Determining the cost of implementing and operating a remote patient monitoring programme for the elderly with chronic conditions: A systematic review of economic evaluations
Abstract
Introduction: Remote patient monitoring (RPM) in conjunction with home nursing visits is becoming increasingly popular for the follow-up of patients with chronic conditions and evidence exists that it improves patients’ health outcomes. Current cost data is reported inconsistently and often gathered from studies of poor methodological quality, making it difficult for decision-makers who consider implementing this service in their organizations. This study reviewed the cost of RPM programmes targeting elderly patients with chronic conditions. Methods: After evaluation against the inclusion and exclusion criteria and appraisal against two criteria which are important for economic evaluations, data from selected studies were extracted and grouped into meaningful cost categories, then adjusted to reflect November 2015 US dollars. Results: In the 13 selected studies, the newly-created cost category ‘Combined intervention cost’ (reflecting equipment purchasing, servicing and monitoring cost) for the various RPM programmes ranged from US$275–US$7963 per patient per year. The three main findings are: (a) RPM programme costs have decreased since 2004 due to cheaper technology; (b) monitoring a single vital sign is likely to be less costly than monitoring multiple vital signs; and (c) programmes targeting hypertension or congestive heart failure are less costly than those targeting respiratory diseases or multiple conditions. Conclusions: This review recommends that future studies present their cost data with more granularity, that grouping of costs should be minimized and that any assumptions, such as amortization, should be made explicit. In addition, studies should compare programmes with similar characteristics in terms of type of conditions, number of vital signs monitored, etc. for more generalizable results.
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Existing studies have explored RPM implementation challenges in a single program or health system.
“Existing studies have explored RPM implementation challenges in a single program or health system.10–14”
From Challenges and Facilitators in Implementing Remote Patient Monitoring Programs in Primary Care (2024) · cites this paper as [14]
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- Authors
- Peretz, D., Arnaert, A., & Ponzoni, N. N.
- Affiliations
- McGill University (CA)
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2016-09-19
- Volume
- 24
- Issue
- 1
- Pages
- 13-21
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2522358683
- Cited by
- 56
- References
- 21
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 6 · 2023: 7 · 2022: 8 · 2021: 6 · 2020: 13 · 2019: 4 · 2018: 3 · 2017: 3
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- 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
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- remote patient monitoring, cost analysis, elderly patients, chronic disease, home-visit nursing, vital signs monitoring, hypertension, congestive heart failure, respiratory diseases
- MeSH terms
- Aged, Chronic Disease, Cost-Benefit Analysis, Heart Failure, Humans, Hypertension, Monitoring, Ambulatory, Remote Sensing Technology
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