Telehealth in Geriatrics

  • Tracy Johns
    Corresponding author.
    University of South Florida Morsani College of Medicine, University of South Florida/Morton Plant Mease Family Medicine Residency, Dr. Joseph A. Eaddy Family Medicine Research Center, Turley Family Health Center, 807 North Myrtle Avenue, Clearwater, FL 33755, USA
    Search for articles by this author
  • Charisse Huot
    University of South Florida Morsani College of Medicine, University of South Florida/Morton Plant Mease Family Medicine Residency, Dr. Joseph A. Eaddy Family Medicine Research Center, Turley Family Health Center, 807 North Myrtle Avenue, Clearwater, FL 33755, USA
    Search for articles by this author
  • Julia C. Jenkins
    University of South Florida Morsani College of Medicine, University of South Florida/Morton Plant Mease Family Medicine Residency, Dr. Joseph A. Eaddy Family Medicine Research Center, Turley Family Health Center, 807 North Myrtle Avenue, Clearwater, FL 33755, USA
    Search for articles by this author
Published:September 30, 2022DOI:


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.


      Subscribe to Primary Care: Clinics in Office Practice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Cimperman M.
        • Brenčič M.M.
        • Trkman P.
        • et al.
        Older adults' perceptions of home telehealth services.
        Telemed J E Health. 2013; 19: 786-790
        • Murphy R.P.
        • Dennehy K.A.
        • Costello M.M.
        • et al.
        Virtual geriatric clinics and the COVID-19 catalyst: a rapid review.
        Age Ageing. 2020; 49: 907-914
        • Doraiswamy S.
        • Jithesh A.
        • Mamtani R.
        • et al.
        Telehealth use in geriatrics care during the COVID-19 pandemic-a scoping review and evidence synthesis.
        Int J Environ Res Public Health. 2021; 18: 1755
        • DiGiovanni G.
        • Mousaw K.
        • Lloyd T.
        • et al.
        Development of a telehealth geriatric assessment model in response to the COVID-19 pandemic.
        J Geriatr Oncol. 2020; 11: 761-763
        • Vockley M.
        The rise of telehealth: 'triple aim,' innovative technology, and popular demand are spearheading new models of health and wellness care.
        Biomed Instrum Technol. 2015; 49: 306-320
        • Frost R.
        • Nimmons D.
        • Davies N.
        Using remote interventions in promoting the health of frail older persons following the COVID-19 lockdown: challenges and solutions.
        J Am Med Dir Assoc. 2020; 21: 992-993
        • Sanford J.A.
        • Butterfield T.
        Using remote assessment to provide home modification services to underserved elders.
        Gerontologist. 2005; 45: 389-398
        • Gately M.E.
        • Trudeau S.A.
        • Moo L.R.
        Feasibility of Telehealth-Delivered Home Safety Evaluations for Caregivers of Clients With Dementia.
        OTJR (Thorofare N J). 2020; 40: 42-49
        • Frank C.
        • Godwin M.
        • Verma S.
        • et al.
        What drugs are our frail elderly patients taking? Do drugs they take or fail to take put them at increased risk of interactions and inappropriate medication use?.
        Can Fam Physician. 2001; 47: 1198-1204
        • Lavan A.H.
        • Gallagher P.F.
        • O'Mahony D.
        Methods to reduce prescribing errors in elderly patients with multimorbidity.
        Clin Interv Aging. 2016; 11: 857-866
        • Liu V.C.
        • Mohammad I.
        • Deol B.B.
        • et al.
        Post-discharge medication reconciliation: reduction in readmissions in a geriatric primary care clinic.
        J Aging Health. 2019; 31: 1790-1805
        • Paquin A.M.
        • Salow M.
        • Rudolph J.L.
        Pharmacist calls to older adults with cognitive difficulties after discharge in a Tertiary Veterans Administration Medical Center: a quality improvement program.
        J Am Geriatr Soc. 2015; 63: 571-577
        • Kane-Gill S.L.
        • Wong A.
        • Culley C.M.
        • et al.
        Transforming the medication regimen review process using telemedicine to prevent adverse events.
        J Am Geriatr Soc. 2021; 69: 530-538
        • Yerrakalva D.
        • Yerrakalva D.
        • Hajna S.
        • et al.
        Effects of mobile health app interventions on sedentary time, physical activity, and fitness in older adults: systematic review and meta-analysis.
        J Med Internet Res. 2019; 21: e14343
        • Lyons E.J.
        • Swartz M.C.
        • Lewis Z.H.
        • et al.
        Feasibility and acceptability of a wearable technology physical activity intervention with telephone counseling for mid-aged and older adults: a randomized controlled pilot trial.
        JMIR Mhealth Uhealth. 2017; 5: e28
        • Ashe M.C.
        • Winters M.
        • Hoppmann C.A.
        • et al.
        "Not just another walking program": everyday activity supports you (EASY) model-a randomized pilot study for a parallel randomized controlled trial.
        Pilot Feasibility Stud. 2015; 1: 4
        • Nunez de Arenas-Arroyo S.
        • Cavero-Redondo I.
        • Alvarez-Bueno C.
        • et al.
        Effect of eHealth to increase physical activity in healthy adults over 55 years: a systematic review and meta-analysis.
        Scand J Med Sci Sports. 2021; 31: 776-789
        • van Doorn-van Atten M.N.
        • Haveman-Nies A.
        • van Bakel M.M.
        • et al.
        Effects of a multi-component nutritional telemonitoring intervention on nutritional status, diet quality, physical functioning and quality of life of community-dwelling older adults.
        Br J Nutr. 2018; 119: 1185-1194
        • Marx W.
        • Kelly J.T.
        • Crichton M.
        • et al.
        Is telehealth effective in managing malnutrition in community-dwelling older adults? A systematic review and meta-analysis.
        Maturitas. 2018; 111: 31-46
        • (CMS) CfMaMS
        Medicare wellness visits. centers for medicare and medicaid services.
        (Available at:) (Accessed October 15, 2021)
        • Daily D.
        How COVID-19 made the annual wellness visit more important than ever. prevounce blog.
        (Available at:) (Accessed October 25, 2021)
        • Gorin S.N.S.
        • Jimbo M.
        • Heizelman R.
        • et al.
        The future of cancer screening after COVID-19 may be at home.
        Cancer. 2021; 127: 498-503
        • El Khoury C.
        • Haro E.
        • Alves M.
        • et al.
        Patient-centered home cancer screening attitudes during COVID-19 pandemic.
        J Patient Cent Res Rev. 2021; 8: 340-346
        • Gentry M.T.
        • Lapid M.I.
        • Rummans T.A.
        Geriatric Telepsychiatry: Systematic Review and Policy Considerations.
        Am J Geriatr Psychiatry. 2019; 27: 109-127
        • Nasreddine Z.
        Remote MoCA testing.
        (Available at:) (Accessed November 30, 2021)
        • Cuffaro L.
        • Di Lorenzo F.
        • Bonavita S.
        • et al.
        Dementia care and COVID-19 pandemic: a necessary digital revolution.
        Neurol Sci. 2020; 41: 1977-1979
        • Sekhon H.
        • Sekhon K.
        • Launay C.
        • et al.
        Telemedicine and the rural dementia population: a systematic review.
        Maturitas. 2021; 143: 105-114
        • Kim H.
        • Jhoo J.H.
        • Jang J.W.
        The effect of telemedicine on cognitive decline in patients with dementia.
        J Telemed Telecare. 2017; 23: 149-154
        • Egede L.E.
        • Acierno R.
        • Knapp R.G.
        • et al.
        Psychotherapy for depression in older veterans via telemedicine: a randomised, open-label, non-inferiority trial.
        Lancet Psychiatry. 2015; 2: 693-701
        • Comin-Colet J.
        • Enjuanes C.
        • Verdu-Rotellar J.M.
        • et al.
        Impact on clinical events and healthcare costs of adding telemedicine to multidisciplinary disease management programmes for heart failure: Results of a randomized controlled trial.
        J Telemed Telecare. 2016; 22: 282-295
        • Trief P.M.
        • Izquierdo R.
        • Eimicke J.P.
        • et al.
        Adherence to diabetes self care for white, African-American and Hispanic American telemedicine participants: 5 year results from the IDEATel project.
        Ethn Health. 2013; 18: 83-96
        • Peretz D.
        • Arnaert A.
        • Ponzoni N.N.
        Determining the cost of implementing and operating a remote patient monitoring programme for the elderly with chronic conditions: A systematic review of economic evaluations.
        J Telemed Telecare. 2018; 24: 13-21
        • Rifkin D.E.
        • Abdelmalek J.A.
        • Miracle C.M.
        • et al.
        Linking clinic and home: a randomized, controlled clinical effectiveness trial of real-time, wireless blood pressure monitoring for older patients with kidney disease and hypertension.
        Blood Press Monit. 2013; 18: 8-15
        • Almathami H.K.Y.
        • Win K.T.
        • Vlahu-Gjorgievska E.
        Barriers and facilitators that influence telemedicine-based, real-time, online consultation at patients' homes: systematic literature review.
        J Med Internet Res. 2020; 22: e16407
        • Shafiee Hanjani L.
        • Bell J.S.
        • Freeman C.
        Undertaking medication review by telehealth.
        Aust J Gen Pract. 2020; 49: 826-831
        • Dewar S.
        • Lee P.G.
        • Suh T.T.
        • et al.
        Uptake of virtual visits in a geriatric primary care clinic during the COVID-19 pandemic.
        J Am Geriatr Soc. 2020; 68: 1392-1394
        • Ansary A.M.
        • Martinez J.N.
        • Scott J.D.
        The virtual physical exam in the 21st century.
        J Telemed Telecare. 2021; 27: 382-392
        • Kampmeijer R.
        • Pavlova M.
        • Tambor M.
        • et al.
        The use of e-health and m-health tools in health promotion and primary prevention among older adults: a systematic literature review.
        BMC Health Serv Res. 2016; 16: 290
        • Mahtta D.
        • Daher M.
        • Lee M.T.
        • et al.
        Promise and perils of telehealth in the current era.
        Curr Cardiol Rep. 2021; 23: 115
        • Ashwood J.S.
        • Mehrotra A.
        • Cowling D.
        • et al.
        Direct-to-consumer telehealth may increase access to care but does not decrease spending.
        Health Aff (Millwood). 2017; 36: 485-491
        • Eze N.D.
        • Mateus C.
        • Cravo Oliveira Hashiguchi T.
        Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation.
        PLoS One. 2020; 15: e0237585
        • (CMS) CfMaMS
        Medicare telemedicine healthcare provider fact Sheet.
        (Available at:) (Accessed January 1, 2022)
        • Benjenk I.
        • Franzini L.
        • Roby D.
        • et al.
        Disparities in audio-only telemedicine use among medicare beneficiaries during the coronavirus disease 2019 pandemic.
        Med Care. 2021; 59: 1014-1022
        • (CMS) CfMaMS
        List of Telehealth Services for Calendar Year.
        (Available at:) (Accessed January 1, 2022)
        • (CMS) CfMaMS
        Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year.
        (Available at:) (Accessed January 1, 2022)
      1. CPT® Appendix A audio only Modifier 93 for reporting medical services.
        (Available at:) (Accessed January 6, 2022)
        • (CMS) CfMaMS
        CMS Newsroom, Calendar Year (CY) 2022 Medicare Physician Fee Schedule Final Rule.
        (Available at:) (Accessed January 1, 2022)
        • Romani P.W.
        • Schieltz K.M.
        Ethical Considerations When Delivering Behavior Analytic Services for Problem Behavior via Telehealth.
        Behav Anal (Wash D C). 2017; 17: 312-324
        • North S.
        These Four Telehealth Changes Should Stay, Even After the Pandemic.
        Fam Pract Manag. 2021; 28: 9-11
        • Chang W.
        • Homer M.
        • Rossi M.I.
        Use of clinical video telehealth as a tool for optimizing medications for rural older veterans with dementia.
        Geriatrics (Basel). 2018; 3: 44
        • (CMS) CfMaMS
        Medicare Physician Fee Schedule Search Tool.
        (Available at:) (Accessed January 1, 2022)