BACKGROUND
Telerehabilitation services provide numerous advantages such as better patient outcomes, lower healthcare costs, enhanced access to care, and improved patient satisfaction. Telerehabilitation minimizes the need for expensive equipment, yet evidence quantifying its benefits remains insufficient.
OBJECTIVE
The present study intends to systematically summarize previous research on the total and average costs of telerehabilitation and the barriers to implementing telerehabilitation programs.
METHODS
We searched PubMed, Scopus, CINAHL, and the OVID Library databases retrieving 3858 records. Economic Evaluation Metrics like currency reported in the study were converted to USD (2023) for standardization and types of costs measured (direct and indirect) were extracted from 21 studies. The meta-analysis was conducted for 14 studies using the meta package in R.
RESULTS
We included 21 studies (19,690 patients) in our systematic review, while only 14 were included in the pooled analysis. Many studies reported no significant differences between the telerehabilitation and control groups, but the combined effect estimate showed significant differences in terms of the total and average costs with the mean difference of 71.92 US dollars.
CONCLUSIONS
The study showed lower cost for telerehabilitation than in controls. Telerehabilitation can be an effective alternative to traditional rehabilitation therapy, particularly in remote or underserved locations. Larger studies are needed to assess the ongoing developments in telerehabilitation.