patient outcomes, and reducing healthcare costs. The use of telehealth for monitoring and
managing chronic conditions, such as diabetes, heart failure, and hypertension, allows for more
timely interventions, continuous monitoring, and personalized treatment plans (Kruse et al.,
2022). Telehealth platforms enable patients to engage with healthcare providers from their
homes, reducing the need for frequent in-person visits and hospitalizations, thus improving
overall patient satisfaction and adherence to treatment plans.
During my database search on the impact of telehealth on chronic disease management, the
initial search using broad terms like "telehealth" and "chronic disease management" yielded over
5,000 articles. However, most were not focused on original research. When I used Boolean
operators to narrow the search, such as combining "telehealth" AND "chronic disease" AND
"chronic heart failure" OR "diabetes management," the number of articles returned decreased
significantly to around 200-300, with a higher percentage of original research studies. The use of
specific terms related to chronic conditions, such as "telehealth AND remote monitoring AND
chronic cardiovascular disease," helped focus the search on more relevant articles.
To increase effectiveness of future database searches, I would consider using more precise search
terms that directly relate to my PICO(T) question. For example, adding key terms like "cost-
effectiveness," "clinical outcomes," or "randomized control trials" could refine the search to
include more rigorous studies. Additionally, filtering by publication date, selecting peer-
reviewed journals, and using specific databases such as PubMed or CINAHL could help to
retrieve high-quality, relevant research (Hernandez et al., 2021). Using medical subject headings
(MeSH) terms can also improve search precision by identifying articles categorized under
standardized topics.
Telehealth has transformed chronic disease management by improving access to care, improving
patient outcomes, and reducing healthcare costs. The use of telehealth for monitoring and
managing chronic conditions, such as diabetes, heart failure, and hypertension, allows for more
timely interventions, continuous monitoring, and personalized treatment plans (Bashi et al.,
2020). Telehealth platforms enable patients to engage with healthcare providers from their
homes, reducing the need for frequent in-person visits and hospitalizations, thus improving
overall patient satisfaction and adherence to treatment plans.
During my database search on the impact of telehealth on chronic disease management, the
initial search using broad terms like "telehealth" and "chronic disease management" yielded over
5,000 articles. However, most were not focused on original research. When I used Boolean
operators to narrow the search, such as combining "telehealth" AND "chronic disease" AND
"chronic heart failure" OR "diabetes management," the number of articles returned decreased
significantly to around 200-300, with a higher percentage of original research studies. The use of
specific terms related to chronic conditions, such as "telehealth AND remote monitoring AND
chronic cardiovascular disease," helped focus the search on more relevant articles.
To increase the rigor and effectiveness of future database searches, I would consider using more
precise search terms that directly relate to my PICO(T) question. For example, adding key terms