{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:15:58Z","timestamp":1783124158473,"version":"3.54.6"},"reference-count":44,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Digital health is more relevant now than ever before, and interventions have a clear potential to improve the quality of care while reducing health care costs. Telemedicine has emerged as a transformative approach to health care delivery, particularly accelerated by the COVID-19 pandemic. In mission environments, telemedicine increasingly supports the management of acute injuries, chronic conditions, predeployment screening, and follow-up assessments, often using low-bandwidth store-and-forward modalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>By reviewing existing literature and considering several different (heterogeneous) programs for \u201ctelemedicine for mission support,\u201d the key performance indicators are explored to evaluate telemedicine in missions, following its implementation. Both acute and chronic care use cases, as well as operational, clinical, and technical determinants of feasibility, were considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>This article presents the clinical, operational, and economic benefits of \u201ctelemedicine in missions\u201d and the metrics for a comprehensive cost-effectiveness analysis or cost\u2013benefit analysis, considering its economic and clinical impacts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Telemedicine in missions shows considerable differences from other telemedicine applications depending on the actors and the resulting circumstances. Considering the heterogeneity of the metrics provided, even within the field of \u201ctelemedicine in missions,\u201d the analyses have to be conducted in accordance with the encountered conditions. Nevertheless, a set of metrics can be applied to nearly all use cases across the different applications and actors. A mission-adaptable minimum data set is proposed to support standardized evaluation across diverse operational contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627261440753","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T02:08:24Z","timestamp":1775700504000},"page":"682-691","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of Telemedicine for Mission Support\u2014Importance of a Cost\u2013Benefit Analysis"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2777-6039","authenticated-orcid":false,"given":"Patrick L.","family":"Scheid","sequence":"first","affiliation":[{"name":"Department XXI (Med. Parasitology and Telemicrobiology branch), Central Military Hospital Koblenz, Koblenz, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9856-9779","authenticated-orcid":false,"given":"David","family":"Padi","sequence":"additional","affiliation":[{"name":"Graduate School of International Business and Leadership, Midwest University, Wentzville, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hynek","family":"Schvach","sequence":"additional","affiliation":[{"name":"University of Defence, Military Faculty of Medicine, Hradec Kr\u00e1lov\u00e9, Czech Republic."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon E.","family":"Scheid","sequence":"additional","affiliation":[{"name":"Faculty of Business Administration, University of the Bundeswehr Munich, Munich, Germany."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2024.0339"},{"issue":"1","key":"e_1_3_3_3_1","first-page":"e11","article-title":"Telemedizin in Zeiten von \u201cInfluenza\u201d und \u201cCorona\u2019","volume":"64","author":"Scheid P","year":"2020","unstructured":"2.Scheid P. 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