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 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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“Economic analyses have shown that cost effectiveness of synchronous telemedicine vary widely according to the delivery setting [8].”
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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)
- 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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