Volume 30, Issue 170, April 2026

Patient satisfaction, engagement, and barriers to adoption of telemedicine in hypertension Management: A Systematic Review

Sara Steć^1♦, Lorenzo Bula², Lidia Kulig¹, Julia Malec¹, Piotr Dryżałowski¹, Bartłomiej Wójcik¹, Katarzyna Czajka¹, Julia Borodacz³, Martyna Czampiel³, Michał Nawracaj¹, Katarzyna Zadrożna¹, Natalia Syncerz¹

¹Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, Poland
²Universidad El Bosque, Carrera 9 No. 131 A-02, 110121, Bogotá, D.C., Colombia
³Medical University of Łódź, Kościuszki 4, 90-419 Łódź, Poland

^♦Corresponding author
Sara Steć, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, Poland

ABSTRACT

Several studies have demonstrated that telemedicine is an effective clinical tool for managing blood pressure. The majority of these studies, however, focus on the clinical efficacy of telemedicine and fail to consider the patient's experience with telemedicine, such as their level of engagement or satisfaction. This systematic review will synthesize the literature examining patient satisfaction, engagement, and barriers to adopting telemedicine for hypertension management. The databases of Web of Science, EMBASE, PubMed, and Scopus were queried for studies published between January 2018 and August 2025 that evaluated patient experiences with telemedicine for the treatment of hypertension. Thirteen studies, involving a total of 3248 participants, met the eligibility requirements for this review. Studies also reported the advantages of telemedicine from the patient's perspective (e.g., high levels of patient satisfaction) as well as its benefits (e.g., convenience, reduced travel time, improved access to healthcare). In addition to the facilitators of patients' use of telemedicine (provider support, family member involvement, and an easy-to-use user interface), perceived disease severity has been identified as an important factor in determining whether patients will adopt telemedicine. Digital literacy emerged as the strongest predictor of engagement with telemedicine. Telemedicine yields high patient satisfaction; however, it creates major barriers to patient engagement and participation, especially among vulnerable populations. Therefore, future telemedicine interventions will need to address digital literacy barriers, clearly communicate data privacy practices, and preserve patient-doctor relationships to achieve equal access and sustained engagement.

Keywords: telemedicine, patient satisfaction, hypertension, engagement, digital health

Medical Science, 2026, 30, e70ms3815

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Published: 12 April 2026