Telehealth and chronic diseases in Brazil and the United States: a scoping review

Authors

Abstract

This study aimed to map scientific evidence on the use of telehealth in the management of chronic
diseases in Brazil and the United States. It is a scoping review conducted following the Joanna Briggs
Institute guidelines and the PRISMA-ScR. The search strategy was applied to the MEDLINE/PubMed,
Embase, Scopus, CINAHL, Cochrane Library, Web of Science, BDENF, LILACS, and SciELO databases,
yielding 772 studies. Articles available in full, in English or Brazilian Portuguese, and published from
2019 to 2024 were selected. After screening, 38 studies were included and analyzed. The results
revealed benefits such as expanded access to care and remote patient monitoring, but also challenges
related to unequal access to technology and infrastructure. The studies highlight the need to
expand telehealth service coverage and invest in the development of more accessible and effective
telemonitoring technologies.

Keywords:

Telehealth; Telemedicine; Chronic Disease; United States of America; Brazil.

Author Biographies

João Kasprowicz, Universidade Federal de Santa Catarina, Florianópolis/SC, Brasil.

João Kasprowicz – Pós-graduado – joao.kasprowicz@univali.br
0009-0002-1703-8630

Halan Germano Bacca, Universidade Federal de Santa Catarina, Florianópolis/SC, Brasil.

Halan Germano Bacca – Graduado – halanbacca@outlook.com
0000-0001-7694-1390

Gabriela Machado Silva, Universidade Federal de Santa Catarina, Florianópolis/SC, Brasil.

Gabriela Machado Silva – Graduada – machadogabrielauf@gmail.com
0000-0001-9409-1916

Luis Perdona, Universidade Federal de Santa Catarina, Florianópolis/SC, Brasil.

Luis Perdona – Graduado – perdona.unica@gmail.com
0009-0002-4603-4954

Ricardo Reichenbach, Universidade Federal de Santa Catarina, Florianópolis/SC, Brasil.

Ricardo Reichenbach – Pós-graduado – ricardoreichenbach@icloud.com
0000-0001-8255-3650

Ana Graziela Alvarez, Universidade Federal de Santa Catarina, Florianópolis/SC, Brasil.

Ana Graziela Alvarez – Doutora – a.graziela@ufsc.br
0000-0002-3943-9884

Grace Dal Sasso, Universidade Federal de Santa Catarina, Florianópolis/SC, Brasil.

Grace Dal Sasso – Doutora – grace.sasso@ufsc.br
0000-0003-3763-0375

How to Cite

1.
Kasprowicz J, Germano Bacca H, Machado Silva G, Perdona L, Reichenbach R, Alvarez AG, et al. Telehealth and chronic diseases in Brazil and the United States: a scoping review. Rev. Bioét. [Internet]. 2025 Nov. 28 [cited 2026 May 24];33. Available from: https://revistabioetica.cfm.org.br/revista_bioetica/article/view/3912