Economic Evaluations of Remote Patient Monitoring for Chronic Disease: A Systematic Review
Open accessAbstract
Objectives This study aimed to systematically review and summarize economic evaluations of noninvasive remote patient monitoring (RPM) for chronic diseases compared with usual care.Methods A systematic literature search identified economic evaluations of RPM for chronic diseases, compared with usual care. Searches of PubMed, Embase, CINAHL, and EconLit using keyword synonyms for RPM and economics identified articles published from up until September 2021. Title, abstract, and full-text reviews were conducted. Data extraction of study characteristics and health economic findings was performed. Article reporting quality was assessed using the Consolidated Health Economic Evaluation Reporting Standards checklist.Results This review demonstrated that the cost-effectiveness of RPM was dependent on clinical context, capital investment, organizational processes, and willingness to pay in each specific setting. RPM was found to be highly cost-effective for hypertension and may be cost-effective for heart failure and chronic obstructive pulmonary disease. There were few studies that investigated RPM for diabetes or other chronic diseases. Studies were of high reporting quality, with an average Consolidated Health Economic Evaluation Reporting Standards score of 81%. Of the final 34 included studies, most were conducted from the healthcare system perspective. Eighteen studies used cost-utility analysis, 4 used cost-effectiveness analysis, 2 combined cost-utility analysis and a cost-effectiveness analysis, 1 used cost-consequence analysis, 1 used cost-benefit analysis, and 8 used cost-minimization analysis.Conclusions RPM was highly cost-effective for hypertension and may achieve greater long-term cost savings from the prevention of high-cost health events. For chronic obstructive pulmonary disease and heart failure, cost-effectiveness findings differed according to disease severity and there was limited economic evidence for diabetes interventions.
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The ROI of RPM depends on the specific clinical setting and available resources.
“The ROI of RPM depends on the specific clinical setting and available resources.7,24,25”
Organizational workflows significantly influence the ROI of RPM, as seamless integration within the broader clinical and organizational structure affects initial costs related to resources, software, and training.
“Organizational workflows significantly influence the ROI of RPM, as seamless integration within the broader clinical and organizational structure affects initial costs related to resources, software, and training.7”
Several randomized controlled trials have demonstrated that RPM-HTN can be effective and cost-effective in managing hypertension, enhancing BP control, and mitigating cardiovascular disease events.
“Several randomized controlled trials have demonstrated that RPM-HTN can be effective and cost-effective in managing hypertension, enhancing BP control, and mitigating cardiovascular disease events.7–12”
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Hayek, M. A., Giannouchos, T., Lawley, M., & Kum, H.-C. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.44372 · Cited by 32 · see citing works
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“7,24,25 Regarding the cost of the RPM program, we found that more than half of the RPM-HTN program ’ s expenses ($172 per patient, 52.1”
Influential
- Authors
- De Guzman, K. R., Snoswell, C. L., Taylor, M. L., Gray, L. C., & Caffery, L. J.
- Affiliations
- The University of Queensland (AU)
- Venue
- Value in Health
- Publisher
- Elsevier BV
- Published
- 2022-06
- Volume
- 25
- Issue
- 6
- Pages
- 897-913
- ISSN
- 1098-3015 (ISSN-L)
- OpenAlex
- W4205153101
- Cited by
- 83
- References
- 60
- Citations by year
- 2026: 24 · 2025: 30 · 2024: 17 · 2023: 8 · 2022: 4
- FWCI
- 2.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Value in Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Notre Dame Australia
- Macquarie University
- Bupa Health Foundation
- Department of Health, Australian Government
- NSW Ministry of Health
- NHMRC (9100002)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- remote patient monitoring, chronic disease, cost-effectiveness, hypertension, heart failure, chronic obstructive pulmonary disease, diabetes mellitus, usual care comparison, healthcare system perspective
- MeSH terms
- Chronic Disease, Cost-Benefit Analysis, Heart Failure, Humans, Hypertension, Monitoring, Physiologic, Pulmonary Disease, Chronic Obstructive
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