, L. Tickle-Degnen, J. E. McLaren, N. Ward, K. Ladin, and L. R. Moo, “Factors Influencing Barriers and Facilitators to In-home Video Telehealth for Dementia Management,” Clin Gerontol, vol. 45, no. 4, pp. 1020–1033, 2022, doi: 10.1080/07317115.2021.1930316.
[47] M. C. Y. Choi et al., “Elderly acceptance of telemedicine use in Hong Kong during and after the COVID-19 pandemic: a cross-sectional cohort survey,” medRxiv, p. 2021.07.15.21260346, Jul. 2021, doi: 10.1101/2021.07.15.21260346.