Cited by 351Telemedicine and Telehealth ImplementationHealth Systems, Economic Evaluations, Quality of LifeHealthcare Systems and Technology

The DOI matches its Crossref record; 69 of the 69 references it cites were found in a registry or an index.

A systematic review of economic analyses of telehealth services using real time video communication

Open access
Wade, Victoria A, Karnon, Jonathan, Elshaug, Adam G, Hiller, Janet E·2010·BMC Health Services Research

Abstract

BACKGROUND: Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery--synchronous or real time video communication--rather than examining a heterogeneous range of delivery modes as has been the case with previous reviews in this area. METHODS: A systematic search was undertaken for economic analyses of the clinical use of telehealth, ending in June 2009. Studies with patient outcome data and a non-telehealth comparator were included. Cost analyses, non-comparative studies and those where patient satisfaction was the only health outcome were excluded. RESULTS: 36 articles met the inclusion criteria. 22(61%) of the studies found telehealth to be less costly than the non-telehealth alternative, 11(31%) found greater costs and 3 (9%) gave the same or mixed results. 23 of the studies took the perspective of the health services, 12 were societal, and one was from the patient perspective. In three studies of telehealth to rural areas, the health services paid more for telehealth, but due to savings in patient travel, the societal perspective demonstrated cost savings. In regard to health outcomes, 12 (33%) of studies found improved health outcomes, 21 (58%) found outcomes were not significantly different, 2(6%) found that telehealth was less effective, and 1 (3%) found outcomes differed according to patient group. The organisational model of care was more important in determining the value of the service than the clinical discipline, the type of technology, or the date of the study. CONCLUSION: Delivery of health services by real time video communication was cost-effective for home care and access to on-call hospital specialists, showed mixed results for rural service delivery, and was not cost-effective for local delivery of services between hospitals and primary care.

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Crossref · 10.1186/1472-6963-10-233

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Figure 1 Flow chart of study inclusions.
Figure 1 Flow chart of study inclusions.CC BY · PubMed Central

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Show all 68 references

Research works printed but not linked: 10

  1. Drummond M, O'Brien B, Stoddard G, Torrance G: Methods for the economic evaluation of healthcare programmes. 1997, Oxford: Oxford University Press, 2
  2. Loane MA, Oakley A, Rademaker M, Bradford N, Fleischl P, Kerr P, Wootton R: A cost-minimization analysis of the societal costs of realtime teledermatology compared with conventional care: results from a randomized controlled trial in New Zealand. J Telemed Telecare. 2001, 7: 233-238. 10.1258/1357633011936453. · DOI
  3. Eron L, Marineau M: Telemedicine: treating infections in the home. Infections in Medicine. 2006, 23: 517.
  4. Johnston B: Outcomes of the kaiser permanente tele-home health research project. Archives of Family Medicine. 2000, 9: 40-45. 10.1001/archfami.9.1.40. · DOI
  5. Wootton R, Bloomer SE, Corbett R, Eedy DJ, Hicks N, Lotery HE, Mathews C, Paisley J, Steele K, Loane MA: Multicentre randomised control trial comparing real time teledermatology with conventional outpatient dermatological care: societal cost-benefit analysis. Bmj. 2000, 320: 1252-1256. 10.1136/bmj.320.7244.1252. · DOI
  6. Bergmo TS: An economic analysis of teleconsultation in otorhinolaryngology. J Telemed Telecare. 1997, 3: 194-199. 10.1258/1357633971931156. · DOI
  7. Persaud DD, Jreige S, Skedgel C, Finley J, Sargeant J, Hanlon N: An incremental cost analysis of telehealth in Nova Scotia from a societal perspective. J Telemed Telecare. 2005, 11: 77-84. 10.1258/1357633053499877. · DOI
  8. Loane MA, Bloomer SE, Corbett R, Eedy DJ, Evans C, Hicks N, Jacklin P, Lotery HE, Mathews C, Paisley J, et al: A randomized controlled trial assessing the health economics of realtime teledermatology compared with conventional care: an urban versus rural perspective. J Telemed Telecare. 2001, 7: 108-118. 10.1258/1357633011936246. · DOI · Paper page
  9. Dowie R, Mistry H, Young TA, Weatherburn GC, Gardiner HM, Rigby M, Rowlinson GV, Franklin RC: Telemedicine in pediatric and perinatal cardiology: economic evaluation of a service in English hospitals. Int J Technol Assess Health Care. 2007, 23: 116-125. 10.1017/S0266462307051653. · DOI
  10. Oakley AM, Kerr P, Duffill M, Rademaker M, Fleischl P, Bradford N, Mills C: Patient cost-benefits of realtime teledermatology--a comparison of data from Northern Ireland and New Zealand. J Telemed Telecare. 2000, 6: 97-101. 10.1258/1357633001935112. · DOI

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Metadata

Authors
Wade, V. A., Karnon, J., Elshaug, A. G., & Hiller, J. E.
Affiliations
  • The University of Adelaide (AU)
  • South Australia Pathology (AU)
Corresponding author
Wade, Victoria A
Venue
BMC Health Services Research
Published
2010-08-10
Volume
10
Issue
1
Pages
233-233
ISSN
1472-6963 (ISSN-L)
OpenAlex
W1990461339
Cited by
351
References
68
Citations by year
2026: 8 · 2025: 17 · 2024: 28 · 2023: 16 · 2022: 29 · 2021: 34 · 2020: 31 · 2019: 24 · 2018: 21 · 2017: 25 · 2016: 28 · 2015: 27 · 2014: 19 · 2013: 18 · 2012: 15
FWCI
2.03
Type
journal article
Language
en
Open access
Locations
  • BMC Health Services Research (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion, cc-by)
  • Research Bank (Australian Catholic University) (submittedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Swinburne figshare (Swinburne University of Technology) (submittedVersion)
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 › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
Keywords
telemedicine, real-time video communication, synchronous telehealth, cost-effectiveness, health care costs, health outcomes, rural health care, home care, patient travel costs
MeSH terms
Costs and Cost Analysis, Humans, Rural Population, Video Recording, Telemedicine

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