Bibliometric analysis of home-based self-health monitoring in chronic disease management: Current trends and research activity in telemedicine

基于家庭的慢性病自我健康监测的文献计量分析:远程医疗领域的当前趋势和研究活动

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Abstract

BACKGROUND: The aging global population is leading to an increasing prevalence of chronic diseases, especially among older adults. Home-based self-health monitoring has become a crucial tool in chronic disease management, offering significant benefits through enhanced autonomy in health monitoring. However, challenges like fragmented information, incomplete records, and the need for continuous follow-up remain. Telemedicine can address these limitations, enhancing the effectiveness of home-based monitoring. Despite its potential, research on telemedicine's role in supporting self-health monitoring for chronic disease patients is still limited. OBJECTIVE: This study aims to explore the current status, emerging trends, and key topics of telemedicine in home-based self-health monitoring for chronic disease management, providing a bibliometric foundation for the development of this field. METHODS: A systematic search was conducted in the Web of Science Core Collection database for articles and reviews on telemedicine in home-based self-health monitoring for chronic disease management, with a cutoff date of 16 August 2025. Bibliometric analysis software was employed to examine factors such as publication count, country, institution, author, references, journals, and keywords. RESULTS: Since 1997, 1148 publications have been included, reflecting a rapid increase in research on telemedicine in home-based self-health monitoring for chronic disease management over the past decade. These studies originated from 76 countries/regions and 2131 institutions. The United States, the United Kingdom, and Italy were the primary contributors in terms of publication volume. The University of Toronto, the University of Queensland, and the University of Washington have the largest volume of published papers in this domain. Among the 6267 authors examined, Scalvini, Simonetta, and Vitacca, M. had the greatest number of publications, whereas Polisena, J. received the highest number of co-citations among the 28,702 co-cited authors analyzed. The journal "Journal of Medical Internet Research" not only publishes the greatest number of articles but also receives the highest citation count. The "Journal of Telemedicine and Telecare" is the most commonly co-cited journal in this field. In 2010, Polisena, J. published an article titled "Home telehealth for chronic obstructive pulmonary disease" in the Journal of Telemedicine and Telecare, which has been extensively cited in subsequent reviews. The most frequently used keywords included "Care," "Management," "Telemedicine," "Telehealth," and "Outcomes," highlighting key research areas. Emerging research frontiers such as "Digital health," "Mobile phone," "Association," "Older adults," and "Systematic review," indicate rapidly advancing topics in this field. CONCLUSIONS: The findings indicate significant growth in research on telemedicine for home-based self-health monitoring, with key contributions from leading countries, institutions, and authors. Emerging trends underscore the evolving nature of chronic disease management. This study highlights the growing interdisciplinary interest and the need for further research to address the remaining challenges and unlock the full potential of telemedicine in improving patient outcomes.

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