Navigating Chronic Disease Management with Digital Healthcare Solutions amidst the COVID-19 Pandemic: A Systematic Literature Review


  • Achillefs Vratimos National and Kapodistrian University of Athens, School of Economic Sciences, Greece
  • Ilias Champilomatis National and Kapodistrian University of Athens, School of Pharmacy, Greece
  • Georgios Farantos Department of Political Science and International Relations, University of Peloponnese, Greece


Chronic Disease, Digital Healthcare, Telemedicine, COVID-19


Purpose: The purpose of this paper is to critically evaluate data collected from various studies on Chronic Disease Management during the COVID-19 pandemic and the emergence of Digital Healthcare as a means of providing innovative approaches to manage chronic diseases. Methodology: A systematic literature review was applied. Studies were found after a search in the Pubmed database with no publication date time limit, given that COVID–19 emerged in 2019. A Prisma diagram was created to record the way and the criteria by which we included and excluded studies for our research. Out of the 567 records identified through various sources 85 were used for a qualitative synthesis. Results: During the first wave of the pandemic, a significant reduction or complete cancellation of scheduled health appointments was observed. Shortages of medication used to manage chronic conditions were also observed at the beginning of the COVID-19 pandemic due to global supply chain disruptions. Governments acted rapidly at the beginning of the pandemic to promote the use of teleconsultations by introducing enabling legislation and revising laws ensuring continuity of care for people with chronic diseases, thus transitioning rapidly to remote care and monitoring. Conclusion: Telemedicine and involving community pharmacists in chronic patient management are key for sustained adherence. Long-term policies are vital to prevent pandemic-driven health disparities. Lessons should be derived for future preparedness, managing subsequent waves, and ensuring testing in primary care.


Alsharif, A. H. (2022). Attitudes of Patients with Chronic Diseases toward Management eHealth Applications Systems in Post-COVID19 Times. International Journal of Environmental Research and Public Health, 19(7).

Alvarez, P., Sianis, A., Brown, J., Ali, A., & Briasoulis, A. (2021). Chronic disease management in heart failure: Focus on telemedicine and remote monitoring. Reviews in Cardiovascular Medicine, 22(2), 403–413.

Balasuriya, L., Briss, P. A., Evelyn Twentyman, J. L. W., Lisa C. Richardson, E. T. B., Wright, J. S., Petersen, R., Hannan, C. J., Craig W. Thomas, Wanda D. Barfield, D. L. K., & Karen A. Hacker. (2023). Impacts of the COVID-19 Pandemic on Nationwide Chronic Disease Prevention and Health Promotion Activities. American Journal of Preventive Medicine, 64(3), 452–458,

Camacho-Rivera, M., Islam, J. Y., Rivera, A., & Vidot, D. C. (2020). Attitudes toward using COVID-19 mHealth tools among adults with chronic health conditions: Secondary data analysis of the COVID-19 impact survey. JMIR MHealth and UHealth, 8(12).

Chan-Nguyen, S., Ritsma, B., Nguyen, L., Srivastava, S., Shukla, G., & Appireddy, R. (2022). Virtual Care Access and Health Equity during the COVID-19 Pandemic, a qualitative study of patients with chronicdiseases from Canada. Digital Health, 8.

Chu, C., Cram, P., Pang, A., Stamenova, V., Tadrous, M., & Bhatia, R. S. (2021). Rural telemedicine use before and during the COVID19 pandemic: Repeated cross-sectional study. Journal of Medical Internet Research, 23(4), 1–10.

Chua, V., Koh, J. H., Koh, C. H. G., & Tyagi, S. (2022). The Willingness to Pay for Telemedicine Among Patients With Chronic Diseases: Systematic Review. Journal of Medical Internet Research, 24(4).

Chudasama, Y. V., Gillies, C. L., Zaccardi, F., Coles, B., Davies, M. J., Seidu, S., & Khunti, K. (2020). Impact of COVID-19 on routine care for chronic diseases: A global survey of views from healthcare professionals. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(5), 965–967.

Como, M., Carter, C. W., Larose-Pierre, M., O’Dare, K., Hall, C. R., Mobley, J., Robertson, G., Leonard, J., & Tew, L. (2020).

Pharmacist-led chronic care management for medically underserved rural populations in Florida during the COVID-19 pandemic. Preventing Chronic Disease, 17, 1–4.

COVIDSurg Collaborative. (2020). Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. British Journal of Surgery, 107(11), 1440–2449.

Da Silva Casemiro, L. K. D., Lopes-Júnior, L. C., Jardim, F. A., Sulino, M. C., & de Lima, R. A. G. (2022). Telehealth in outpatient care for children and adolescents with chronic conditions during the COVID-19 pandemic: A scoping review protocol. PLoS ONE, 17(6 June), 1–9.

Daniel P. Oran, AM, and Eric J. Topol, M. (2020). Prevalence of Asymptomatic SARS-CoV-2 Infection A Narrative Review. Annals of Internal Medicine, 43(6).

Deng, D., Liang, A., Chui, J. N., Wong, G., & Cooper, T. E. (2022). The COVID-19 pandemic and access to health care in people with chronic kidney disease: A systematic review and meta-analysis. Nephrology, 27(5), 410–420.

Eve M. Segal, Laura Alwan, Caroline Pitney, Cathy Taketa, Amy Indorf, Lauren Held, Kathyrn S. Lee, Matthew Son, Mary Chi, Erica Diamantides, Rena Gosser, R. G. (2020). Establishing clinical pharmacist telehealth services during the COVID-19 pandemic Eve. American Society of Health-System Pharmacists, 5–24,

Fekadu, G., Bekele, F., Tolossa, T., Fetensa, G., Turi, E., Getachew, M., Abdisa, E., Assefa, L., Afeta, M., Demisew, W., Dugassa, D., Diriba, D. C., & Labata, B. G. (2021). Impact of COVID-19 pandemic on chronic diseases care follow-up and current perspectives in low resource settings: a narrative review. International Journal of Physiology, Pathophysiology and Pharmacology, 13(3), 86–93.

Gonçalves, R. L., Pagano, A. S., Reis, Z. S. N., Brackstone, K., Lopes, T. C. P., Cordeiro, S. A., Nunes, J. M., Afagbedzi, S. K., Head, M., Meira Jr, W., Batchelor, J., & Ribeiro, A. L. P. (2023). Usability of Telehealth Systems for Noncommunicable Diseases in Primary Care From the COVID-19 Pandemic Onward: Systematic Review. Journal of Medical Internet Research, 25, e44209.

Gordon, A. S., & Kim, Y. (2022). Telehealth and Outpatient Visits

Among Individuals with Chronic Conditions by Socioeconomic Status in the First Year of the COVID-19 Pandemic: Observational Cohort Study. Telemedicine and E-Health, 29(7), 1105–1110.

Hacker, K. A., Briss, P. A., Richardson, L., Wright, J., & Petersen, R. (2021). COVID-19 and Chronic Disease: The Impact Now and in the Future. Preventing Chronic Disease, 18, 1–6.

Haque, M. M. A., Jahan, Y., Khair, Z., Moriyama, M., Rahman, M. M., Sarker, M. H. R., Shaima, S. N., Chowdhury, S., Matin, K. F., Karim, I. J., Ahmed, M. T., Hossain, S. Z., Masud, M. A. H., Nabi, M. G., Aziz, A. B., Sharif, M., Chowdhury, M. F. I., Shams, K. L., Nizam, N. B., … Hawlader, M. D. H. (2022). Perceptions about Telemedicine among Populations with Chronic Diseases amid COVID-19: Data from a Cross-Sectional Survey. International Journal of Environmental Research and Public Health, 19(7).

Harsono, D., Deng, Y., Chung, S., Barakat, L. A., Friedland, G., Meyer, J. P., Porter, E., Villanueva, M., Wolf, M. S., Yager, J. E., & Edelman, E. J. (2022). Experiences with Telemedicine for HIV Care During the COVID-19 Pandemic: A Mixed-Methods Study. AIDS and Behavior, 26(6), 2099–2111. 021-03556-7

Haybar, H., Kazemnia, K., & Rahim, F. (2020). Underlying Chronic Disease and COVID-19 Infection: A State-of-the-Art Review. Jundishapur Journal of Chronic Disease Care, 9(2).

Heyck Lee, S., Ramondino, S., Gallo, K., & Moist, L. M. (2022). A Quantitative and Qualitative Study on Patient and Physician Perceptions of Nephrology Telephone Consultation During COVID19. Canadian Journal of Kidney Health and Disease, 9.

Hoffer-Hawlik, M. A., Moran, A. E., Burka, D., Kaur, P., Cai, J., Frieden, T. R., & Gupta, R. (2020). Leveraging telemedicine for chronic disease management in low- And middle-income countries during Covid-19. Global Heart, 15(1), 1–5.

Hong, Z., Li, N., Li, D., Li, J., Li, B., Xiong, W., Lu, L., Li, W., & Zhou, D. (2020). Telemedicine during the COVID-19 pandemic: Experiences from Western China. Journal of Medical Internet Research, 22(5), 1–5.

Horrell, L. N., Hayes, S., Herbert, L. B., MacTurk, K., Lawhon, L.,

Valle, C. G., & Bhowmick, A. (2021). Telemedicine use and healthrelated concerns of patients with chronic conditions during COVID19: Survey of members of online health communities. Journal of Medical Internet Research, 23(2).

Iftekhar, E. N., Priesemann, V., Balling, R., Bauer, S., Beutels, P., Calero Valdez, A., Cuschieri, S., Czypionka, T., Dumpis, U., Glaab, E., Grill, E., Hanson, C., Hotulainen, P., Klimek, P., Kretzschmar, M., Krüger, T., Krutzinna, J., Low, N., Machado, H., … Willeit, P. (2021). A look into the future of the COVID-19 pandemic in Europe: an expert consultation. The Lancet Regional Health - Europe, 8.

Islam, N., Lacey, B., Shabnam, S., Erzurumluoglu, A. M., DambhaMiller, H., Chowell, G., Kawachi, I., & Marmot, M. (2021). Social inequality and the syndemic of chronic disease and COVID-19: County-level analysis in the USA. Journal of Epidemiology and Community Health, 75(6), 496–500.

Javanparast, S., Roeger, L., & Reed, R. L. (2021). Experiences of patients with chronic diseases of access to multidisciplinary care during COVID-19 in South Australia. Australian Health Review, 45(5), 525–532.

Jiang, W., Majumder, S., Kumar, S., Subramaniam, S., Li, X., Khedri, R., Mondal, T., Abolghasemian, M., Satia, I., & Deen, M. J. (2022). A Wearable Tele-Health System towards Monitoring COVID-19 and Chronic Diseases. IEEE Reviews in Biomedical Engineering, 15, 61–84.

Kapuria, D., Bollipo, S., Rabiee, A., Ben-Yakov, G., Kumar, G., Siau, K., Lee, H. W., Congly, S., Turnes, J., Dhanasekaran, R., & Lui, R. N. (2021). Roadmap to resuming care for liver diseases after coronavirus disease-2019. Journal of Gastroenterology and Hepatology (Australia), 36(4), 885–892.

Kaye, R., Rosen-zvi, M., & Ron, R. (2020). Digitally-Enabled Remote Care for Cancer Patients: Here to Stay. Seminars in Oncology Nursing, 36(6), 151091.

Kendzerska, T., Zhu, D. T., Gershon, A. S., Edwards, J. D., Peixoto, C., Robillard, R., & Kendall, C. E. (2021). The effects of the health system response to the covid-19 pandemic on chronic disease management: A narrative review. Risk Management and Healthcare Policy, 14, 575–584.

Khoong, E. C., Lyles, C. R., & Karliner, L. (2020). Addressing Equity in Telemedicine for Chronic Disease Management During the Covid-19 Pandemic Improving Outpatient diagnosis View project Medication Adherence View project. NEJM Catalyst, 1(3), 1–13.

Kikuchi, K., Hamano, S. ichiro, Horiguchi, A., Nonoyama, H., Hirata, Y., Matsuura, R., Koichihara, R., Oka, A., & Hirano, D. (2022). Telemedicine in epilepsy management during the coronavirus disease 2019 pandemic. Pediatrics International, 64(1),

Kim, Y., Gordon, A., Rowerdink, K., Herrera Scott, L., & Chi, W. (2022). The Impact of the COVID-19 Pandemic on Health Care Utilization Among Insured Individuals With Common Chronic Conditions. Medical Care, 60(9), 673–679.

Koh, J. H., Chong, L. C. Y., Koh, G. C. H., & Tyagi, S. (2023). Telemedical Interventions for Chronic Obstructive Pulmonary Disease Management: Umbrella Review. Journal of Medical Internet Research, 25, 1–11.

Lan, Y. L., & Chen, H. C. (2022). Telehealth care system for chronic disease management of middle-aged and older adults in remote areas. Health Informatics Journal, 28(4).

Lapão, L. V., Peyroteo, M., Maia, M., Seixas, J., Gregório, J., Da Silva, M. M., Heleno, B., & Correia, J. C. (2021). Implementation of digital monitoring services during the COVID-19 pandemic for patients with chronic diseases: Design science approach. Journal of Medical Internet Research, 23(8).

Lau, J., Hsien-Yung Tan, D., & Tan, K. K. (2021). Inspired by COVID-19: Primary care of chronic diseases must also innovate. Family Practice, 37(6), 868–869.

Lau, N., Colt, S. F., Waldbaum, S., O’Daffer, A., Fladeboe, K., YiFrazier, J. P., McCauley, E., & Rosenberg, A. R. (2021). Telemental health for youth with chronic illnesses: Systematic review. JMIR Mental Health, 8(8).

Lignou, S., Greenwood, J., Sheehan, M., & Wolfe, I. (2022). Changes in Healthcare Provision During Covid-19 and Their Impact on Children With Chronic Illness: A Scoping Review. Inquiry (United States), 59, 1–14.

Liu, N., Huang, R., Baldacchino, T., Sud, A., Sud, K., Khadra, M., & Kim, J. (2020). Telehealth for noncritical patients with chronic

diseases during the COVID-19 pandemic. Journal of Medical Internet Research, 22(8), 8–11.

Louis S Levene, Samuel Seidu, Trish Greenhalgh, K. K. (2020). Pandemic threatens primary care for long term conditions Change is required to ensure effective care during and after covid-19 Louis. BMJ (Online), 371, 1–2.

Marasca, C., De Rosa, A., Fabbrocini, G., Cantelli, M., Patrì, A., Vastarella, M., Gallo, L., di Vico, F., Poggi, S., & Ruggiero, A. (2022). Psychological teleconsultations in patients suffering from chronic skin diseases during the COVID-19 era: a service to improve patients’ quality of life. Journal of Dermatological Treatment, 33(3), 1736–1737.

Mauro, V., Lorenzo, M., Paolo, C., & Sergio, H. (2020). Treat all COVID 19-positive patients, but do not forget those negative with chronic diseases. Internal and Emergency Medicine, 15(5), 787–790.

Mboweni, S. H., & Risenga, P. R. (2022). The Impact of The COVID-19 Pandemic on the Management of Chronic Disease in South Africa: A Systematic Review. The Open Public Health Journal, 15(1), 1–12. e2206140

McElroy, J. A., Day, T. M., & Becevic, M. (2020). The influence of telehealth for better health across communities. Preventing Chronic Disease, 17, 1–6.

McLoone, J., Wakefield, C. E., Marshall, G. M., Pierce, K., Jaffe, A., Bye, A., Kennedy, S. E., Drew, D., & Lingam, R. (2022). It’s made a really hard situation even more difficult: The impact of COVID-19 on families of children with chronic illness. PLoS ONE, 17(9 September), 1–13.

Mirsky Jacob, H., & Daniel. (2019). Chronic Disease Management in the COVID-19 Era. The American Journal of Managed Care, 26(8), 294–295.

Mobula, L. M., Heller, D. J., Commodore-Mensah, Y., Walker Harris, V., & Cooper, L. A. (2020). Protecting the vulnerable during COVID-19: Treating and preventing chronic disease disparities. Gates Open Research, 4, 1–8.

Moher D, Liberati A, Tetzlaff J, A. D. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. The PRISMA Group.

Mohiuddin, S. I., Thorakkattil, S. A., Abushoumi, F., Nemr, H. S.,

Jabbour, R., & Al-Ghamdi, F. (2021). Implementation of pharmacistled tele medication management clinic in ambulatory care settings: A patient-centered care model in COVID-19 Era. Exploratory Research in Clinical and Social Pharmacy, 4, 100083.

Morisada, M. V., Hwang, J., Gill, A. S., Wilson, M. D., Strong, E. B., & Steele, T. O. (2021). Telemedicine, Patient Satisfaction, and Chronic Rhinosinusitis Care in the Era of COVID-19. American Journal of Rhinology and Allergy, 35(4), 494–499.

Niakan Kalhori, S. R., Bahaadinbeigy, K., Deldar, K., Gholamzadeh, M., Hajesmaeel-Gohari, S., & Ayyoubzadeh, S. M. (2021). Digital health solutions to control the COVID-19 pandemic in countries with high disease prevalence: Literature review. Journal of Medical Internet Research, 23(3), 1–12.

Norouzi, S., Arefi, F., Sistani, S., & Mirzaee, M. (2023). A pragmatically before-after trial of tele-visits vs face-to-face visits for chronic patients during the COVID-19 pandemic: patient-reported adherence. International Journal of Medical Informatics, 172(January).

OECD/European Union. (2022). Health at a Glance: Europe 2022: State of Health in the EU Cycle. In OECD Publishing, Paris. ISBN

OECD. (2022). First lessons from government evaluations of COVID-19 responses. January, 1–45. In OECD Publishing, Paris.

OECD and European Union. (2020). Health at a Glance: Europe 2020 State of health in the EU cycle. In Health at a Glance 2020. In OECD Publishing, Paris.

Olmastroni, E., Galimberti, F., Tragni, E., Catapano, A. L., & Casula, M. (2023). Impact of COVID-19 Pandemic on Adherence to Chronic Therapies: A Systematic Review. International Journal of Environmental Research and Public Health, 20(5).

Omboni, S. (2020). Telemedicine during the COVID-19 in Italy: A Missed Opportunity? Telemedicine and E-Health, 26(8), 973–975.

Omboni, S., Ballatore, T., Rizzi, F., Tomassini, F., Panzeri, E., & Campolo, L. (2021). Telehealth at scale can improve chronic disease

management in the community during a pandemic: An experience at the time of COVID-19. PLoS ONE, 16(9 September), 1–15.

Palfreyman, S. (2012). How to do a Systematic Literature Review in Nursing – A Step-by-Step GuideHow to do a Systematic Literature Review in Nursing – A Step-by-Step Guide. In Nursing Standard (Vol. 27, Issue 7).

Perrone, G., Zerbo, S., Bilotta, C., Malta, G., & Argo, A. (2020). Telemedicine during Covid-19 pandemic: Advantage or critical issue? Medico-Legal Journal, 88(2), 76–77.

Pigott, J. S., Armstrong, M., Chesterman, E., Read, J., Nimmons, D., Walters, K., Davies, N., & Schrag, A. (2022). Remote Consultations for People With Parkinson Disease and Cognitive Impairment: Interview Study With Patients, Caregivers, and Health Care Professionals. JMIR Neurotechnology, 1(1), e39974.

Poitras, M. E., Poirier, M. D., Couturier, Y., T Vaillancourt, V., Cormier, C., Gauthier, G., Massé, S., Gendron, A., Oswick, M. L., Morin, A., Blanchette, P., & Bernier, A. (2022). Chronic conditions patient’s perception of post-COVID-19 pandemic teleconsulting continuation in primary care clinics: a qualitative descriptive study. BMJ Open, 12(12), 1–9. 066871

Portnoy, J., Waller, M., & Elliott, T. (2020). Telemedicine in the Era of COVID-19. The Journal of Allergy and Clinical Immunology: In Practice, 8(5), 1489-1491.

Ramakrishnan, M., Poojari, P. G., Rashid, M., & Nair, S. (2023). Impact of COVID-19 pandemic on medicine supply chain for patients with chronic diseases: Experiences of the community pharmacists. Clinical Epidemiology and Global Health, 20(101243).

Ramanathan, K., Antognini, D., Combes, A., Paden, M., Zakhary, B., Ogino, M., Maclaren, G., & Brodie, D. (2022). Efficacy of telemedicine for the management of cardiovascular disease: a systematic review and meta-analysis. Lancet Digit Health, 4, 676– 691,

Rapelli, G., Lopez, G., Donato, S., Pagani, A. F., Parise, M., Bertoni, A., & Iafrate, R. (2020). A Postcard From Italy: Challenges and Psychosocial Resources of Partners Living With and Without a Chronic Disease During COVID-19 Epidemic. Frontiers in Psychology, 11(December), 1–14.

Rodriguez, J. A., Betancourt, J. R., Sequist, T. D., & Ganguli, I. (2021). Differences in the use of telephone and video telemedicine visits during the COVID-19 pandemic. American Journal of Managed Care, 27(1), 21–26.

Rosellini, I., Vianello, M., Palmieri, A., Guidoni, S. V., Giopato, F., Ghazaryan, A., Fuccaro, M., Terrin, A., Vitaliani, R., Rigoni, M. T., Pietrobon, F., & Bonifati, D. M. (2023). Patient satisfaction with televisit in chronic neurologic disorders during Covid-19 pandemic. Acta Neurologica Belgica, 123(3), 983–991.

Rosenlund, M., Kinnunen, U. M., & Saranto, K. (2023). The Use of Digital Health Services Among Patients and Citizens Living at Home: Scoping Review. Journal of Medical Internet Research, 25.

Roy, B., Nowak, R. J., Roda, R., Khokhar, B., Patwa, H. S., Lloyd, T., & Rutkove, S. B. (2020). Teleneurology during the COVID-19 pandemic: A step forward in modernizing medical care. Journal of Neurological Sciences, 414(116930),

Samofalov, D. A., Izhytska, N. V., Dragomyretska, N. M., & Lyashenko, A. V. (2020). Information and Communication Technologies in Public Management of the Healthcare Institutions Network During Covid-19 Pandemics. Wiadomosci Lekarskie (Warsaw, Poland : 1960), 73(11), 2535–2542.

Saqib, M. A. N., Siddiqui, S., Qasim, M., Jamil, M. A., Rafique, I., Awan, U. A., Haroon, M., & Afzal, M. S. (2020). Effect of COVID19 lockdown on patients with chronic diseases. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(6), 1621– 1623.

Seixas, A. A., Olaye, I. M., Wall, S. P., & Dunn, P. (2021). Optimizing Healthcare Through Digital Health and Wellness Solutions to Meet the Needs of Patients With Chronic Disease During the COVID-19 Era. Frontiers in Public Health, 9(July), 1–7.

Smithson, R., Roche, E., & Wicker, C. (2021). Virtual models of chronic disease management: Lessons from the experiences of virtual care during the COVID-19 response. Australian Health Review, 45(3), 311–316.

Stachteas, P., Symvoulakis, M., Tsapas, A., & Smyrnakis, E. (2022).

The impact of the COVID-19 pandemic on the management of patients with chronic diseases in Primary Health Care. Population Medicine, 4(August), 1–13.

Stulock, R., Montgomery, J., Parker, M., Soric, A., & Zeleznikar, E. (2022). Pharmacist involvement in a comprehensive remote monitoring and telemanagement program. American Journal of Health-System Pharmacy, 79(11), 888–895.

Tewksbury, C., Deleener, M. E., Dumon, K. R., & Williams, N. N. (2021). Practical considerations of developing and conducting a successful telehealth practice in response to COVID-19. Nutrition in Clinical Practice, 36(4), 769–774.

The Lancet Respiratory Medicine. (2020). COVID-19 heralds a new era for chronic diseases in primary care. The Lancet, 8(7), 647.

Wake, D. J., Gibb, F. W., Kar, P., Kennon, B., Klonoff, D. C., Rayman, G., Rutter, M. K., Sainsbury, C., & Semple, R. K. (2020). Remodelling diabetes services and emerging innovation. European Journal of Endocrinology, 183(2), G67–G77.

Wang, H., Yuan, X., & Wang, J. (2021). Telemedicine maybe an effective solution for management of chronic disease during the COVID-19 epidemic. Primary Health Care Research and Development, 22, 1231–1235.

Wilczewski, H., Paige, S. R., Ong, T., Soni, H., Barrera, J. F., Welch, B. M., & Bunnell, B. E. (2022). Providers’ Perspectives on Telemental Health Usage After the COVID-19 Pandemic: Retrospective Analysis. JMIR Formative Research, 6(11), 1–10.

Williams, C., & Shang, D. (2023). Telehealth for Chronic Disease Management Among Vulnerable Populations. Journal of Racial and Ethnic Health Disparities, 0123456789.

Wittmeier, K. D. M., Protudjer, J. L. P., & Wicklow, B. A. (2021). Reflections on Virtual Care for Chronic Conditions During the COVID-19 Pandemic. Canadian Journal of Diabetes, 45(1), 1–2.

Wyper, G. M. A., Assunção, R., Cuschieri, S., Devleesschauwer, B., Fletcher, E., Haagsma, J. A., Hilderink, H. B. M., Idavain, J., Lesnik, T., Von Der Lippe, E., Majdan, M., Milicevic, M. S., Pallari, E., Peñalvo, J. L., Pires, S. M., Plaß, D., Santos, J. V., Stockton, D. L.,

Thomsen, S. T., & Grant, I. (2020). Population vulnerability to COVID-19 in Europe: a burden of disease analysis. Archives of Public Health, 78(47), 1–8. 00437-8

Yu, S., Wan, R., Bai, L., Zhao, B., Jiang, Q., Jiang, J., & Li, Y. (2023). Transformation of chronic disease management: Before and after the COVID-19 outbreak. Frontiers in Public Health, 11(March), 1–7.




How to Cite

Vratimos, A., Champilomatis, I., & Farantos, G. (2024). Navigating Chronic Disease Management with Digital Healthcare Solutions amidst the COVID-19 Pandemic: A Systematic Literature Review. ESI Preprints, 27, 405. Retrieved from