Angelica Gherman

Dr. Angelica Gherman


Research Focus & Metrics

Academic Career Length

2Years (2025-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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14 May 2025 in Life
Verified
Journal Article
Open access
PDF file
AGAngelica Gherman
Angelica Gherman
DADiana Andrei
Diana Andrei
Calin PopoiuCalin Popoiu
Calin Popoiu
Emil Robert StoicescuEmil Robert Stoicescu
Emil Robert Stoicescu
CLCodrina Levai
Codrina Levai
VBVlad Bloanca
Vlad Bloanca
The COVID-19 pandemic accelerated the adoption of virtual multidisciplinary teams (MDTs), transforming healthcare delivery through telemedicine. This review examines the integration of telemedicine into multidisciplinary care across various medical specialties, highlighting its benefits and challenges. A comprehensive literature search was conducted across PubMed, Google Scholar, Scopus, and Web of Science, using keywords related to telemedicine and MDTs. Inclusion criteria focused on studies discussing telemedicine implementation in multidisciplinary care, as well as its effectiveness and impact on patient outcomes, while non-English studies, single-case reports, and articles lacking explicit discussions on MDT integration were excluded. Data extraction covered telemedicine platforms, specialties involved, patient satisfaction, and clinical outcomes. Our findings suggest that virtual MDTs enhance efficiency, accessibility, and patient satisfaction, particularly in remote and underserved areas. However, challenges, such as technological barriers, disparities in digital access, and maintaining effective team communication, persist. Despite these limitations, telemedicine has demonstrated significant potential in improving diagnostic accuracy and treatment coordination. Future efforts should focus on optimizing infrastructure, digital training for healthcare providers, and regulatory frameworks to guarantee long-term sustainability.

26 September 2025 in Healthcare
Verified
Journal Article
Open access
PDF file
AGAngelica Gherman
Angelica Gherman
Emil Robert StoicescuEmil Robert Stoicescu
Emil Robert Stoicescu
CLCodrina Levai
Codrina Levai
Calin PopoiuCalin Popoiu
Calin Popoiu
OHOvidiu Hategan
Ovidiu Hategan
Background: Family caregivers of patients with chronic diseases face high levels of burden, anxiety, and burnout, which may negatively affect both their well-being and patient outcomes. Low-cost, accessible telemedicine approaches may provide practical support in resource-limited settings. Methods: We conducted a prospective, parallel-group controlled study in Timisoara, Romania, between April 2024 and March 2025 and included 161 caregivers of older adults with chronic diseases, allocated 1:1 to receive either structured low-cost telemedicine support (weekly phone calls and SMS reminders; n = 82) or usual care (n = 79). Data were collected at baseline, three months, and six months through structured interviews. The primary outcome was caregiver burden measured by the Zarit Burden Interview (ZBI). Secondary outcomes included caregiver anxiety, burnout, satisfaction, and patient-related outcomes such as emergency room (ER) visits, hospital readmissions, and medication adherence. Analyses were performed using ANCOVA and logistic regression, adjusting for baseline values and relevant covariates. Results: At three months, caregivers in the intervention group had significantly lower burden scores compared to controls (adjusted mean difference −2.9; 95% CI −4.7 to −1.1; p = 0.002). Reductions in anxiety (−1.4; p = 0.02) and burnout (−1.6; p = 0.01) were also observed. These effects persisted at six months, though slightly attenuated. Patient outcomes favored the intervention: ER visits were lower at six months (27.50% vs. 41.02%; aOR 0.55, 95% CI 0.30–0.99; p = 0.047), while medication adherence and readmissions showed consistent but non-significant improvements. No adverse effects were reported. Conclusions: A simple, low-tech telemedicine program reduced caregiver burden, anxiety, and burnout and decreased ER visits. Improvements in medication adherence and readmissions were observed, but did not reach statistical significance. This pragmatic intervention can easily be integrated into primary care follow-up or community-based caregiver support programs, providing an affordable and low-cost technique to promote chronic disease management and caregiver well-being, especially in resource-limited health systems.

3 September 2025 in Healthcare
Verified
Journal Article
Open access
PDF file
AGAngelica Gherman
Angelica Gherman
CLCodrina Levai
Codrina Levai
OHOvidiu Hategan
Ovidiu Hategan
Calin PopoiuCalin Popoiu
Calin Popoiu
Emil Robert StoicescuEmil Robert Stoicescu
Emil Robert Stoicescu
AMAnca Laura Maghiari
Anca Laura Maghiari
Background: Cardiovascular disease (CVD) remains a leading cause of morbidity and mortality, particularly in socioeconomically disadvantaged populations. Telemedicine offers a potential strategy to support risk factor management in such groups with limited access to care. Our aim was to assess the effectiveness of a telemedicine-supported intervention compared to usual care in improving cardiovascular risk parameters among adults from a socially deprived urban population. Materials and Methods: In this controlled intervention study, adult patients with one or more cardiovascular risk factors were recruited from a primary care center in a low-income urban neighborhood in Timişoara, Romania. Participants were allocated to either usual care or a six-month telemedicine-supported intervention group. The intervention consisted of regular phone calls by trained staff focusing on medication adherence, self-monitoring of blood pressure and glucose, smoking cessation, and lifestyle advice. No physical visits were delivered. Primary outcomes included changes in systolic and diastolic blood pressure, fasting glucose, and lipid profile. Data were collected at baseline and at six months. Results: A total of 144 patients were allocated to the telemedicine group and 142 to the usual care group. After 6 months, diastolic blood pressure decreased by 3.9 mmHg in the telemedicine group compared to 0.3 mmHg in the standard care group (p < 0.001). LDL-cholesterol was reduced by 18.0 mg/dL with telemedicine versus 5.7 mg/dL with usual care (p < 0.001). In contrast, fasting glucose improved more in the standard care group (–10.9 mg/dL vs. –2.0 mg/dL, p < 0.001). Patient satisfaction in the telemedicine group was high, with 84% rating the program as very useful. Conclusions: Basic telemedicine-supported interventions may represent a feasible and effective strategy for improving cardiovascular risk factors such as diastolic blood pressure and LDL-cholesterol in socially deprived populations. High satisfaction suggests strong acceptability; however, given the small sample size, short follow-up, and single-center design, these findings should be interpreted cautiously and confirmed in larger studies.