{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:59:09Z","timestamp":1788829149321,"version":"build-2803163510"},"reference-count":59,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Telemedicine has become an essential component of chronic Inflammatory Bowel Disease (IBD) care, yet the factors that shape patient satisfaction with remote consultations remain only partially understood. This study aimed to assess satisfaction with institutional telemedicine services among Italian patients with ulcerative colitis (UC) and Crohn\u2019s disease (CD), and to identify sociodemographic, clinical and organisational predictors to inform more person-centred telehealth models. Materials and Methods: We conducted a prospective, multi-centre, cross-sectional study in three IBD units in northern, central and southern Italy between June and October 2024. Consecutive adult patients who had completed a scheduled, non-emergency telemedicine visit were invited within 24\u201348 h to complete an online questionnaire including the Italian Telemedicine Satisfaction Questionnaire (I-TSQ), sociodemographic items, IBD-related variables, and telemedicine process indicators (accessibility, technology usability, technical support, time saved). Data were analysed descriptively and with multivariable linear regression to determine independent predictors of satisfaction, adjusting for recruiting centre. Results: A total of 705 patients participated (54.9% UC; 55.3% disease duration &gt; 10 years). Overall, telemedicine satisfaction was high (mean I-TSQ total 57.5 \u00b1 4.9; range 35\u201370), and all respondents reported reduced indirect costs compared with in-person visits. Greater ease of technology use, more frequent contact with the care team, male sex, older age, and employment were independently associated with higher satisfaction scores. Conversely, first-ever teleconsultations, CD, subcutaneous therapies, more difficult platform access, and the need for technical support were linked to lower satisfaction. Model fit was modest (R2 up to 0.20), suggesting the presence of additional unmeasured relational and contextual factors. Conclusions: Telemedicine for IBD is widely accepted in Italy, but satisfaction is strongly conditioned by digital usability, previous experience, and clinical complexity. Tailored telehealth pathways that incorporate user-friendly platforms, proactive technical support, and attention to vulnerable subgroups are needed to translate high satisfaction into sustained, equitable remote care.<\/jats:p>","DOI":"10.3390\/medicina62010147","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T08:20:37Z","timestamp":1768206037000},"page":"147","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Determinants of Telemedicine Satisfaction in Inflammatory Bowel Disease Patients: A Multi-Centre Cross-Sectional Study"],"prefix":"10.3390","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7279-7235","authenticated-orcid":false,"given":"Piergiorgio","family":"Martella","sequence":"first","affiliation":[{"name":"Neuroscience Department, Neurosurgery Care Management, Gemelli IRCCS University Hospital Foundation, Largo Agostino Gemelli 8, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Lo Cascio","sequence":"additional","affiliation":[{"name":"Direction of Health Professions, La Maddalena Cancer Center, Via San Lorenzo 312, 90146 Palermo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianna","family":"Povoli","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Molino","sequence":"additional","affiliation":[{"name":"School of Medicine, Faculty of Medicine, Universit\u00e0 Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8523-6906","authenticated-orcid":false,"given":"Giovanni","family":"Cangelosi","sequence":"additional","affiliation":[{"name":"School of Pharmacy, Polo Medicina Sperimentale e Sanit\u00e0 Pubblica \u201cStefania Scuri\u201d, University of Camerino, 62032 Camerino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicoletta","family":"Orgiana","sequence":"additional","affiliation":[{"name":"CUT, Fondazione Policlinico Gemelli IRCCS, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4988-4391","authenticated-orcid":false,"given":"Stefano","family":"Mancin","sequence":"additional","affiliation":[{"name":"IRCCS Humanitas Research Hospital, Via Manzoni 56, 20089 Rozzano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0587-9264","authenticated-orcid":false,"given":"Federica","family":"Tomassini","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppina","family":"Martino","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Endoscopy, Fondazione IRCCS \u201cCasa Sollievo della Sofferenza\u201d, Viale Cappuccini 1, 71013 San Giovanni Rotondo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6175-5872","authenticated-orcid":false,"given":"Stefano","family":"Martino","sequence":"additional","affiliation":[{"name":"ASL Foggia, 71121 Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4518-9949","authenticated-orcid":false,"given":"Fabrizio","family":"Bossa","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Endoscopy, Fondazione IRCCS \u201cCasa Sollievo della Sofferenza\u201d, Viale Cappuccini 1, 71013 San Giovanni Rotondo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2528-8337","authenticated-orcid":false,"given":"Valentin","family":"Calvez","sequence":"additional","affiliation":[{"name":"IBD Unit, Digestive Disease Center (CeMAD), Department of Translational Medicine and Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5990-9129","authenticated-orcid":false,"given":"Gabriele","family":"Rumi","sequence":"additional","affiliation":[{"name":"IBD Unit, Digestive Disease Center (CeMAD), Department of Translational Medicine and Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8334-7541","authenticated-orcid":false,"given":"Franco","family":"Scaldaferri","sequence":"additional","affiliation":[{"name":"IBD Unit, Digestive Disease Center (CeMAD), Department of Translational Medicine and Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy"},{"name":"Internal Medicine, Division of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2481-5354","authenticated-orcid":false,"given":"Daniele","family":"Napolitano","sequence":"additional","affiliation":[{"name":"IBD Unit, Digestive Disease Center (CeMAD), Department of Translational Medicine and Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy"},{"name":"SITRA\u2014Scientific Direction, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Gu, Z., Gu, J., and Liu, P. (2024). The effectiveness of continuity of care in patients with inflammatory bowel disease: A systematic review. BMC Gastroenterol., 24.","DOI":"10.1186\/s12876-023-03109-3"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1186\/s12939-015-0179-6","article-title":"A systematic review of barriers to optimal outpatient specialist services for individuals with prevalent chronic diseases: What are the unique and common barriers experienced by patients in high income countries?","volume":"14","author":"Fradgley","year":"2015","journal-title":"Int. J. Equity Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1177\/13558196241276979","article-title":"Improving access to inflammatory bowel disease care in Canada: The patient experience","volume":"30","author":"Lalani","year":"2025","journal-title":"J. Health Serv. Res. Policy"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"otac045","DOI":"10.1093\/crocol\/otac045","article-title":"Patient-Centered Access to IBD Care: A Qualitative Study","volume":"5","author":"Heisler","year":"2023","journal-title":"Crohn\u2019s Colitis 360"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1287\/serv.2019.0244","article-title":"Usage and Impact of Information and Communication Technologies in Healthcare Delivery","volume":"11","author":"Kong","year":"2019","journal-title":"Serv. Sci."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Dogba, M.J., Dossa, A.R., Breton, E., and Gandonou-Migan, R. (2019). Using information and communication technologies to involve patients and the public in health education in rural and remote areas: A scoping review. BMC Health Serv. Res., 19.","DOI":"10.1186\/s12913-019-3906-7"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.3748\/wjg.v29.i7.1139","article-title":"Are we ready for telemonitoring inflammatory bowel disease? A review of advances, enablers, and barriers","volume":"29","author":"Aguas","year":"2023","journal-title":"World J. Gastroenterol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.pop.2022.04.002","article-title":"The State of Telehealth Before and After the COVID-19 Pandemic","volume":"49","author":"Shaver","year":"2022","journal-title":"Prim. Care"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"100843","DOI":"10.1016\/j.landig.2024.12.007","article-title":"Efficacy of digital health technologies in the management of inflammatory bowel disease: An umbrella review","volume":"7","author":"Gasparetto","year":"2025","journal-title":"Lancet Digit. Health"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e28978","DOI":"10.2196\/28978","article-title":"Role of Telemedicine in Inflammatory Bowel Disease: Systematic Review and Meta-analysis of Randomized Controlled Trials","volume":"24","author":"Pang","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref_11","unstructured":"(2025, November 11). Total Telemedicine Pathway for Inflammatory Bowel Disease Surgical Care Expands Access to an Academic Inflammatory Bowel Disease Center. HMP Global Learning Network 2024. Available online: https:\/\/www.hmpgloballearningnetwork.com\/node\/329251."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1093\/ecco-jcc\/jjw059","article-title":"EHealth Technologies in Inflammatory Bowel Disease: A Systematic Review","volume":"10","author":"Jackson","year":"2016","journal-title":"J. Crohns Colitis"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"78","DOI":"10.14309\/ajg.0000000000001545","article-title":"Digital Health Technologies for Remote Monitoring and Management of Inflammatory Bowel Disease: A Systematic Review","volume":"117","author":"Nguyen","year":"2022","journal-title":"Off. J. Am. Coll. Gastroenterol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1177\/1357633X17706285","article-title":"The effectiveness of telehealth on self-management for older adults with a chronic condition: A comprehensive narrative review of the literature","volume":"24","author":"Guo","year":"2018","journal-title":"J. Telemed. Telecare"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e44256","DOI":"10.2196\/44256","article-title":"Evaluation of the Effectiveness of Telehealth Chronic Disease Management System: Systematic Review and Meta-analysis","volume":"25","author":"Xiao","year":"2023","journal-title":"J. Med. Internet Res."},{"key":"ref_16","first-page":"otaf061","article-title":"Self-Care in Patients With Inflammatory Bowel Disease: A Descriptive Cross-Sectional Multicenter Study","volume":"7","author":"Napolitano","year":"2025","journal-title":"Crohns Colitis 360"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Napolitano, D., Bozzetti, M., Lo Cascio, A., De Stefano, G., Orgiana, N., Lopetuso, L.R., D\u2019Onofrio, A.M., Camardese, G., Papa, A., and Scaldaferri, F. (2025). Resilience and Self-Care in Patients with Inflammatory Bowel Disease: A Multicentre Cross-Sectional Study in Outpatient Settings. J. Clin. Med., 14.","DOI":"10.3390\/jcm14113868"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e19245","DOI":"10.7717\/peerj.19245","article-title":"Telehealth satisfaction among patients with chronic diseases: A cross-sectional analysis","volume":"13","author":"Hendy","year":"2025","journal-title":"PeerJ"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.amjms.2016.10.008","article-title":"Telemedicine in the Management of Type 2 Diabetes Mellitus","volume":"353","author":"Wang","year":"2017","journal-title":"Am. J. Med. Sci."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/S0140-6736(11)61229-4","article-title":"Telemedicine and remote management of patients with heart failure","volume":"378","author":"Anker","year":"2011","journal-title":"Lancet"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1007\/s11906-015-0535-3","article-title":"The role of telemedicine in hypertension management: Focus on blood pressure telemonitoring","volume":"17","author":"Omboni","year":"2015","journal-title":"Curr. Hypertens. Rep."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.1007\/s10198-023-01664-w","article-title":"Pragmatic randomized controlled trial comparing a complex telemedicine-based intervention with usual care in patients with chronic conditions","volume":"25","author":"Pedersen","year":"2024","journal-title":"Eur. J. Health Econ."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Abedin, N., Kilbinger, C., Queck, A., Weiler, N., Pathil, A., Mihm, U., Welsch, C., Blumenstein, I., Kubesch-Gr\u00fcn, A., and Zeuzem, S. (2025). Telemedicine Hybrid Care Models in Gastroenterology Outpatient Care: Results from a German Tertiary Center. J. Clin. Med., 14.","DOI":"10.3390\/jcm14072471"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"194","DOI":"10.5662\/wjm.v13.i4.194","article-title":"Telemedicine in inflammatory bowel diseases: A new brick in the medicine of the future?","volume":"13","author":"Gravina","year":"2023","journal-title":"World J. Methodol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"103688","DOI":"10.1016\/j.ijdrr.2023.103688","article-title":"Psychological antecedents of telehealth acceptance: A technology readiness perspective","volume":"91","author":"Li","year":"2023","journal-title":"Int. J. Disaster Risk Reduct."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1136\/flgastro-2022-102198","article-title":"Satisfaction with telemedicine-delivered inflammatory bowel disease care depends on disease activity, personality and economic factors","volume":"14","author":"Storan","year":"2023","journal-title":"Frontline Gastroenterol."},{"key":"ref_27","unstructured":"Aisyah, N., Wibowo, F., Sari, I., Yusof, Z.B., and Saputra, B. (2020, May 20). Evaluating the Efficacy of Telemedicine in the Long-Term Monitoring of Patients With Inflammatory Bowel Disease: A Multicenter Randomized Trial. 2025, Kern Public, 1\u201317. Available online: https:\/\/www.researchgate.net\/publication\/392230771_Evaluating_the_Efficacy_of_Telemedicine_in_the_Long-Term_Monitoring_of_Patients_With_Inflammatory_Bowel_Disease_A_Multicenter_Randomized_Trial."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Du, Y., and Gu, Y. (2024). The development of evaluation scale of the patient satisfaction with telemedicine: A systematic review. BMC Med. Inform. Decis. Mak., 24.","DOI":"10.1186\/s12911-024-02436-z"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"181","DOI":"10.23736\/S2724-5985.25.03957-9","article-title":"Validation of the Italian-Telemedicine Satisfaction Questionnaire in inflammatory bowel disease patients in Italy","volume":"71","author":"Martino","year":"2025","journal-title":"Minerva Gastroenterol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1522","DOI":"10.1089\/tmj.2023.0530","article-title":"Are We Adequately Measuring Patient Satisfaction with Telemedicine? A Systematic Review with a Meta-Analysis","volume":"30","author":"SuelAlves","year":"2024","journal-title":"Telemed. J. e-Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1017\/S0266462320000367","article-title":"Measuring patient satisfaction with video consultation: A systematic review of assessment tools and their measurement properties","volume":"36","author":"Barsom","year":"2020","journal-title":"Int. J. Technol. Assess. Health Care"},{"key":"ref_32","unstructured":"STROBE (2025, December 14). STROBE n.d. Available online: https:\/\/www.strobe-statement.org\/."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"n2233","DOI":"10.1136\/bmj.n2233","article-title":"Strengthening the reporting of observational studies in epidemiology using mendelian randomisation (STROBE-MR): Explanation and elaboration","volume":"375","author":"Skrivankova","year":"2021","journal-title":"BMJ"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1258\/135763303321159693","article-title":"Development of the Telemedicine Satisfaction Questionnaire to evaluate patient satisfaction with telemedicine: A preliminary study","volume":"9","author":"Yip","year":"2003","journal-title":"J. Telemed. Telecare"},{"key":"ref_35","unstructured":"The R Core Team (2026, January 06). R: A Language and Environment for Statistical Computing 2023. Available online: https:\/\/cran.r-project.org\/doc\/manuals\/r-release\/fullrefman.pdf."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1177\/1357633X16674087","article-title":"Evaluating barriers to adopting telemedicine worldwide: A systematic review","volume":"24","author":"Karem","year":"2018","journal-title":"J. Telemed. Telecare"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Haimi, M. (2023). The tragic paradoxical effect of telemedicine on healthcare disparities- a time for redemption: A narrative review. BMC Med. Inform. Decis. Mak., 23.","DOI":"10.1186\/s12911-023-02194-4"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Heponiemi, T., Kaihlanen, A.-M., Virtanen, L., Kainiemi, E., Saukkonen, P., Koponen, P., Koskinen, S., and Elovainio, M. (2023). The Mediating Role of Digital Competence in the Associations Between the Factors Affecting Healthcare Utilization and Access to Care. Int. J. Public Health, 68.","DOI":"10.3389\/ijph.2023.1606184"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/SPV.0000000000001280","article-title":"Patient Satisfaction With Telehealth Visits for New Patient Appointments for Pelvic Floor Disorders: A Randomized Trial of Telehealth Versus Standard In-Person Office Visits","volume":"29","author":"Das","year":"2023","journal-title":"Urogynecology"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e2137193","DOI":"10.1001\/jamanetworkopen.2021.37193","article-title":"Perceptions of Telehealth vs In-Person Visits Among Older Adults With Advanced Kidney Disease, Care Partners, and Clinicians","volume":"4","author":"Ladin","year":"2021","journal-title":"JAMA Netw. Open"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Moulaei, K., Sheikhtaheri, A., Fatehi, F., Shanbehzadeh, M., and Bahaadinbeigy, K. (2023). Patients\u2019 perspectives and preferences toward telemedicine versus in-person visits: A mixed-methods study on 1226 patients. BMC Med. Inform. Decis. Mak., 23.","DOI":"10.1186\/s12911-023-02348-4"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.tgie.2016.08.001","article-title":"Endoscopy and cross-sectional imaging for assessing Crohn\u05f3s disease activity","volume":"18","author":"Stidham","year":"2016","journal-title":"Tech. Gastrointest. Endosc."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"3789","DOI":"10.2147\/JMDH.S433653","article-title":"Access and Disparities in the Use of Telemedicine Among Patients with Chronic Conditions in Saudi Arabia: A Cross-Sectional Study","volume":"16","author":"Almalki","year":"2023","journal-title":"J. Multidiscip. Healthc."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Elbaz, S., Cinalioglu, K., Sekhon, K., Gruber, J., Rigas, C., Bodenstein, K., Naghi, K., Lavin, P., Greenway, K.T., and Vahia, I. (2021). A Systematic Review of Telemedicine for Older Adults With Dementia During COVID-19: An Alternative to In-person Health Services?. Front. Neurol., 12.","DOI":"10.3389\/fneur.2021.761965"},{"key":"ref_45","first-page":"7277","article-title":"Evaluation of factors associated with trust in telemedicine in patients with inflammatory bowel disease during COVID-19 pandemic: A multicenter cross-sectional survey","volume":"26","author":"Bossa","year":"2022","journal-title":"Eur. Rev. Med. Pharmacol. Sci."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"220","DOI":"10.2174\/1874434601913010220","article-title":"Nursing Communication as a Tool for Patient Satisfaction. A Single Hospital Survey","volume":"13","author":"Barilaro","year":"2019","journal-title":"Open Nurs. J."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"An, J., Zhu, X., Wan, K., Xiang, Z., Shi, Z., An, J., and Huang, W. (2024). Older adults\u2019 self-perception, technology anxiety, and intention to use digital public services. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-21088-2"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s11920-021-01274-4","article-title":"Disparities in Health Care and the Digital Divide","volume":"23","author":"Saeed","year":"2021","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"39","DOI":"10.46747\/cfp.700139","article-title":"Virtual care in inflammatory bowel disease: Lessons learned in the CaNVAS-IBD Program","volume":"70","author":"Nguyen","year":"2024","journal-title":"Can. Fam. Physician"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"36","DOI":"10.21037\/mhealth-23-27","article-title":"Leveraging telemedicine in gastroenterology and hepatology: A narrative review","volume":"9","author":"Aldzhyan","year":"2023","journal-title":"Mhealth"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"2834","DOI":"10.1016\/j.pec.2021.03.027","article-title":"Patient experiences with a phone-based cardiovascular risk reduction intervention: Are there differences between women and men?","volume":"104","author":"Goldstein","year":"2021","journal-title":"Patient Educ. Couns."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"170","DOI":"10.4239\/wjd.v12.i2.170","article-title":"Efficacy of telemedicine on glycaemic control in patients with type 2 diabetes: A meta-analysis","volume":"12","author":"Wu","year":"2021","journal-title":"World J. Diabetes"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1007\/s12664-023-01500-2","article-title":"Transition from intravenous to subcutaneous biological therapies in inflammatory bowel disease: An online survey of patients","volume":"43","author":"Napolitano","year":"2024","journal-title":"Indian J. Gastroenterol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"2620","DOI":"10.1089\/tmj.2024.0067","article-title":"Telemedicine and Remote Management of Patients with Heart Failure: From Theory to Daily Practice","volume":"30","author":"Savoldelli","year":"2024","journal-title":"Telemed. J. e-Health"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.6004\/jnccn.2020.7687","article-title":"Impact of Telemedicine on Patient Satisfaction and Perceptions of Care Quality in Radiation Oncology","volume":"19","author":"Shaverdian","year":"2021","journal-title":"J. Natl. Compr. Cancer Netw."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1097\/SPC.0000000000000697","article-title":"Telemedicine in geriatric oncology\u2014Lessons learned from the COVID-19 experience","volume":"18","author":"Uranga","year":"2024","journal-title":"Curr. Opin. Support. Palliat. Care"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Kaur, K.N., Niazi, F., Thakur, R., Saeed, S., Rana, S., and Singh, H. (2022). Patient satisfaction for telemedicine health services in the era of COVID-19 pandemic: A systematic review. Front. Public Health, 10.","DOI":"10.3389\/fpubh.2022.1031867"},{"key":"ref_58","first-page":"10483","article-title":"Experiences of patients and providers while using telemedicine in cancer care during COVID-19 pandemic: A systematic review and meta-synthesis of qualitative literature","volume":"30","author":"Mostafaei","year":"2022","journal-title":"Support. Care Cancer"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1007\/s11894-024-00918-8","article-title":"Artificial Intelligence and IBD: Where are We Now and Where Will We Be in the Future?","volume":"26","author":"Ahmed","year":"2024","journal-title":"Curr. Gastroenterol. Rep."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/1\/147\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T08:47:22Z","timestamp":1768207642000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/1\/147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,12]]},"references-count":59,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["medicina62010147"],"URL":"https:\/\/doi.org\/10.3390\/medicina62010147","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,12]]}}}