THE IMPACT OF TELEMEDICINE ON CHRONIC DISEASE MANAGEMENT: A SYSTEMATIC REVIEW

Abstract

Chronic diseases pose significant health and economic burdens globally, especially in low- and middle-income countries such as Pakistan. Telemedicine, defined as the delivery of healthcare services through telecommunication technologies, has emerged as a promising tool for managing chronic illnesses by improving access, continuity of care, and patient outcomes. This systematic review examines the impact of telemedicine interventions on the management of chronic diseases, including diabetes, hypertension, cardiovascular diseases, and chronic obstructive pulmonary disease (COPD). We analyzed 35 studies conducted globally, with a focus on those relevant to resource-limited settings. Results indicate that telemedicine improves clinical outcomes, medication adherence, and patient satisfaction while reducing hospital admissions and healthcare costs. Challenges such as infrastructure limitations, digital literacy, and data privacy concerns remain critical barriers to widespread adoption. This review highlights the need for tailored telemedicine models that address local challenges to optimize chronic disease management in Pakistan and similar contexts.