Volume 2022, Issue 1
  • EISSN: 2220-2749


Telemedicine is the delivery of health care services to patients distantly. During the Coronavirus Disease 2019 (COVID-19) pandemic, telemedicine has become an essential implement in delivering healthcare services worldwide. Accordingly, in March 2020, the Primary Health Care Centers (PHCCs) in Qatar has started telephone consultation follow-up appointments in Family Medicine (FM) clinics instead of conventional consultation. Given the limited data about telephone consultations in Qatar, our aim of this study is to investigate the possible impact of telemedicine on chronic disease patients’ follow-up compliance.

This study compares the compliance of adult patients with chronic diseases following-up within FM clinics in Qatar's PHCC through telephone consultations with a minimum of three telephone consultations ordered between April to November 2020, in comparison to the compliance of the same group of patients to their prior face-to-face follow-up consultations in FM clinics with a minimum of three face-to-face ordered follow up appointments between April to November 2019. A cross-sectional study will be carried out to investigate the effect of telephone consultation in PHCC on patients’ compliance with reference to conventional face-to-face consultation. Patients’ data will be received from Health Information Management in twenty-seven PHCCs in Qatar.

Due to the limited studies on the effectiveness of telemedicine on patient compliance in FM follow-ups within Qatar's PHCC, comparing patients’ follow-up compliance with telephone consultations to their prior face-to-face consultations would be helpful in assessing patients’ quality of care delivering within FM clinics. With telecommunication being easily accessible and time-efficient, it is believed, when used correctly, it might improve compliance and adherence to the management prescribed by the physician and follow-up appointments in Qatar's PHCC. In addition, this study will help in providing recommendations that could guide the organization on forming policies to be applied in PHCCs after the resolution of the COVID-19 pandemic.


Article metrics loading...

Loading full text...

Full text loading...



  1. Craig J, Patterson V. Introduction to the practice of telemedicine. J Telemed Telecare. 2005; 11:(1):3-9.
    [Google Scholar]
  2. Håkansson S, Gavelin C. What do we really know about the cost-effectiveness of telemedicine? J Telemed Telecare. 2000; 6: Suppl 1:S133-6.
    [Google Scholar]
  3. de la Torre-Díez I, López-Coronado M, Vaca C, Aguado JS, de Castro C. Cost-utility and cost-effectiveness studies of telemedicine, electronic, and mobile health systems in the literature: a systematic review. Telemed J E Health. 2015; 21:(2):81-5.
    [Google Scholar]
  4. World Health Organization. Global status report on noncommunicable diseases 2010. 2011. Available from: https://www.who.int/nmh/publications/ncd_report_full_en.pdf.
    [Google Scholar]
  5. Al-Samarraie H, Ghazal S, Alzahrani AI, Moody L. Telemedicine in Middle Eastern countries: Progress, barriers, and policy recommendations. Int J Med Inform. 2020;141:104232.
    [Google Scholar]
  6. Rodríguez-Idígoras MI, Sepúlveda-Muñoz J, Sánchez-Garrido-Escudero R, Martínez-González JL, Escolar-Castelló JL, Paniagua-Gómez IM, et al. Telemedicine influence on the follow-up of type 2 diabetes patients. Diabetes Technol Ther. 2009; 11:(7):431-7.
    [Google Scholar]
  7. Ghosh A, Gupta R, Misra A. Telemedicine for diabetes care in India during COVID-19 pandemic and national lockdown period: Guidelines for physicians. Diabetes Metab Syndr. 2020; 14:(4):273-6.
    [Google Scholar]
  8. Dixon RF, Stahl JE. A randomized trial of virtual visits in a general medicine practice. J Telemed Telecare. 2009; 15:(3):115-7.
    [Google Scholar]
  9. Tan J, Mehrotra A, Nadkarni GN, He JC, Langhoff E, Post J, et al. Telenephrology: Providing Healthcare to Remotely Located Patients with Chronic Kidney Disease. Am J Nephrol. 2018; 47:(3):200-7.
    [Google Scholar]
  10. Borries TM, Dunbar A, Bhukhen A, Rismany J, Kilham J, Feinn R, et al. The impact of telemedicine on patient self-management processes and clinical outcomes for patients with Types I or II Diabetes Mellitus in the United States: A scoping review. Diabetes Metab Syndr. 2019; 13:(2):1353-7.
    [Google Scholar]
  11. Qubty W, Patniyot I, Gelfand A. Telemedicine in a pediatric headache clinic: A prospective survey. Neurology. 2018; 90:(19):e1702-e5.
    [Google Scholar]
  12. von Wrede R, Moskau-Hartmann S, Baumgartner T, Helmstaedter C, Surges R. Counseling of people with epilepsy via telemedicine: Experiences at a German tertiary epilepsy center during the COVID-19 pandemic. Epilepsy Behav. 2020;112:107298.
    [Google Scholar]
  13. Lau J, Tan DH, Tan KK. Inspired by COVID-19: primary care of chronic diseases must also innovate. Fam Pract. 2020; 37:(6):868-9.
    [Google Scholar]
  14. Adkins JW, Storch EA, Lewin AB, Williams L, Silverstein JH, Malasanos T, et al. Home-based behavioral health intervention: Use of a telehealth model to address poor adherence to type-1 diabetes medical regimens. Telemed J E Health. 2006; 12:(3):370-2.
    [Google Scholar]
  15. Cochran WG. Sampling techniques. 1977. 3rd ed.; [p. 75]. Available from: https://glad.geog.umd.edu/Potapov/_Library/Cochran_1977_Sampling_Techniques_Third_Edition.pdf.
    [Google Scholar]
  • Article Type: Research Article
Keyword(s): face-to-face clinicfollow-uppatients’ compliancepimary health care centerQatar and telemedicine

Most Cited This Month Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error