Home telehealth for chronic disease management: A systematic review and an analysis of economic evaluations

Polisena, Julie; Coyle, Doug; Coyle, Kathryn; McGill, Sarah

doi:10.1017/s0266462309990201

Cited by 156 publications

(105 citation statements)

References 31 publications

Supporting

Mentioning

101

Contrasting

Unclassified

Order By: Relevance

“…One review found that a societal perspective on costs has not yet been developed for home telehealth [71] and another highlighted the need to consider not only costs to health services of interventions, but also costs to service users and their social networks [72].…”

Section: Economic Analysismentioning

confidence: 99%

Effectiveness of telemedicine: A systematic review of reviews

Ekeland¹,

Bowes²,

Flottorp³

2010

International Journal of Medical Informatics

965

649

View full text Add to dashboard Cite

To conduct a review of reviews on the impacts and costs of telemedicine services. Methods: A review of systematic reviews of telemedicine interventions was conducted. Interventions included all e-health interventions, information and communication technologies for communication in health care, Internet-based interventions for diagnosis and treatments, and social care if important part of health care and in collaboration with health care for patients with chronic conditions were considered relevant. Each potentially relevant systematic review was assessed in full text by one member of an external expert team, using a revised check list from EPOC (Cochrane Effective Practice and Organisation of Care Group) to assess quality. Qualitative analysis of the included reviews was informed by principles of realist review. Results: In total 1593 titles/abstracts were identified. Following quality assessment, the review included 80 heterogeneous systematic reviews. Twenty one reviews concluded that telemedicine is effective, 18 found that evidence is promising but incomplete and others that evidence is limited and inconsistent. Emerging themes are the particularly problematic nature of economic analyses of telemedicine, the benefits of telemedicine for patients, and telemedicine as complex and ongoing collaborative achievements in unpredictable processes. Conclusions: The emergence of new topic areas in this dynamic field is notable and reviewers are starting to explore new questions beyond those of clinical and cost effectiveness. Reviewers point to a continuing need for larger studies of telemedicine as controlled interventions, and more focus on patients' perspectives, economic analyses and on telemedicine innovations as complex processes and ongoing collaborative achievements. Formative assessments are emerging as an area of interest.2 Introduction Previous reviews of telemedicine have concluded that irrefutable evidence regarding the positive impact of telemedicine on clinical outcomes still eludes us. One review [1] of more than 150 articles concluded that potential effectiveness could only be attributed to teleradiology, telepsychiatry, transmission of echocardiographic images and consultations between primary and secondary health providers. Another systematic review [2] that assessed more than 1300 papers making claims about telemedicine outcomes found only 46 publications that actually studied at least some clinical outcomes. A review that analyzed the suitability of telemedicine as an alternative to face-to-face care [3] concluded that establishing systems for patient care using telecommunications technologies is feasible; however, the studies provided inconclusive results regarding clinical benefits and outcomes. A report on peer-reviewed literature for telemedicine services that substituted face-to-face services with ICT based services at home and in offices or hospitals [4] identified 97 articles that met the inclusion criteria for analysis. The authors concluded that telemedicine is being used even if the use ...

show abstract

Section: Economic Analysismentioning

confidence: 99%

Effectiveness of telemedicine: A systematic review of reviews

Ekeland¹,

Bowes²,

Flottorp³

2010

International Journal of Medical Informatics

965

649

View full text Add to dashboard Cite

show abstract

“…Linton proposed studies to clarify how patients should be selected for treatment, and of the role of CCBT compared with other treatments [73]. Polisena et al argued that controlled studies of higher quality were required in home telehealth for diabetes management in order to give more precise insights into clinical effectiveness [74][75]. They added that studies should also include more diverse diabetes populations to increase the external validity of the outcomes, and examine the impact of various clinical approaches to determine optimal telehealth use.…”

Section: Combining Summative and Formative Assessmentsmentioning

confidence: 99%

Methodologies for assessing telemedicine: A systematic review of reviews

Ekeland

Bowes

Flottorp

2012

International Journal of Medical Informatics

155

106

View full text Add to dashboard Cite

“…A second study (Polinesa et al, 2009) also reviewed the literature on the cost-effectiveness of home telehealth for chronic disease. Their review included economic assessments such as cost minimization analyses, cost-effectiveness analyses, cost utility analyses and cost benefit analyses.…”

Section: Economic Backgroundmentioning

confidence: 99%

Home Tele-monitoring: Economic and Clinical Impact of the Service for Patients with Chronic Respiratory Disease

Rainero¹,

Secinaro²,

Nave³

et al. 2017

JMS

View full text Add to dashboard Cite

The term "telemedicine" defines "the use of electronic communications technology to provide and support health care for infants, children, adolescents, and young adults when distance separates the practitioner from the patient, parent, guardian, or referring practitioner" (AAP 2004, 639).The pilot study has been involved 71 patients with a telemedicine service of the Unit of respiratory insufficiency of the Regina Margherita Children's Hospital of Turin follows actually and their caregiver. The scopes are mainly two: the evaluation the potential of control system of functional examination in the various expression of disease, and improvement the knowledge of the perceived quality of the service according the service users, in according to the economic and ethical impact. These variables are able to determine the actual usefulness of the home recorder-ICT device prescription at discharge of these types of patients, or when occur the conditions of necessity, or in case of Centre take charge of new patients. Patients assessed effectiveness home tele-monitoring service and patient's satisfaction through semi-structured questionnaires.The administering of the questionnaires took place during the day hospital, or during office visits/outpatient visits, or during occasional hospitalizations.The analysis is extended to the economic and budgetary aspects, focusing on comparisons of spending between traditional medicine and telemedicine, investigating whether there is a correlation between patient satisfaction and reduced spending by telemedicine The analysis of the data showed interesting results in order to improve the type of service offered to these patients, also in term of economic and social results.

show abstract

Home telehealth for chronic disease management: A systematic review and an analysis of economic evaluations

Abstract: Current evidence suggests that home telehealth has the potential to reduce costs, but its impact from a societal perspective remains uncertain until higher quality studies become available.

Cited by 156 publications

References 31 publications

Effectiveness of telemedicine: A systematic review of reviews

Effectiveness of telemedicine: A systematic review of reviews

Methodologies for assessing telemedicine: A systematic review of reviews

Home Tele-monitoring: Economic and Clinical Impact of the Service for Patients with Chronic Respiratory Disease

Contact Info

Product

Resources

About