The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
Cost Comparison Between Telemonitoring and Usual Care of Heart Failure: A Systematic Review
Abstract
Heart failure (HF) is associated with high direct and indirect costs to the patients and the healthcare system. This systematic review aims to analyze existing economic data to determine whether telemonitoring of patients with HF will result in decreased costs. The Scopus and PubMed databases were searched independently by two reviewers for journal articles that reported on an economic analysis (i.e., calculated monetary amounts or percentage change in costs) of a study using a HF telemonitoring system. Only articles describing telemonitoring systems with a component of home physiological measurements were included. Eleven articles met the inclusion criteria, describing 10 different HF telemonitoring systems. Nine of the 10 studies analyzed the direct costs to the healthcare system. All the studies found cost reductions from telemonitoring compared to usual care, which ranged between 1.6% and 68.3%. Cost reductions were mainly attributed to reduced hospitalization expenditures. Only one study discussed the impact of HF telemonitoring on direct patient costs. The study found a 3.5% lower travel cost for patients using telemonitoring compared to those in the usual care group. The single study that was found for indirect costs described the willingness to pay for telemedicine by patients with HF (55% of the patients with HF were willing to pay $20 to access telemedicine, and 19% were willing to pay $40). Available data from existing studies suggest that although HF telemonitoring will require an initial financial investment, it will substantially reduce costs in the long term, particularly by reducing rehospitalization and travel costs.
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“While the majority of systematic reviews (10/15, 67%) summarized and reported relevant information about the type of physiological measures monitored in the included trials [33,34,37,38,41-44,47,49]”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [42]
In the citing paper
“One review of both RCTs and observational studies that focused explicitly on cost savings as an outcome found direct cost reductions to the health care system from HT compared to usual care, which ranged between 1.6% and 68.3% [42].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [42]
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Items 101–156 of 156
A Unified Approach for the Evaluation of Telehealth Implementations in Australia
Dattakumar, A., Gray, K. M., Jury, S. C., Biggs, B., Maeder, A., Noble, D. W., Borda, A., Schulz, T., & Gasko, H. (2013) · Cited by 7
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“In international studies (e.g., Polisena et al., 2009; Seto, 2008; Upatising et al., 2015), cost-benefit assessments of digital remote monitoring services have used the cost variables of healthcare systems, such as hospital costs, outpatient care, outpatient care, nurses, home visits and direct…”
BackgroundImplications of mHealth Service Deployments: A Comparison between Dissimilar European Countries
Vannieuwenborg, F., Kirtava, Z., Lambrinos, L., Ooteghem, J. V., & Verbrugge, S. (2012) · Lecture notes in computer science · doi:10.1007/978-3-642-30382-1_9 · Cited by 6
“Because there already exist numerous projects [4] [20] [2] performed all over the world, which monitored patients with heart failures, we choose to use this mobile application as reference case.”
BackgroundRockey-Bartlett, C., Morelli, J., Coffel, M., Geracitano, J., Lafata, J. E., & Khairat, S. (2025) · Digital Health · doi:10.1177/20552076251384220 · Cited by 10
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“…public and health-care expectations: from the multitude of simple fitness heart rate monitors (‘personal trainers’) to the more sophisticated devices with intelligent acquisition and/or autonomous analysis and communication (Seto 2008, De Capua et al 2010, Meli et al 2011, Sufi and Khalil 2011).”
BackgroundRainero, C., Secinaro, S. F., Nave, E., & Bignamini, E. (2017) · Journal of Management and Strategy · doi:10.5430/jms.v8n5p48 · Cited by 5
“One of this (Seto, 2008) analysed the existing economic evidence to determine whether home telemonitoring of patients with congestive heart failure results in decreased costs.”
BackgroundRole of New Technologies in Supporting the Treatment of Complex Patients
Pagliani, L., Nicolosi, E., Rivaben, D., Lorenza, D. C., Agnese, D. N., & Antonini‐Canterin, F. (2021) · Heart Failure Clinics · doi:10.1016/j.hfc.2021.01.009 · Cited by 5
A Method for Estimating Cost Savings for Population Health Management Programs
Murphy, S., McGready, J., Griswold, M. E., & Sylvia, M. L. (2012) · Health Services Research · doi:10.1111/j.1475-6773.2012.01457.x · Cited by 5
“The goals of PHM include improved health and productivity, reduction in modifiable risk factors, promotion of appropriate health care utilization, and reduction of preventable hospitalizations, which should ultimately result in lower health care costs ( Johnson 2003; Kindig and Stoddart 2003; Villagra and Ahmed 2004;…”
BackgroundParente, H. A., Hornemann, S. B., de Faria, I. M., Salgado, D. R., Correia, M. G., & de Azevedo, F. S. (2024) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x241299156 · Cited by 4
“Although few studies have examined economic outcomes, this strategy could be cost-effective as evidenced in studies, 18,44 and according to a meta-analysis, 58 telemo-nitoring can reduce the cost of patient management by 20 – 30%.”
The Economic Benefits of Mobile Broadband
Prieger, J. E. (2012) · Pepperdine Digital Commons (Pepperdine University) · Cited by 4
Mortara, A., Oliva, F. G., & Lenarda, A. D. (2010) · Giornale italiano di cardiologia · doi:10.1714/575.6805 · Cited by 4
Sarmento, A., King, K., & Sanchez‐Ramirez, D. C. (2024) · Life · doi:10.3390/life14020265 · Cited by 4
“…the high adherence of patients with remote data sharing during home EPs may ensure safer exercises at appropriate intensities, provide direct readings without relying on participant interpretation, reduce costs, and help monitor exercise progression, symptoms, and signs of exacerbation [59,68,69].”
BackgroundPark, N. (2010) · Texas ScholarWorks (Texas Digital Library) · Cited by 4
Rezamand, F., Shahnazi, H., & Hassanzadeh, A. (2020) · Korean Journal of Family Medicine · doi:10.4082/kjfm.20.0040 · Cited by 3
Telemonitoring for health education and self-management in South Western Sydney
Chow, J. S. F., Sykes, A., Guzman, J. D., Bonfield, V., & Maurya, N. (2023) · Australian Journal of Primary Health · doi:10.1071/py22067 · Cited by 3
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Adesina, M. A., & Abiodun, A. O. (2019) · European Journal of Environment and Public Health · doi:10.29333/ejeph/5853 · Cited by 3
“It is opined that this is because patients can be adequately monitored, patients’ information can be easily accessed and decisions can be made earlier (Martinez et al., 2006; Pare et al., 2007; Seto, 2008; Wade et al., 2010).”
BackgroundDynamic Task Optimization in Remote Diabetes Monitoring Systems
Suh, M.-K., Woodbridge, J., Moin, T., Lan, M., Alshurafa, N. I., Samy, L., Mortazavi, B. J., Ghasemzadeh, H. G., Bui, A. A. T., Ahmadi, S., et al. (2012) · IEEE International Conference on Healthcare Informatics, Imaging and Systems Biology · doi:10.1109/hisb.2012.10 · Cited by 3
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“On the other hand, several studies have shown the positive impact of structured telephone follow-ups in patients with heart failure (27-31), and different results have been reported concerning the effect of this method on the self-care ability of these individuals.”
BackgroundMensch, Medizin, Technik – Systeme einer vernetzten Gesundheit
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“Seto (2008) evaluated 11 articles using 10 different Heart Failure telemonitoring systems, for their economic impact.”
MethodMalfatto, A. V. G., & Rella, F. D. R. V. (2013) · Journal of Clinical & Experimental Cardiology · doi:10.4172/2155-9880.1000260 · Cited by 2
“Some of the available studies claim that Telemonitoring reduces the cost of patients management by 20 to 30% [18,38,39]; however, these figures often do not include the extra expenses due to technical supplies, personnel, unscheduled visits and clinical tests.”
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“In many studies there were cost reductions in terms of time saving, elimination of traveling expenses, fewer visits to the emergency room, fewer hospitalizations, improved patient compliance with treatment plans, improved patient satisfaction with health services, and improved quality of life [32,33].”
BackgroundReducing the risks of telehealthcare expansion through the automation of efficiency evaluation
Alexandru, C. (2015) · ERA · Cited by 2
Tafuro, A., & Dammacco, G. (2022) · Advances in healthcare information systems and administration book series · doi:10.4018/978-1-7998-8868-0.ch006 · Cited by 1
Perceived Usefulness, Ease of Use, and Intention to Use Telemedicine Among Dermatologists in Taiwan
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Remote monitoring of vital signs in Chronic Heart Failure patients
Anbarasi, K., Hari Nandhini, D., Kousalyaa, G., & Sharmila, B. (2015) · IJIREEICE · doi:10.17148/ijireeice.2015.3323 · Cited by 1
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Nguyen, T. P., & Nguyen-Le, T.-A. (2017) · World Congress on Medical Physics and Biomedical Engineering, September 7 - 12, 2009, Munich, Germany · doi:10.1007/978-981-10-4361-1_157 · Cited by 1
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Metadata
- Authors
- Seto, E.
- Affiliations
- University Health Network (CA)
- Corresponding author
- Seto, Emily
- ORCID
- Seto, Emily
- Venue
- Telemedicine and e-Health
- Publisher
- SAGE Publications
- Published
- 2008-09
- Volume
- 14
- Issue
- 7
- Pages
- 679-686
- ISSN
- 1530-5627 (ISSN-L)
- 1556-3669
- OpenAlex
- W1996071954
- Cited by
- 156
- References
- 32
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 5 · 2023: 2 · 2022: 12 · 2021: 8 · 2020: 6 · 2019: 4 · 2018: 12 · 2017: 6 · 2016: 7 · 2015: 14 · 2014: 10 · 2013: 17 · 2012: 17
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Telemedicine Journal and e-Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- heart failure, remote patient monitoring, cost comparison, usual care, hospital costs, hospital readmission, travel cost, willingness to pay, telemedicine, health care costs
- MeSH terms
- Canada, Heart Failure, Humans, Monitoring, Physiologic, Ontario, Cost Savings, Health Care Costs, Telemedicine
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