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A systematic review of economic analyses of telehealth services using real time video communication
Open accessAbstract
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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Coordination of care in colon cancer
Chang, G. J., & Kopetz, S. (2015) · Cancer · doi:10.1002/cncr.29473 · Cited by 3
“tation for rural settings, and this approach has been shown to reduce costs in some but not all studies.(8) Efforts to improve communication and disseminate guidelines have been associated with increased use of adjuvant chemotherapy in a rural health care setting.”
BackgroundFry, M. W., Saidi, S., Musa, A., Kithyoma, V., & Kumar, P. A. (2020) · medRxiv · doi:10.1101/2020.05.10.20097337 · Cited by 3
Economic Evaluations for Service Delivery in Autism Spectrum Disorders
Angjellari-Dajci, F., Lawless, W. F., Stachura, M. E., Wood, E. A., & DiBattisto, C. (2013) · IGI Global eBooks · doi:10.4018/978-1-4666-3990-4.ch002 · Cited by 2
Science and Innovative Thinking for Technical and Organizational Development
Komendziński, T., Dreszer, J., Mikołajewska, E., Mikołajewski, D., & Bałaj, B. (2015) · Advances in medical education, research, and ethics (AMERE) book series · doi:10.4018/978-1-4666-9658-7.ch001 · Cited by 2
Communicating with Citizens on the Ground
Mazumdar, S., Ciravegna, F., Ireson, N., Read, J., Simpson, E., & Cudd, P. (2016) · International Journal of Information Systems for Crisis Response and Management · doi:10.4018/ijiscram.2016040104 · Cited by 2
“, 2012), as an economic alternative of providing health services via real time video conferencing (Wade et al., 2010).”
Tecnologias eHealth direcionadas aos pais para o cuidado de bebês prematuros: Revisão integrativa
de Queiroz, M. A. D. S., Brasil, C. C. P., Cabral, C. B. M., Porto, A. C. L., Barbosa, P. M. E., & de Sousa, R. C. (2022) · New Trends in Qualitative Research · doi:10.36367/ntqr.13.2022.e693 · Cited by 1
Choi, J., Kim, G. J., Choi, S., & Chang, J. E. (2023) · Journal of Public Health Management and Practice · doi:10.1097/phh.0000000000001845 · Cited by 3
Brinson, A., Jahnke, H. R., Henrich, N. J., Moss, C. W., & Shah, N. T. (2024) · JMIR Pediatrics and Parenting · doi:10.2196/56247 · Cited by 2
“…several benefits: improving in-clinic conversations with providers, influencing one’s mode of delivery and birth plan [30,31], managing mental health throughout pregnancy [32], and enabling users to identify and address problems immediately (vs waiting until their next in-person appointment) [33].”
BackgroundUse of a digital health benefit to maintain employees’ productivity while trying to conceive
Henrich, N. J., Brinson, A., Karwa, S., & Jahnke, H. R. (2025) · Social Science & Medicine · doi:10.1016/j.socscimed.2025.118329 · Cited by 2
Impact assessment of broadband transport and internet access projects in Peru
Bonifáz, J. L., & Aguirre, J. C. (2025) · Telecommunications Policy · doi:10.1016/j.telpol.2025.103149 · Cited by 2
Bergmo, T. S. (2014) · International Conference on eHealth, Telemedicine, and Social Medicine · Cited by 2
Home Medication Management by Videophone: Translation from Pilot Project to Integrated Service
Wade, V., Littleford, A., & Kralik, D. (2011) · Communications in medical and care compunetics · doi:10.1007/8754_2011_26 · Cited by 2
“A systematic review of economic analyses of video communication in telehealth found that home care was the area where the greatest cost-effectiveness could be demonstrated [40].”
BackgroundSelf-citationDevelopment of a user needs-based telepresence robot for consultation
Lee, H., & Kim, J. (2019) · Technology and Health Care · doi:10.3233/thc-191796 · Cited by 2
“Tele-health has been introduced to reduce costs, improve efficiency, and provide better access to healthcare services [1].”
Wilkens, J., Thulesius, H. O., Arvidsson, E., Lindgren, A., & Ekman, B. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-038618 · Cited by 2
Telerehabilitation for Integrative Health
Ratcliff, C. G., Bonthala, S., Torres, D., & Korupolu, R. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-82486-6.00015-0 · Cited by 3
Aviraj, K. S., Mohanty, M., Gnanasekaran, S., & Pachori, R. (2024) · Research Square · doi:10.21203/rs.3.rs-4999453/v1 · Cited by 2
Dalisay, N. J., Cruz, B. O.-D., Punzal, P. A., & Limpin, M. E. (2023) · Respirology Case Reports · doi:10.1002/rcr2.1187 · Cited by 1
“Apart from the clinical implication, this telemedicine branch’s economic impact has proven its effectiveness in decreasing costs, improving efficiency, and increasing healthcare delivery access.(13) In conclusion, smartphones have become available and easy to use among Filipinos, and pulmonary telerehabilitation could…”
BackgroundFerret, G., Pérez, M. C., Cornejo, L., Guillem-López, F., Farrés, R., Parés, D., & Ibáñez, J. F. J. (2024) · Cirugía Española (English Edition) · doi:10.1016/j.cireng.2024.01.015 · Cited by 1
Huben, A. V., Thompson, A. E., Wilson, A. J., Luscombe, G. M., Haigh, A., Howard, K., Saurman, E., Shaw, T. J., Wingfield, G., Ampt, A. J., et al. (2024) · The Medical Journal of Australia · doi:10.5694/mja2.52530 · Cited by 1
Hyvinvointi‐TV ikääntyneiden kotihoidon tukena
Jauhiainen, A., & Miettinen, T. (2011) · Finnish Journal of eHealth and eWelfare · Cited by 1
Oliver-Baxter, J., Brown, L. J., O’Connor, J., Lunnay, B., & Bywood, P. T. (2013) · Flinders Academic Commons (Flinders University) · Cited by 1
On the Digital Road to Improved Home Healthcare
Osborne, T. F., Reich, J. J., Arkwright, B. T., & John Russo, Jr. (2018) · Telehealth and Medicine Today · doi:10.30953/tmt.v1.80
“Importantly, the article authors suggested that the specific organizational model employed in the delivery of care was more important to the success of the program than the type of technology utilized.(41) In a separate study, the authors suggested that the lack of an effective infrastructure for case management was t…”
MethodA Comprehensive Overview of Home Telehealth
Osborne, T. F., Arkwright, B. T., Reich, J. J., & Russo, J. (2018) · Telehealth and Medicine Today · doi:10.30953/tmt.v1.53
“Importantly, the article authors suggested that the specific organizational model employed in the delivery of care was more important to the success of the program than the type of technology utilized.(62) In a separate study, the authors suggested that the lack of an effective infrastructure for case management was t…”
MethodProcedure-Based Telehealth Utilization in General Surgery
Levy, B. E., Wilt, W. S., Johnson, J., WALLACE, H. M., Ballert, E. Q., Newcomb, M. R., Cavatassi, W., & Harris, A. M. (2023) · American Journal of Medical Quality · doi:10.1097/jmq.0000000000000122 · Cited by 1
Ferret, G., Pérez, M. C., Cornejo, L., Guillem-López, F., Farrés, R., Parés, D., & Ibáñez, J. F. J. (2024) · Cirugía Española · doi:10.1016/j.ciresp.2024.01.017 · Cited by 1
Digital health utilization during pregnancy and the likelihood of preterm birth
Brinson, A., Jahnke, H. R., Henrich, N. J., Karwa, S., Moss, C. W., & Shah, N. T. (2024) · Digital Health · doi:10.1177/20552076241277037 · Cited by 1
“23,24 Through increased access to care, digital health may help address patient questions and potentially reduce preterm births by offering timely guidance at critical points between in-person prenatal visits.”
BackgroundRicketts, E. J. (2014) · UWM Digital Commons (University of Wisconsin–Milwaukee) · Cited by 1
Ishani, A., Christopher, J., Palmer, D., Otterness, S., Clothier, B. A., Nugent, S. M., Nelson, D. B., & Rosenberg, M. E. (2016) · Cited by 1
Green, N., Tappin, D., & Bentley, T. A. (2018) · Advances in intelligent systems and computing · doi:10.1007/978-3-319-96098-2_25 · Cited by 1
Fonseka, T., Ellis, R., & Salem, H. (2020) · Journal of Clinical Urology · doi:10.1177/2051415820956413 · Cited by 1
Towards an IT maturity model for general practice information systems
Hermanns, T. I. (2014) · Utrecht University Repository (Utrecht University) · Cited by 1
The eHealth Arena and Online Virtual Worlds
Morie, J. F., & Chance, E. (2013) · International Journal of Gaming and Computer-Mediated Simulations · doi:10.4018/jgcms.2013070103
“…the most prevalent uses of eHealth center around three main areas: Video conferencing between professional care providers and remote patients (Wade et al., 2010), self-help web sites that allow people to research their symptoms and find common interventions that exist (King & Moreggi, 1998;…”
BackgroundNursing Professionals' Roles in Terms of Communication with Patients Using Electronic Devices
Koivunen, M. H., Niemi, A., & Hupli, M. (2014) · International Conference on eHealth, Telemedicine, and Social Medicine
Rebac, S. (2013) · NORA - Norwegian Open Research Archives
Working Anywhere for Telehealth
Blount, Y., & Gloet, M. (2017) · Advances in human resources management and organizational development book series · doi:10.4018/978-1-5225-2328-4.ch009
Perspectives in Digital Health and Precision Medicine
Gabbrielli, F., Russo, G., Minco, L. D., Casciello, M., & Gensini, G. F. (2017) · TELe-Health · doi:10.1007/978-3-319-28661-7_7
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)
- PMC
- PMC2927589
- 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
- gold
- doi.org
- Licence
- 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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