A Systematic Review of Patient Satisfaction Among Adults Living With HIV Receiving Telemedicine in the Setting of Post COVID-19 Primary Care in the United States

ABSTRACT: Telemedicine expanded rapidly during the COVID-19 pandemic, yet its true impact remains poorly defined, particularly for people living with HIV (PLWH). Our systematic review synthesizes evidence on satisfaction with telemedicine among PLWH in the United States. A Patient, Intervention, Comparison, Outcome-informed search from five databases identified 236 articles from 2020 to 2025, of which seven met inclusion criteria. PLWH largely reported high satisfaction, citing convenience and flexibility, especially when using telehealth for medication management and result reviews. Telemedicine was received well, notably among patients living in rural settings where access barriers are often greatest. Concerns included technical challenges, privacy issues, lower sense of familiarity, and unequal broadband access. Although telemedicine shows promise in enhancing care equity and satisfaction among PLWH, future research must clarify telemedicine's impact on adherence, barriers, and outcomes. Advancing telemedicine for PLWH requires comprehensive access and implementation strategies as well as policy and education to drive quality across all settings.